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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"平成２８年６月１日より適用"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"延べ面積（㎡）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"手数料"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"3,000㎡以内のもの",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"2,700円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"3,000㎡を超え、10,000㎡以内のもの",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"4,860円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"10,000㎡を超えるもの",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"8,100円",null,null,null,null,"（消費税込）"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"整理番号",null,null,null,null,"-",null,null,null,"-"]
["第三十六号の八様式 （第六条関係）（Ａ４）"]
[null,"定期検査報告書",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"東京都知事"]
[null,"（防火設備）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"多摩建築指導事務所長"]
[null,"（第一面）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"千代田区長"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"中央区長"]
["  建築基準法第12条第３項の規定により、定期検査の結果を報告します。この報告書に記載の事項は事実",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"港区長"]
["に相違ありません。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"新宿区長"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"文京区長"]
[null,null,null,null,null,null,null,null,null,null,null,null,"様",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"台東区長"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"平成",null,null,null,"年",null,null,"月",null,null,"日",null,null,null,null,null,null,null,null,"墨田区長"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"江東区長"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"品川区長"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"報告者氏名",null,null,null,null,null,null,null,null,null,null,null,null,null,"印",null,null,null,null,"目黒区長"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"大田区長"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"世田谷区長"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"検査者氏名",null,null,null,null,null,null,null,null,null,null,null,null,null,"印",null,null,null,null,"渋谷区長"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"中野区長"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"杉並区長"]
[null,"【１．所有者】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"豊島区長"]
[null,null,null,"【イ．氏名のフリガナ】",null,null,null,null,null,null,null,null,null,null,{"$f":"ASC(PHONETIC(O22))","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"北区長"]
[null,null,null,"【ロ．氏名】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"荒川区長"]
[null,null,null,"【ハ．郵便番号】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"板橋区長"]
[null,null,null,"【ニ．住所】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"練馬区長"]
[null,null,null,"【ホ．電話番号】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"足立区長"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"葛飾区長"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"江戸川区長"]
[null,"【２．管理者】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"八王子市長"]
[null,null,null,"【イ．氏名のフリガナ】",null,null,null,null,null,null,null,null,null,null,{"$f":"ASC(PHONETIC(O30))","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"町田市長"]
[null,null,null,"【ロ．氏名】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"府中市長"]
[null,null,null,"【ハ．郵便番号】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"調布市長"]
[null,null,null,"【ニ．住所】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"三鷹市長"]
[null,null,null,"【ホ．電話番号】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"武蔵野市長"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"日野市長"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"立川市長"]
[null,"【３．報告対象建築物】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"国分寺市長"]
[null,null,null,"【イ．所在地】"]
[null,null,null,"【ロ．名称のフリガナ】",null,null,null,null,null,null,null,null,null,null,{"$f":"ASC(PHONETIC(O39))","v":""}]
[null,null,null,"【ハ．名称】"]
[null,null,null,"【二．用途】"]
[]
[]
[null,"【４．検査による指摘の概要】"]
[null,null,null,null,{"$f":"IF(O128=\"\",\"\",O128)","v":""},"要是正の指摘あり 　",null,null,null,null,null,null,null,null,"（",{"$f":"IF(Y128=\"\",\"\",Y128)","v":""},"既存不適格 ）",null,null,null,null,null,null,null,{"$f":"IF(AH128=\"\",\"\",AH128)","v":""},"指摘なし"]
[]
[]
[]
[]
[null,"　※受付欄",null,null,null,null,null,null,null,null,null,null,"　※特記欄",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　※整理番号欄"]
[null,"平成　　年　　月　　日"]
[null,"第",null,null,null,null,null,null,null,null,"号"]
[null,"係員印"]
[]
[]
[null,"【報告書（副）返送先】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"【連絡先】"]
[null,"名称",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"名称"]
[null,"〒",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"住所"]
[null,"住所",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"電話"]
[null,"電話",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"FAX"]
[]
["（第二面）"]
[null,"防火設備の状況等"]
[]
[]
[null,"【１．建築物の概要】"]
[null,null,null,"【イ．階数】　",null,null,null,null,null,null,null,"地上",null,null,null,null,"階",null,"地下",null,null,null,null,"階"]
[null,null,null,"【ロ．建築面積】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"㎡"]
[null,null,null,"【ハ．延べ面積】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"㎡"]
[]
[]
[null,"【２．確認済証交付年月日等】"]
[null,null,null,"【イ．確認済証交付年月日】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"・",null,null,null,null,"年",null,null,"月",null,null,"日",null,null,"第",null,null,null,null,null,null,null,null,null,null,null,"号"]
[null,null,null,"【ロ．確認済証交付者】",null,null,null,null,null,null,null,null,null,null,null,null,null,"建築主事",null,null,null,null,null,"指定確認検査機関",null,null,null,null,null,null,null," (",null,null,null,null,null,null,null,null,null,null,null,null,null,")"]
[null,null,null,"【ハ．検査済証交付年月日】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"・",null,null,null,null,"年",null,null,"月",null,null,"日",null,null,"第",null,null,null,null,null,null,null,null,null,null,null,"号"]
[null,null,null,"【ニ．検査済証交付者】",null,null,null,null,null,null,null,null,null,null,null,null,null,"建築主事",null,null,null,null,null,"指定確認検査機関",null,null,null,null,null,null,null," (",null,null,null,null,null,null,null,null,null,null,null,null,null,")"]
[]
[]
[null,"【３．検査日等】"]
[null,null,null,"【イ．今回の検査】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"平成",null,null,"年",null,null,"月",null,null,"日","実施"]
[null,null,null,"【ロ．前回の検査】",null,null,null,null,null,null,null,null,null,null,"実施",null,null,null,"(平成",null,null,"年",null,null,"月",null,null,"日","報告）",null,null,null,null,"未実施"]
[null,null,null,"【ハ．前回の検査に関する書類の写し】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"有",null,null,null,"無"]
[]
[]
[null,"【４．防火設備の検査者】"]
[null,null,"（代表となる検査者）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"一級"]
[null,null,null,"【イ．資格】",null,null,null,null,null,null,null,null,null,null,"（",null,null,"）建築士",null,null,null,null,null,null,"（",null,null,null,null,null,null,null,null,"）登録",null,null,null,"第",null,null,null,null,null,null,"号",null,null,null,null,null,"二級"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"防火設備検査員",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第",null,null,null,null,null,null,"号"]
[null,null,null,"【ロ．氏名のフリガナ】",null,null,null,null,null,null,null,null,null,null,{"$f":"ASC(PHONETIC(O89))","v":""}]
[null,null,null,"【ハ．氏名】 "]
[null,null,null,"【ニ．勤務先】"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（",null,null,"）建築士事務所",null,null,null,null,null,null,"（",null,null,null,null,null,null,"）知事登録",null,null,null,null,null,"第",null,null,null,null,null,null,"号"]
[null,null,null,"【ホ．郵便番号】"]
[null,null,null,"【へ．所在地】"]
[null,null,null,"【ト．電話番号】"]
[null,null,"（その他の検査者）"]
[null,null,null,"【イ．資格】",null,null,null,null,null,null,null,null,null,null,"（",null,null,"）建築士",null,null,null,null,null,null,"（",null,null,null,null,null,null,null,null,"）登録",null,null,null,"第",null,null,null,null,null,null,"号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"防火設備検査員",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第",null,null,null,null,null,null,"号"]
[null,null,null,"【ロ．氏名のフリガナ】",null,null,null,null,null,null,null,null,null,null,{"$f":"ASC(PHONETIC(O99))","v":""}]
[null,null,null,"【ハ．氏名】 "]
[null,null,null,"【ニ．勤務先】"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（",null,null,"）建築士事務所",null,null,null,null,null,null,"（",null,null,null,null,null,null,"）知事登録",null,null,null,null,null,"第",null,null,null,null,null,null,"号"]
[null,null,null,"【ホ．郵便番号】"]
[null,null,null,"【へ．所在地】"]
[null,null,null,"【ト．電話番号】"]
[null,null,"（その他の検査者２）"]
[null,null,null,"【イ．資格】",null,null,null,null,null,null,null,null,null,null,"（",null,null,"）建築士",null,null,null,null,null,null,"（",null,null,null,null,null,null,null,null,"）登録",null,null,null,"第",null,null,null,null,null,null,"号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"防火設備検査員",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第",null,null,null,null,null,null,"号"]
[null,null,null,"【ロ．氏名のフリガナ】",null,null,null,null,null,null,null,null,null,null,{"$f":"ASC(PHONETIC(O109))","v":""}]
[null,null,null,"【ハ．氏名】 "]
[null,null,null,"【ニ．勤務先】"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（",null,null,"）建築士事務所",null,null,null,null,null,null,"（",null,null,null,null,null,null,"）知事登録",null,null,null,null,null,"第",null,null,null,null,null,null,"号"]
[null,null,null,"【ホ．郵便番号】"]
[null,null,null,"【へ．所在地】"]
[null,null,null,"【ト．電話番号】"]
[]
[]
[null,"【５．防火設備の概要】"]
[null,null,"【イ．避難安全検証法等の適用】　"]
[null,null,null,null,null,"階避難安全検証法",null,null,null,null,null,null,null,null,"（",null,null,null,"階）",null,null,null,null,null,"全館避難安全検証法"]
[null,null,null,null,null,"その他",null,null,null,null,"（",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,null,"【ロ．防火設備】　"]
[null,null,null,null,null,"防火扉",null,null,null,null,null,null,null,null,null,"（",null,null,null,"枚）",null,null,null,null,"防火シャッター",null,null,null,null,null,null,null,"（",null,null,null,"枚）"]
[null,null,null,null,null,"耐火クロススクリーン",null,null,null,null,null,null,null,null,null,"（",null,null,null,"枚）",null,null,null,null,"ドレンチャー",null,null,null,null,null,null,null,"（",null,null,null,"台）"]
[null,null,null,null,null,"その他　",null,null,null,null,null,null,null,null,null,"（",null,null,null,"台）"]
[]
[]
[null,"【６．防火設備の検査の状況】"]
[null,null,"【イ．指摘の内容】　",null,null,null,null,null,null,null,null,null,null,null,null,"要是正の指摘あり",null,null,null,null,null,null,null,"（",null,"既存不適格 ）",null,null,null,null,null,null,null,null,"指摘なし"]
[null,null,"【ロ．指摘の概要】"]
[]
[]
[]
[]
[null,null,"【ハ．改善予定の有無】",null,null,null,null,null,null,null,null,null,null,null,null,"有",null,null,"（平成",null,null,"年",null,null,"月に改善予定)",null,null,null,null,null,null,null,null,"無"]
[]
[]
[null,"【７．防火設備の不具合の発生状況】"]
[null,null,"【イ．不具合】　",null,null,null,null,null,null,null,null,null,null,"有",null,null,null,null,"無"]
[null,null,"【ロ．不具合記録】",null,null,null,null,null,null,null,null,null,null,"有",null,null,null,null,"無"]
[null,null,"【ハ．改善の状況】　",null,null,null,null,null,null,null,null,null,null,"実施済",null,null,null,null,"改善予定",null,null,null,null,null,"（平成",null,null,"年",null,null,"月に改善予定)",null,null,null,null,null,null,null,null,"予定なし"]
[]
[]
[null,"【８．備考】"]
[]
[]
[]
["（第三面）"]
[null,"防火設備に係る不具合の状況"]
[]
[]
[null,"不具合を把握した年月",null,null,null,null,null,"不具合の概要",null,null,null,null,null,null,null,null,null,"考えられる原因",null,null,null,null,null,null,null,null,null,null,"改善(予定)\n年月",null,null,null,null,null,"改善措置の概要等"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"（注意）"]
[null,"１．各面共通関係"]
[null,null,"①","　※印のある欄は、記入しないでください。"]
[null,null,"②","　数字は算用数字を、単位はメートル法を用いてください。"]
[null,null,"③","　記入欄が不足する場合は、枠を拡大、行を追加して記入するか、別紙に必要な事項を記入し添えてください。"]
[]
[null,"２．第一面関係"]
[null,null,"①","　報告者又は検査者の氏名の記載を自署で行う場合においては、押印を省略することができます。"]
[]
[null,null,"②","　検査者が2人以上の時は、代表となる検査者を検査者氏名欄に記入してください。"]
[null,null,"③","　１欄及び２欄は、所有者又は管理者が法人のときは、「ロ」はそれぞれ法人の名称及び代表者氏名を、「ニ」はそれぞれ法人の所在地を記入してください。"]
[null,null,"④","　第二面の６欄の「イ」において「要是正の指摘あり」のチェックボックスに「レ」マークを入れた場合においては、４欄の「イ」の「要是正の指摘あり」のチェックボックスに「レ」マークを入れて下さい。また、第二面の６欄の「イ」において、「既存不適格」のチェックボックスに「レ」マークを入れたときは、併せて４欄の「イ」の「既存不適格」のチェックボックス」に「レ」マークを入れて下さい。"]
[]
[]
[]
[null,"３．第二面関係"]
[null,null,"①","　この書類は、建築物ごとに、防火設備の概要及び当該防火設備の構造方法に係る検査結果について作成してください。"]
[]
[null,null,"②","　２欄の「イ」及び「ロ」は、検査対象の防火設備を有する建築物に関する直前の確認について、「ハ」及び「ニ」は、検査対象の防火設備を有する建築物に関する直前の完了検査について、それぞれ記入してください。"]
[]
[]
[null,null,"③","　２欄の「ロ」及び「ニ」は、該当するチェックボックスに「レ」マークを入れ、「指定確認検査機関」の場合には、併せてその名称を記入してください。"]
[]
[null,null,"④","　３欄の「イ」は、検査が終了した年月日を記入し、「ロ」は、検査対象の防火設備に関する直前の報告について記入してください。"]
[]
[null,null,"⑤","　３欄の「ロ」は、報告の対象となっていない場合には「未実施」のチェックボックスに「レ」マークを入れてください。"]
[]
[null,null,"⑥","　３欄の「ハ」は、前回の定期検査の結果を記録した書類の写しの保存の有無について記入してください。"]
[]
[null,null,"⑦","　４欄は、代表となる検査者並びに検査に係る防火設備に係る全ての検査者について記入してください。当該防火設備の検査を行った検査者が１人の場合は、その他の検査者欄は削除して構いません。"]
[]
[]
[null,null,"⑧","　4欄の「イ」は、検査者の有する資格について記入してください。検査者が防火設備検査員である場合は、防火設備検査員資格者証の交付番号を「防火設備検査員」の番号欄に記入してください。"]
[]
[]
[null,null,"⑨","　４欄の「ニ」は、検査者が法人に勤務している場合は、検査者の勤務先について記入し、勤務先が建築士事務所のときは、事務所登録番号を併せて記入してください。"]
[]
[null,null,"⑩","　４欄の「ホ」から「ト」までは、検査者が法人に勤務している場合は、検査者の勤務先について記入し、検査者が法人に勤務していない場合は、検査者の住所について記入してください。"]
[]
[null,null,"⑪","　５欄の「イ」は、建築基準法施行令第129条第３項に規定する階避難安全検証法により階避難安全性能が確かめられた建築物のときは「階避難安全検証法」のチェックボックスに、同令第129条の２第３項に規定する全館避難安全検証法により全館避難安全性能が確かめられた建築物のときは「全館避難安全検証法」のチェックボックスに、それぞれ「レ」マークを入れ、「階避難安全検証法」の場合には、併せて階避難安全性能を確かめた階を記入してください。建築基準法第38条（同法第67条の2、第67条の4及び第88条第1項において準用する場合を含む。）の規定による特殊構造方法等認定、同法第68条の25第１項の規定による構造方法等の認定又は建築基準法の一部を改正する法律（平成10年法律第100号）による改正前の建築基準法第38条の規定による認定を受けている建築物のうち、当該適用について特に報告が必要なものについては「その他」のチェックボックスに「レ」マークを入れ、その概要を記入してください。"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,"⑫","　５欄の「ロ」は、検査対象の防火設備について、チェックボックスに「レ」マークを入れてください。また、防火扉、防火シャッター、耐火クロススクリーンについては、個々の扉又はカーテン部ごとにその枚数を計上し、その合計を記入してください。ドレンチャーについては、散水ヘッドの合計の個数を記入してください。「その他」の場合は具体的な内容と台数を記入してください。"]
[]
[]
[]
[null,null,"⑬","　６欄の「イ」は、検査結果において、是正が必要と認められるときは「要是正の指摘あり」のチェックボックスに「レ」マークを入れ、当該指摘された箇所の全てに建築基準法第３条第２項の規定の適用を受けているものであることが確認されたときは併せて「既存不適格」のチェックボックスに「レ」マークを入れてください。"]
[]
[]
[]
[null,null,"⑭","　６欄の「イ」の「要是正の指摘あり」のチェックボックスに「レ」マークを入れたとき（「既存不適格」のチェックボックスに「レ」を入れたときを除く。）は、「ロ」に指摘の概要を記入してください。指摘の概要を記入する場合にあっては、当該防火設備が設置されている区画の概要を明記してください。"]
[]
[]
[]
[null,null,"⑮","　６欄の「イ」の「要是正の指摘あり」のチェックボックスに「レ」マークを入れ（「既存不適格」のチェックボックスに「レ」を入れたときを除く。）、当該指摘を受けた項目について改善予定があるときは「ハ」の「有」のチェックボックスに「レ」マークを入れ、併せて改善予定年月を記入してください。改善予定がないときは「ハ」の「無」のチェックボックスに「レ」マークを入れてください。"]
[]
[]
[]
[null,null,"⑯","　前回検査時以降に把握した火災時の防火設備不作動等機器の故障、異常動作、損傷、腐食その他の劣化に起因するもの（以下「不具合」という。）について第三面の「不具合の概要」欄に記入したときは、７欄の「イ」の「有」のチェックボックスに「レ」マークを入れ、当該不具合について記録が有るときは７欄の「ロ」の「有」のチェックボックスに「レ」マークを入れ、記録が無いときは７欄の「ロ」の「無」のチェックボックスに「レ」マークを入れてください。また、第三面に記入された不具合のうち、当該不具合を受けた改善を既に実施しているものがあり、かつ、改善を行う予定があるものがない場合には７欄の「ハ」の「実施済」のチェックボックスに「レ」マークを入れ、第三面に記入された不具合のうち改善を行う予定があるものがある場合には７欄の「改善予定」のチェックボックスに「レ」マークを入れ、併せて改善予定年月を記入し、改善の予定がない場合には７欄の「予定なし」のチェックボックスに「レ」マークを入れてください。"]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,"⑰","　各欄に掲げられている項目以外で特に報告すべき事項は、８欄又は別紙に記載して添えてください。"]
[]
[null,"４．第三面関係"]
[null,null,"①","　第三面は、前回検査時以降に把握した防火設備に係る不具合のうち第二面の６欄において指摘されるもの以外のものについて、把握できる範囲において記入してください。前回検査時以降不具合を把握していない場合は、第三面を省略することができます。"]
[]
[]
[null,null,"②","　「不具合を把握した年月」欄は、当該不具合を把握した年月を記入してください。"]
[null,null,"③","　「不具合の概要」欄は、当該不具合の箇所を特定した上で、当該不具合の具体的内容を記入してください。不具合の概要を記入する場合にあっては、当該防火設備が設置されている区画の概要を明記してください。"]
[]
[]
[null,null,"④","　「考えられる原因」欄は、当該不具合が生じた原因として主として考えれられるものを記入してください。ただし、当該不具合が生じた原因が不明な場合は「不明」と記入してください。"]
[]
[null,null,"⑤","　「改善（予定）年月」欄は、既に改善を実施している場合には実施年月を、改善を行う予定がある場合には改善予定年月を記入し、改善を行う予定がない場合には「－」を記入してください。"]
[]
[]
[null,null,"⑥","　「改善措置の概要等」欄は、既に改善を実施している場合又は改善を行う予定がある場合に、具体的措置の概要を記入してください。改善を行う予定がない場合には、その理由を記入してください。"]

{"sheet":"検査結果表（防火扉）","index":2,"n_rows":61,"n_cols":24,"rows_kept":61,"cut":false,"hidden":false,"merged":[[44,3,44,4],[39,7,39,9],[41,7,41,9],[40,7,40,9],[42,7,42,9],[43,7,43,9],[39,3,39,4],[40,3,40,4],[41,3,41,4],[42,3,42,4],[43,3,43,4],[60,3,60,10],[49,3,49,10],[50,3,50,10],[51,3,51,10],[52,3,52,10],[53,3,53,10],[54,3,54,10],[55,3,55,10],[56,3,56,10],[57,3,57,10],[58,3,58,10],[59,3,59,10],[48,3,48,10],[27,3,28,4],[29,2,29,10],[33,2,33,5],[34,3,34,4],[34,6,34,9],[35,7,35,9],[36,7,36,9],[37,7,37,9],[38,7,38,9],[44,7,44,9],[47,2,47,10],[35,3,35,4],[36,3,36,4],[37,3,37,4],[38,3,38,4],[9,10,11,10],[10,7,11,7],[12,3,15,3],[13,4,14,4],[16,3,26,3],[16,4,17,4],[19,4,22,4],[23,4,24,4],[25,4,26,4],[9,2,11,2],[9,3,11,4],[9,5,11,5],[9,6,10,6],[9,7,9,9],[1,2,1,10],[2,2,2,10],[4,2,7,3],[4,5,4,8],[4,9,4,10],[5,5,5,8],[5,9,5,10],[6,4,7,4],[6,5,6,8],[6,9,6,10],[7,5,7,8],[7,9,7,10]]}
[null,null,"別記第一号（A４)　"]
[null,null,"検査結果表"]
[null,null,"（防火扉）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,1,"防火扉：設置場所の周囲状況"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,2,"防火扉：扉、枠及び金物"]
[null,null,"当該検査に関与した検査者",null,null,"　　氏　名",null,null,null,"検査者番号",null,null,null,null,null,null,null,null,null,null,null,null,3,"防火扉：扉、枠及び金物"]
[null,null,null,null,"代表となる検査者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,4,"防火扉：危害防止装置"]
[null,null,null,null,"その他の検査者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,5,"連動機構：連動機構煙感知器、熱煙複合式感知器及び熱感知器"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,6,"連動機構：連動機構煙感知器、熱煙複合式感知器及び熱感知器"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,7,"連動機構：連動機構温度ヒューズ装置"]
[null,null,"番号","検　査　項　目　",null,"検査事項","対象外項目","検査結果",null,null,"担当\n検査者\n番号",null,null,null,null,null,null,null,null,null,null,null,8,"連動機構：連動機構連動制御器"]
[null,null,null,null,null,null,null,"指摘\nなし","要是正",null,null,null,null,null,null,null,null,null,null,null,null,null,9,"連動機構：連動機構連動制御器"]
[null,null,null,null,null,null,null,null,null,"既　存\n不適格",null,null,null,null,null,"↓",null,null,"↓",null,null,null,10,"連動機構：連動機構連動制御器"]
[null,null,"(1)","防火扉","設置場所の周囲状況","閉鎖の障害となる物品の放置の状況",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,11,"連動機構：連動機構連動制御器"]
[null,null,"(2)",null,"扉、枠及び金物","扉の取付けの状況",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,12,"連動機構：連動機構連動機構用予備電源"]
[null,null,"(3)",null,null,"扉、枠及び金物の劣化及び損傷の状況",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,13,"連動機構：連動機構連動機構用予備電源"]
[null,null,"(4)",null,"危害防止装置","作動の状況",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,14,"連動機構：連動機構自動閉鎖装置"]
[null,null,"(5)","連動機構","煙感知器、熱煙複合式感知器及び熱感知器","設置位置",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,15,"連動機構：連動機構自動閉鎖装置"]
[null,null,"(6)",null,null,"感知の状況",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,16,"総合的な作動の状況"]
[null,null,"(7)",null,"温度ヒューズ装置","設置の状況",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,17,"総合的な作動の状況"]
[null,null,"(8)",null,"連動制御器","スイッチ類及び表示灯の状況"]
[null,null,"(9)",null,null,"結線接続の状況"]
[null,null,"(10)",null,null,"接地の状況"]
[null,null,"(11)",null,null,"予備電源への切り替えの状況"]
[null,null,"(12)",null,"連動機構用予備電源","劣化及び損傷の状況"]
[null,null,"(13)",null,null,"容量の状況"]
[null,null,"(14)",null,"自動閉鎖装置","設置の状況"]
[null,null,"(15)",null,null,"再ロック防止機構の作動の状況"]
[null,null,"(16)","総合的な作動の状況",null,"防火扉の閉鎖の状況"]
[null,null,"(17)",null,null,"防火区画の形成の状況"]
[null,null,"上記以外の検査項目"]
[]
[]
[]
[null,null,"特記事項"]
[null,null,"番号","検査項目",null,"指摘の具体的内容等","改善の具体的内容等",null,null,null,"改善（予定）年月"]
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[null,3,null,{"$f":"IF(C38=\"\",\"\",VLOOKUP(C38,$W$3:$X$19,2,FALSE))","v":""}]
[null,4,null,""]
[null,5,null,""]
[null,6,null,""]
[null,7,null,""]
[null,8,null,""]
[null,9,null,""]
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[]
[]
[null,null,"（注意）"]
[null,null,"①","　この書類は、建築物ごとに作成してください。"]
[null,null,"②","　記入欄が不足する場合は、枠を拡大、行を追加して記入するか、別紙に必要な事項を記入して添えてください。"]
[null,null,"③","　「当該検査に関与した検査者」欄は、建築基準法施行規則別記第36の８様式第二面４欄に記入した検査者について記入し、「検査者番号」欄に検査者を特定できる番号、記号等を記入してください。当該防火設備の検査を行った検査者が１人の場合は、その他の検査者欄は削除して構いません。"]
[null,null,"④","　該当しない検査項目がある場合は、当該項目の「番号」欄から「担当検査者番号」欄までを取消線で抹消してください。"]
[null,null,"⑤","　「検査結果」欄は、別表（い）欄に掲げる各検査項目ごとに記入してください。"]
[null,null,"⑥","　「検査結果」欄のうち「要是正」欄は、別表（い）欄に掲げる検査項目について同表（ろ）欄に掲げる検査事項のいずれかが同表（に）欄に掲げる判定基準に該当する場合に○印を記入してください。"]
[null,null,"⑦","　「検査結果」欄のうち「指摘なし」欄は、⑥に該当しない場合に○印を記入してください。"]
[null,null,"⑧","　「既存不適格」欄は、「要是正」欄に○印を記入した場合で、建築基準法第３条第２項の規定の適用を受けているものであることが確認されたときは、○印を記入してください。"]
[null,null,"⑨","　「担当検査者番号」欄は、「検査に関与した検査者」欄で記入した番号、記号等を記入してください。ただし、当該防火設備の検査を行った検査者が１人の場合は、記入しなくても構いません。"]
[null,null,"⑩","　「上記以外の検査項目」欄は、第１ただし書の規定により特定行政庁が検査項目を追加したときに、当該検査項目を追加し、⑤から⑨に準じて検査結果等を記入してください。また、第１第２項の規定により同項に規定する図書等に検査の方法が記載されている場合に、当該図書等に記載されている検査項目を追加し、⑤から⑨に準じて検査結果等を記入してください。なお、これらの項目がない場合は、この欄を削除して構いません。"]
[null,null,"⑪","　「特記事項」は、検査の結果、要是正の指摘があった場合のほか、指摘がない場合にあっても特記すべき事項がある場合に、該当する検査項目の番号、検査項目を記入し、「指摘の具体的内容等」欄に指摘又は特記すべき事項の具体的内容を記入するとともに、改善済みの場合及び改善策が明らかになっている場合は「改善策の具体的内容等」欄にその内容を記入し、改善した場合は「改善（予定）年月」欄に当該年月を記入し、改善予定年月が明らかになっている場合は「改善（予定）年月」欄に当該年月を（　）書きで記入してください。改善を行う予定がない場合には「未定」を記入してください。"]
[null,null,"⑫","　各階平面図を別添１の様式に従い添付し、防火扉の設置されている箇所及び指摘(特記すべき事項を含む）のあった箇所を明記してください。なお、別添１の様式は別記第二号、別記第三号又は別記第四号の各々の別添１の様式に記載すべき事項を合わせて記載することとして構いません。"]
[null,null,"⑬","　要是正とされた検査項目（既存不適格の場合を除く。）については、要是正とされた部分を撮影した写真を別添２の様式に従い添付するとともに、撮影した写真の位置を別添１の様式に明記してください。"]

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[null,null,"別記第二号（A４)　"]
[null,null,"検査結果表"]
[null,null,"（防火シャッター）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,1,"防火シャッター：設置場所の周囲状況"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,2,"防火シャッター：駆動装置"]
[null,null,"当該検査に関与した検査者",null,null,"　　氏　名",null,null,null,"検査者番号",null,null,null,null,null,null,null,null,null,null,null,null,3,"防火シャッター：駆動装置"]
[null,null,null,null,"代表となる検査者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,4,"防火シャッター：駆動装置"]
[null,null,null,null,"その他の検査者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,5,"防火シャッター：駆動装置"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,6,"防火シャッター：カーテン部 "]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,7,"防火シャッター：カーテン部 "]
[null,null,"番号","検　査　項　目　",null,"検査事項","対象外項目","検査結果",null,null,"担当\n検査者\n番号",null,null,null,null,null,null,null,null,null,null,null,8,"防火シャッター：ケース"]
[null,null,null,null,null,null,null,"指摘\nなし","要是正",null,null,null,null,null,null,null,null,null,null,null,null,null,9,"防火シャッター：まぐさ及びガイドレール"]
[null,null,null,null,null,null,null,null,null,"既　存\n不適格",null,null,null,null,null,"↓",null,null,"↓",null,null,null,10,"防火シャッター：危害防止装置"]
[null,null,"(1)","防火\nシャッター","設置場所の周囲状況","閉鎖の障害となる物品の放置の状況",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,11,"防火シャッター：危害防止装置"]
[null,null,"(2)\n",null,"駆動装置","軸受け部のブラケット、巻取りシャフト及び開閉機の取付けの状況※",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,12,"防火シャッター：危害防止装置"]
[null,null,"(3)",null,null,"スプロケットの設置の状況※",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,13,"防火シャッター：危害防止装置"]
[null,null,"(4)\n",null,null,"軸受け部のブラケット、ベアリング及びスプロケット又はロープ車の劣化及び損傷の状況※",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,14,"防火シャッター：危害防止装置"]
[null,null,"(5)\n",null,null,"ローラチェーン又はワイヤーロープの劣化及び損傷の状況",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,15,"連動機構：煙感知器、熱煙複合式感知器及び熱感知器"]
[null,null,"(6)",null,"カーテン部 ","スラット及び座板の劣化等の状況",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,16,"連動機構：煙感知器、熱煙複合式感知器及び熱感知器"]
[null,null,"(7)",null,null,"吊り元の劣化及び損傷並びに固定の状況",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,17,"連動機構：温度ヒューズ装置"]
[null,null,"(8)",null,"ケース","劣化及び損傷の状況",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,18,"連動機構：連動制御器"]
[null,null,"(9)\n",null,"まぐさ及びガイドレール","劣化及び損傷の状況\n",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,19,"連動機構：連動制御器"]
[null,null,"(10)",null,"危害防止装置","危害防止用連動中継器の配線の状況",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,20,"連動機構：連動制御器"]
[null,null,"(11)",null,null,"危害防止装置用予備電源の劣化及び損傷の状況",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,21,"連動機構：連動制御器"]
[null,null,"(12)",null,null,"危害防止装置用予備電源の容量の状況",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,22,"連動機構：連動機構用予備電源"]
[null,null,"(13)",null,null,"座板感知部の劣化及び損傷並びに作動の状況",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,23,"連動機構：連動機構用予備電源"]
[null,null,"(14)",null,null,"作動の状況",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,24,"連動機構：自動閉鎖装置"]
[null,null,"(15)","連動機構","煙感知器、熱煙複合式感知器及び熱感知器","設置位置",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,25,"連動機構：手動閉鎖装置"]
[null,null,"(16)",null,null,"感知の状況",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,26,"総合的な作動の状況"]
[null,null,"(17)",null,"温度ヒューズ装置","設置の状況",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,27,"総合的な作動の状況"]
[null,null,"(18)",null,"連動制御器","スイッチ類及び表示灯の状況"]
[null,null,"(19)",null,null,"結線接続の状況"]
[null,null,"(20)",null,null,"接地の状況"]
[null,null,"(21)",null,null,"予備電源への切り替えの状況"]
[null,null,"(22)",null,"連動機構用予備電源","劣化及び損傷の状況"]
[null,null,"(23)",null,null,"容量の状況"]
[null,null,"(24)",null,"自動閉鎖装置","設置の状況"]
[null,null,"(25)",null,"手動閉鎖装置","設置の状況"]
[null,null,"(26)","総合的な作動の状況",null,"防火シャッターの閉鎖の状況"]
[null,null,"(27)",null,null,"防火区画の形成の状況"]
[null,null,"上記以外の検査項目"]
[]
[]
[]
[null,null,"特記事項"]
[null,null,"番号","検査項目",null,"指摘の具体的内容等","改善の具体的内容等",null,null,null,"改善（予定）年月"]
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[null,2,null,""]
[null,3,null,""]
[null,4,null,""]
[null,5,null,""]
[null,6,null,""]
[null,7,null,""]
[null,8,null,""]
[null,9,null,""]
[null,10,null,""]
[null,null,"（注意）"]
[null,null,"①","　この書類は、建築物ごとに作成してください。"]
[null,null,"②","　記入欄が不足する場合は、枠を拡大、行を追加して記入するか、別紙に必要な事項を記入して添えてください。"]
[null,null,"③","　「当該検査に関与した検査者」欄は、建築基準法施行規則別記第36の８様式第二面４欄に記入した検査者について記入し、「検査者番号」欄に検査者を特定できる番号、記号等を記入してください。当該防火設備の検査を行った検査者が１人の場合は、その他の検査者欄は削除して構いません。"]
[null,null,"④","　該当しない検査項目がある場合は、当該項目の「番号」欄から「担当検査者番号」欄までを取消線で抹消してください。"]
[null,null,"⑤","　「検査結果」欄は、別表（い）欄に掲げる各検査項目ごとに記入してください。"]
[null,null,"⑥","　「検査結果」欄のうち「要是正」欄は、別表（い）欄に掲げる検査項目について同表（ろ）欄に掲げる検査事項のいずれかが同表（に）欄に掲げる判定基準に該当する場合に○印を記入してください。"]
[null,null,"⑦","　「検査結果」欄のうち「指摘なし」欄は、⑥に該当しない場合に○印を記入してください。"]
[null,null,"⑧","　「既存不適格」欄は、「要是正」欄に○印を記入した場合で、建築基準法第３条第２項の規定の適用を受けているものであることが確認されたときは、○印を記入してください。"]
[null,null,"⑨","　「担当検査者番号」欄は、「検査に関与した検査者」欄で記入した番号、記号等を記入してください。ただし、当該防火設備の検査を行った検査者が１人の場合は、記入しなくても構いません。"]
[null,null,"⑩","　※欄は、日常的に開閉するものについてのみ記入してください。"]
[null,null,"⑪","　「上記以外の検査項目」欄は、第１ただし書の規定により特定行政庁が検査項目を追加したときに、当該検査項目を追加し、⑤から⑨に準じて検査結果等を記入してください。また、第１第２項の規定により同項に規定する図書等に検査の方法が記載されている場合に、当該図書等に記載されている検査項目を追加し、⑤から⑨に準じて検査結果等を記入してください。なお、これらの項目がない場合は、この欄を削除して構いません。"]
[null,null,"⑫","　「特記事項」は、検査の結果、要是正の指摘があった場合のほか、指摘がない場合にあっても特記すべき事項がある場合に、該当する検査項目の番号、検査項目を記入し、「指摘の具体的内容等」欄に指摘又は特記すべき事項の具体的内容を記入するとともに、改善済みの場合及び改善策が明らかになっている場合は「改善策の具体的内容等」欄にその内容を記入し、改善した場合は「改善（予定）年月」欄に当該年月を記入し、改善予定年月が明らかになっている場合は「改善（予定）年月」欄に当該年月を（　）書きで記入してください。改善を行う予定がない場合には「未定」を記入してください。"]
[null,null,"⑬","　各階平面図を別添１の様式に従い添付し、防火シャッターの設置されている箇所及び指摘(特記すべき事項を含む）のあった箇所を明記してください。なお、別添１の様式は別記第一号、別記第三号又は別記第四号の各々の別添１の様式に記載すべき事項を合わせて記載することとして構いません。"]
[null,null,"⑭","　要是正とされた検査項目（既存不適格の場合を除く。）については、要是正とされた部分を撮影した写真を別添２の様式に従い添付するとともに、撮影した写真の位置を別添１の様式に明記してください。"]

{"sheet":"検査結果表（耐火ｸﾛｽｽｸﾘｰﾝ）","index":4,"n_rows":67,"n_cols":24,"rows_kept":67,"cut":false,"hidden":false,"merged":[[46,3,46,4],[47,3,47,4],[48,3,48,4],[49,3,49,4],[50,3,50,4],[41,3,41,4],[42,3,42,4],[43,3,43,4],[44,3,44,4],[45,3,45,4],[46,7,46,9],[47,7,47,9],[48,7,48,9],[49,7,49,9],[50,7,50,9],[66,3,66,10],[55,3,55,10],[56,3,56,10],[57,3,57,10],[58,3,58,10],[59,3,59,10],[60,3,60,10],[61,3,61,10],[62,3,62,10],[63,3,63,10],[64,3,64,10],[65,3,65,10],[23,3,32,3],[23,4,24,4],[25,4,28,4],[29,4,30,4],[54,3,54,10],[33,3,34,4],[35,2,35,10],[39,2,39,5],[40,3,40,4],[40,6,40,9],[41,7,41,9],[42,7,42,9],[43,7,43,9],[44,7,44,9],[45,7,45,9],[53,2,53,10],[9,10,11,10],[10,7,11,7],[12,3,22,3],[14,4,15,4],[18,4,22,4],[9,2,11,2],[9,3,11,4],[9,5,11,5],[9,6,10,6],[9,7,9,9],[1,2,1,10],[2,2,2,10],[4,2,7,3],[4,5,4,8],[4,9,4,10],[5,5,5,8],[5,9,5,10],[6,4,7,4],[6,5,6,8],[6,9,6,10],[7,5,7,8],[7,9,7,10]]}
[null,null,"別記第三号（A４)　"]
[null,null,"検査結果表"]
[null,null,"（耐火クロススクリーン）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,1,"耐火クロススクリーン：設置場所の周囲状況"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,2,"耐火クロススクリーン：駆動装置"]
[null,null,"当該検査に関与した検査者",null,null,"　　氏　名",null,null,null,"検査者番号",null,null,null,null,null,null,null,null,null,null,null,null,3,"耐火クロススクリーン：カーテン部"]
[null,null,null,null,"代表となる検査者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,4,"耐火クロススクリーン：カーテン部"]
[null,null,null,null,"その他の検査者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,5,"耐火クロススクリーン：ケース"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,6,"耐火クロススクリーン：まぐさ及びガイドレール"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,7,"耐火クロススクリーン：危害防止装置"]
[null,null,"番号","検　査　項　目　",null,"検査事項","対象外項目","検査結果",null,null,"担当\n検査者\n番号",null,null,null,null,null,null,null,null,null,null,null,8,"耐火クロススクリーン：危害防止装置"]
[null,null,null,null,null,null,null,"指摘\nなし","要是正",null,null,null,null,null,null,null,null,null,null,null,null,null,9,"耐火クロススクリーン：危害防止装置"]
[null,null,null,null,null,null,null,null,null,"既　存\n不適格",null,null,null,null,null,"↓",null,null,"↓",null,null,null,10,"耐火クロススクリーン：危害防止装置"]
[null,null,"(1)","耐火クロススクリーン","設置場所の周囲状況","閉鎖の障害となる物品の放置の状況",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,11,"耐火クロススクリーン：危害防止装置"]
[null,null,"(2)",null,"駆動装置","ローラチェーンの劣化及び損傷の状況",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,12,"連動機構：煙感知器、熱煙複合式感知器及び熱感知器"]
[null,null,"(3)",null,"カーテン部","耐火クロス及び座板の劣化及び損傷の状況",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,13,"連動機構：煙感知器、熱煙複合式感知器及び熱感知器"]
[null,null,"(4)",null,null,"吊り元の劣化及び損傷並びに固定の状況",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,14,"連動機構：連動制御器"]
[null,null,"(5)",null,"ケース","劣化及び損傷の状況",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,15,"連動機構：連動制御器"]
[null,null,"(6)\n",null,"まぐさ及びガイドレール","劣化及び損傷の状況",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,16,"連動機構：連動制御器"]
[null,null,"(7)",null,"危害防止装置","危害防止用連動中継器の配線の状況",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,17,"連動機構：連動制御器"]
[null,null,"(8)",null,null,"危害防止装置用予備電源の劣化及び損傷の状況",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,18,"連動機構：連動機構用予備電源"]
[null,null,"(9)",null,null,"危害防止装置用予備電源の容量の状況",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,19,"連動機構：連動機構用予備電源"]
[null,null,"(10)",null,null,"座板感知部の劣化及び損傷並びに作動の状況",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,20,"連動機構：自動閉鎖装置"]
[null,null,"(11)",null,null,"作動の状況",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,21,"連動機構：手動閉鎖装置"]
[null,null,"(12)","連動機構","煙感知器、熱煙複合式感知器及び熱感知器","設置位置",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,22,"総合的な作動の状況"]
[null,null,"(13)",null,null,"感知の状況",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,23,"総合的な作動の状況"]
[null,null,"(14)",null,"連動制御器","スイッチ類及び表示灯の状況"]
[null,null,"(15)",null,null,"結線接続の状況"]
[null,null,"(16)",null,null,"接地の状況"]
[null,null,"(17)",null,null,"予備電源への切り替えの状況"]
[null,null,"(18)",null,"連動機構用予備電源","劣化及び損傷の状況"]
[null,null,"(19)",null,null,"容量の状況"]
[null,null,"(20)",null,"自動閉鎖装置","設置の状況"]
[null,null,"(21)",null,"手動閉鎖装置","設置の状況"]
[null,null,"(22)","総合的な作動の状況",null,"耐火クロススクリーンの閉鎖の状況"]
[null,null,"(23)",null,null,"防火区画の形成の状況"]
[null,null,"上記以外の検査項目"]
[]
[]
[]
[null,null,"特記事項"]
[null,null,"番号","検査項目",null,"指摘の具体的内容等","改善の具体的内容等",null,null,null,"改善（予定）年月"]
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[null,3,null,{"$f":"IF(C44=\"\",\"\",VLOOKUP(C44,$W$3:$X$25,2,FALSE))","v":""}]
[null,4,null,{"$f":"IF(C45=\"\",\"\",VLOOKUP(C45,$W$3:$X$25,2,FALSE))","v":""}]
[null,5,null,""]
[null,6,null,""]
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[null,8,null,{"$f":"IF(C49=\"\",\"\",VLOOKUP(C49,$W$3:$X$25,2,FALSE))","v":""}]
[null,9,null,""]
[null,10,null,""]
[]
[]
[null,null,"（注意）"]
[null,null,"①","　この書類は、建築物ごとに作成してください。"]
[null,null,"②","　記入欄が不足する場合は、枠を拡大、行を追加して記入するか、別紙に必要な事項を記入して添えてください。"]
[null,null,"③","　「当該検査に関与した検査者」欄は、建築基準法施行規則別記第36の８様式第二面４欄に記入した検査者について記入し、「検査者番号」欄に検査者を特定できる番号、記号等を記入してください。当該防火設備の検査を行った検査者が１人の場合は、その他の検査者欄は削除して構いません。"]
[null,null,"④","　該当しない検査項目がある場合は、当該項目の「番号」欄から「担当検査者番号」欄までを取消線で抹消してください。"]
[null,null,"⑤","　「検査結果」欄は、別表（い）欄に掲げる各検査項目ごとに記入してください。"]
[null,null,"⑥","　「検査結果」欄のうち「要是正」欄は、別表（い）欄に掲げる検査項目について同表（ろ）欄に掲げる検査事項のいずれかが同表（に）欄に掲げる判定基準に該当する場合に○印を記入してください。"]
[null,null,"⑦","　「検査結果」欄のうち「指摘なし」欄は、⑥に該当しない場合に○印を記入してください。"]
[null,null,"⑧","　「既存不適格」欄は、「要是正」欄に○印を記入した場合で、建築基準法第３条第２項の規定の適用を受けているものであることが確認されたときは、○印を記入してください。"]
[null,null,"⑨","　「担当検査者番号」欄は、「検査に関与した検査者」欄で記入した番号、記号等を記入してください。ただし、当該防火設備の検査を行った検査者が１人の場合は、記入しなくても構いません。"]
[null,null,"⑩","　「上記以外の検査項目」欄は、第１ただし書の規定により特定行政庁が検査項目を追加したときに、当該検査項目を追加し、⑤から⑨に準じて検査結果等を記入してください。また、第１第２項の規定により同項に規定する図書等に検査の方法が記載されている場合に、当該図書等に記載されている検査項目を追加し、⑤から⑨に準じて検査結果等を記入してください。なお、これらの項目がない場合は、この欄を削除して構いません。"]
[null,null,"⑪","　「特記事項」は、検査の結果、要是正の指摘があった場合のほか、指摘がない場合にあっても特記すべき事項がある場合に、該当する検査項目の番号、検査項目を記入し、「指摘の具体的内容等」欄に指摘又は特記すべき事項の具体的内容を記入するとともに、改善済みの場合及び改善策が明らかになっている場合は「改善策の具体的内容等」欄にその内容を記入し、改善した場合は「改善（予定）年月」欄に当該年月を記入し、改善予定年月が明らかになっている場合は「改善（予定）年月」欄に当該年月を（　）書きで記入してください。改善を行う予定がない場合には「未定」を記入してください。"]
[null,null,"⑫","　各階平面図を別添１の様式に従い添付し、耐火クロススクリーンの設置されている箇所及び指摘(特記すべき事項を含む）のあった箇所を明記してください。なお、別添１の様式は別記第一号、別記第二号又は別記第四号の各々の別添１の様式に記載すべき事項を合わせて記載することとして構いません。"]
[null,null,"⑬","　要是正とされた検査項目（既存不適格の場合を除く。）については、要是正とされた部分を撮影した写真を別添２の様式に従い添付するとともに、撮影した写真の位置を別添１の様式に明記してください。"]

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[null,null,"別記第四号（A４)　"]
[null,null,"検査結果表"]
[null,null,"（ドレンチャーその他の水幕を形成する防火設備）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,1,"ドレンチャー等：設置場所の周囲状況"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,2,"ドレンチャー等：散水ヘッド "]
[null,null,"当該検査に関与した検査者",null,null,"　　氏　名",null,null,null,"検査者番号",null,null,null,null,null,null,null,null,null,null,null,null,3,"ドレンチャー等：開閉弁"]
[null,null,null,null,"代表となる検査者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,4,"ドレンチャー等：排水設備"]
[null,null,null,null,"その他の検査者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,5,"ドレンチャー等：水源"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,6,"ドレンチャー等：水源"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,7,"ドレンチャー等：加圧送水装置"]
[null,null,"番号","検　査　項　目　",null,"検査事項","対象外項目","検査結果",null,null,"担当\n検査者\n番号",null,null,null,null,null,null,null,null,null,null,null,8,"ドレンチャー等：加圧送水装置"]
[null,null,null,null,null,null,null,"指摘\nなし","要是正",null,null,null,null,null,null,null,null,null,null,null,null,null,9,"ドレンチャー等：加圧送水装置"]
[null,null,null,null,null,null,null,null,null,"既　存\n不適格",null,null,null,null,null,"↓",null,null,"↓",null,null,null,10,"ドレンチャー等：加圧送水装置"]
[null,null,"(1)","ドレンチャー等","設置場所の周囲状況","作動の障害となる物品の放置の状況",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,11,"ドレンチャー等：加圧送水装置"]
[null,null,"(2)",null,"散水ヘッド ","散水ヘッドの設置の状況",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,12,"ドレンチャー等：加圧送水装置"]
[null,null,"(3)",null,"開閉弁","開閉弁の状況",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,13,"ドレンチャー等：加圧送水装置"]
[null,null,"(4)",null,"排水設備","排水の状況",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,14,"ドレンチャー等：加圧送水装置"]
[null,null,"(5)",null,"水源","貯水槽の劣化及び損傷、水質並びに水量の状況",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,15,"連動機構：煙感知器、熱煙複合式感知器及び熱感知器"]
[null,null,"(6)",null,null,"給水装置の状況",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,16,"連動機構：煙感知器、熱煙複合式感知器及び熱感知器"]
[null,null,"(7)",null,"加圧送水装置","ポンプ制御盤のスイッチ類及び表示灯の状況",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,17,"連動機構：制御盤"]
[null,null,"(8)",null,null,"結線接続の状況",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,18,"連動機構：制御盤"]
[null,null,"(9)",null,null,"接地の状況",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,19,"連動機構：制御盤"]
[null,null,"(10)",null,null,"ポンプ及び電動機の状況",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,20,"連動機構：制御盤"]
[null,null,"(11)",null,null,"加圧送水装置用予備電源への切り替えの状況",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,21,"連動機構：連動機構用予備電源"]
[null,null,"(12)",null,null,"加圧送水装置用予備電源の劣化及び損傷の状況",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,22,"連動機構：連動機構用予備電源"]
[null,null,"(13)",null,null,"加圧送水装置用予備電源の容量の状況",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,23,"連動機構：自動作動装置"]
[null,null,"(14)\n",null,null,"圧力計、呼水槽、起動用圧力スイッチ等の付属装置の状況",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,24,"連動機構：手動作動装置"]
[null,null,"(15)","連動機構","煙感知器、熱煙複合式感知器及び熱感知器","設置位置",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,25,"総合的な作動の状況"]
[null,null,"(16)",null,null,"感知の状況",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,26,"総合的な作動の状況"]
[null,null,"(17)",null,"制御盤","スイッチ類及び表示灯の状況"]
[null,null,"(18)",null,null,"結線接続の状況"]
[null,null,"(19)",null,null,"接地の状況"]
[null,null,"(20)",null,null,"予備電源への切り替えの状況"]
[null,null,"(21)",null,"連動機構用予備電源","劣化及び損傷の状況"]
[null,null,"(22)",null,null,"容量の状況"]
[null,null,"(23)",null,"自動作動装置","設置の状況"]
[null,null,"(24)",null,"手動作動装置","設置の状況"]
[null,null,"(25)","総合的な作動の状況",null,"ドレンチャー等の作動の状況"]
[null,null,"(26)",null,null,"防火区画の形成の状況"]
[null,null,"上記以外の検査項目"]
[]
[]
[]
[null,null,"特記事項"]
[null,null,"番号","検査項目",null,"指摘の具体的内容等","改善の具体的内容等",null,null,null,"改善（予定）年月"]
[null,1,null,{"$f":"IF(C45=\"\",\"\",VLOOKUP(C45,$W$3:$X$25,2,FALSE))","v":""}]
[null,2,null,{"$f":"IF(C46=\"\",\"\",VLOOKUP(C46,$W$3:$X$28,2,FALSE))","v":""}]
[null,3,null,""]
[null,4,null,""]
[null,5,null,""]
[null,6,null,""]
[null,7,null,""]
[null,8,null,""]
[null,9,null,""]
[null,10,null,""]
[]
[]
[null,null,"（注意）"]
[null,null,"①","　この書類は、建築物ごとに作成してください。"]
[null,null,"②","　記入欄が不足する場合は、枠を拡大、行を追加して記入するか、別紙に必要な事項を記入して添えてください。"]
[null,null,"③","　「当該検査に関与した検査者」欄は、建築基準法施行規則別記第36の８様式第二面４欄に記入した検査者について記入し、「検査者番号」欄に検査者を特定できる番号、記号等を記入してください。当該防火設備の検査を行った検査者が１人の場合は、その他の検査者欄は削除して構いません。"]
[null,null,"④","　該当しない検査項目がある場合は、当該項目の「番号」欄から「担当検査者番号」欄までを取消線で抹消してください。"]
[null,null,"⑤","　「検査結果」欄は、別表（い）欄に掲げる各検査項目ごとに記入してください。"]
[null,null,"⑥","　「検査結果」欄のうち「要是正」欄は、別表（い）欄に掲げる検査項目について同表（ろ）欄に掲げる検査事項のいずれかが同表（に）欄に掲げる判定基準に該当する場合に○印を記入してください。"]
[null,null,"⑦","　「検査結果」欄のうち「指摘なし」欄は、⑥に該当しない場合に○印を記入してください。"]
[null,null,"⑧","　「既存不適格」欄は、「要是正」欄に○印を記入した場合で、建築基準法第３条第２項の規定の適用を受けているものであることが確認されたときは、○印を記入してください。"]
[null,null,"⑨","　「担当検査者番号」欄は、「検査に関与した検査者」欄で記入した番号、記号等を記入してください。ただし、当該防火設備の検査を行った検査者が１人の場合は、記入しなくても構いません。"]
[null,null,"⑩","　「上記以外の検査項目」欄は、第１ただし書の規定により特定行政庁が検査項目を追加したときに、当該検査項目を追加し、⑤から⑨に準じて検査結果等を記入してください。また、第１第２項の規定により同項に規定する図書等に検査の方法が記載されている場合に、当該図書等に記載されている検査項目を追加し、⑤から⑨に準じて検査結果等を記入してください。なお、これらの項目がない場合は、この欄を削除して構いません。"]
[null,null,"⑪","　「特記事項」は、検査の結果、要是正の指摘があった場合のほか、指摘がない場合にあっても特記すべき事項がある場合に、該当する検査項目の番号、検査項目を記入し、「指摘の具体的内容等」欄に指摘又は特記すべき事項の具体的内容を記入するとともに、改善済みの場合及び改善策が明らかになっている場合は「改善策の具体的内容等」欄にその内容を記入し、改善した場合は「改善（予定）年月」欄に当該年月を記入し、改善予定年月が明らかになっている場合は「改善（予定）年月」欄に当該年月を（　）書きで記入してください。改善を行う予定がない場合には「未定」を記入してください。"]
[null,null,"⑫","　各階平面図を別添１の様式に従い添付し、ドレンチャーその他の水幕を形成する防火設備の設置されている箇所及び指摘(特記すべき事項を含む）のあった箇所を明記してください。なお、別添１の様式は別記第一号、別記第二号又は別記第三号の各々の別添１の様式に記載すべき事項を合わせて記載することとして構いません。"]
[null,null,"⑬","　要是正とされた検査項目（既存不適格の場合を除く。）については、要是正とされた部分を撮影した写真を別添２の様式に従い添付するとともに、撮影した写真の位置を別添１の様式に明記してください。"]

{"sheet":"検査結果図","index":6,"n_rows":50,"n_cols":1,"rows_kept":50,"cut":false,"hidden":false,"merged":[[1,0,1,13]]}
["別添１様式（Ａ３）"]
["検　査　結　果　図"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[" 注）各階平面図を添付し、検査の対象となる防火設備の設置されている箇所及び指摘(特記すべき事項を含む）のあった箇所を明記すること。"]

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["別添２様式（Ａ４）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,1,{"$f":"C5&D5","v":""}]
["関係写真",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,2,{"$f":"C23&D23","v":""},null,"第一号","(1)",null,"第一号(1)",{"$f":"'検査結果表（防火扉）'!X3","v":"防火扉：設置場所の周囲状況"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,3,{"$f":"C52&D52","v":""},null,"第二号","(2)",null,"第一号(2)",{"$f":"'検査結果表（防火扉）'!X4","v":"防火扉：扉、枠及び金物"}]
["部位",null,"番号",null,"検査項目",null,null,null,"検査結果",null,null,null,null,null,null,null,null,null,null,null,null,null,null,4,{"$f":"C70&D70","v":""},null,"第三号","(3)",null,"第一号(3)",{"$f":"'検査結果表（防火扉）'!X5","v":"防火扉：扉、枠及び金物"}]
[null,null,null,null,{"$f":"IF(OR($C5=\"\",$D5=\"\"),\"\",IF(Y1=\"\",\"\",VLOOKUP($C5&$D5,$AD$2:$AE$94,2,FALSE)))","v":""},null,null,null,null,null,"要是正",null,null,null,null,"その他",null,null,null,null,null,null,null,5,{"$f":"C99&D99","v":""},null,"第四号","(4)",null,"第一号(4)",{"$f":"'検査結果表（防火扉）'!X6","v":"防火扉：危害防止装置"}]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(13)",null,"第一号(13)",{"$f":"'検査結果表（防火扉）'!X15","v":"連動機構：連動機構連動機構用予備電源"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(14)",null,"第一号(14)",{"$f":"'検査結果表（防火扉）'!X16","v":"連動機構：連動機構自動閉鎖装置"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(15)",null,"第一号(15)",{"$f":"'検査結果表（防火扉）'!X17","v":"連動機構：連動機構自動閉鎖装置"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(16)",null,"第一号(16)",{"$f":"'検査結果表（防火扉）'!X18","v":"総合的な作動の状況"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(17)",null,"第一号(17)",{"$f":"'検査結果表（防火扉）'!X19","v":"総合的な作動の状況"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(18)",null,"第二号(1)",{"$f":"'検査結果表（防火ｼｬｯﾀｰ)'!X3","v":"防火シャッター：設置場所の周囲状況"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(19)",null,"第二号(2)",{"$f":"'検査結果表（防火ｼｬｯﾀｰ)'!X4","v":"防火シャッター：駆動装置"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(20)",null,"第二号(3)",{"$f":"'検査結果表（防火ｼｬｯﾀｰ)'!X5","v":"防火シャッター：駆動装置"}]
["部位",null,"番号",null,"検査項目",null,null,null,"検査結果",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(21)",null,"第二号(4)",{"$f":"'検査結果表（防火ｼｬｯﾀｰ)'!X6","v":"防火シャッター：駆動装置"}]
[null,null,null,null,{"$f":"IF(OR($C23=\"\",$D23=\"\"),\"\",IF(Y2=\"\",\"\",VLOOKUP($C23&$D23,$AD$2:$AE$94,2,FALSE)))","v":""},null,null,null,null,null,"要是正",null,null,null,null,"その他",null,null,null,null,null,null,null,null,null,null,null,"(22)",null,"第二号(5)",{"$f":"'検査結果表（防火ｼｬｯﾀｰ)'!X7","v":"防火シャッター：駆動装置"}]
["写真貼付",null,null,null,null,null,"特記事項",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(23)",null,"第二号(6)",{"$f":"'検査結果表（防火ｼｬｯﾀｰ)'!X8","v":"防火シャッター：カーテン部 "}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(24)",null,"第二号(7)",{"$f":"'検査結果表（防火ｼｬｯﾀｰ)'!X9","v":"防火シャッター：カーテン部 "}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(25)",null,"第二号(8)",{"$f":"'検査結果表（防火ｼｬｯﾀｰ)'!X10","v":"防火シャッター：ケース"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(26)",null,"第二号(9)",{"$f":"'検査結果表（防火ｼｬｯﾀｰ)'!X11","v":"防火シャッター：まぐさ及びガイドレール"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(27)",null,"第二号(10)",{"$f":"'検査結果表（防火ｼｬｯﾀｰ)'!X12","v":"防火シャッター：危害防止装置"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第二号(11)",{"$f":"'検査結果表（防火ｼｬｯﾀｰ)'!X13","v":"防火シャッター：危害防止装置"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第二号(12)",{"$f":"'検査結果表（防火ｼｬｯﾀｰ)'!X14","v":"防火シャッター：危害防止装置"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第二号(13)",{"$f":"'検査結果表（防火ｼｬｯﾀｰ)'!X15","v":"防火シャッター：危害防止装置"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第二号(14)",{"$f":"'検査結果表（防火ｼｬｯﾀｰ)'!X16","v":"防火シャッター：危害防止装置"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第二号(15)",{"$f":"'検査結果表（防火ｼｬｯﾀｰ)'!X17","v":"連動機構：煙感知器、熱煙複合式感知器及び熱感知器"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第二号(16)",{"$f":"'検査結果表（防火ｼｬｯﾀｰ)'!X18","v":"連動機構：煙感知器、熱煙複合式感知器及び熱感知器"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第二号(17)",{"$f":"'検査結果表（防火ｼｬｯﾀｰ)'!X19","v":"連動機構：温度ヒューズ装置"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第二号(18)",{"$f":"'検査結果表（防火ｼｬｯﾀｰ)'!X20","v":"連動機構：連動制御器"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第二号(19)",{"$f":"'検査結果表（防火ｼｬｯﾀｰ)'!X21","v":"連動機構：連動制御器"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第二号(20)",{"$f":"'検査結果表（防火ｼｬｯﾀｰ)'!X22","v":"連動機構：連動制御器"}]
["(注意)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第二号(21)",{"$f":"'検査結果表（防火ｼｬｯﾀｰ)'!X23","v":"連動機構：連動制御器"}]
["①","　この書類は、検査の結果で「要是正」とされた項目のうち、「既存不適格」ではない項目について作成してください。また、「既存不適格」及び「指摘なし」の項目についても、特記すべき事項があれば、必要に応じて作成してください。「要是正」の項目がない場合は、この書類は省略しても構いません。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第二号(22)",{"$f":"'検査結果表（防火ｼｬｯﾀｰ)'!X24","v":"連動機構：連動機構用予備電源"}]
["②","　記入欄が不足する場合は、枠を拡大、行を追加して記入するか、別紙に必要な事項を記入して添えてください。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第二号(23)",{"$f":"'検査結果表（防火ｼｬｯﾀｰ)'!X25","v":"連動機構：連動機構用予備電源"}]
["③","「部位」欄の「番号」、「検査項目」は、それぞれ別記様式の番号、検査項目に対応したものを記入してください。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第二号(24)",{"$f":"'検査結果表（防火ｼｬｯﾀｰ)'!X26","v":"連動機構：自動閉鎖装置"}]
["④","「検査結果」欄は、検査の結果、要是正の指摘があった場合は「要是正」のチェックボックスに「レ」マークを入れ、それ以外の場合で特記すべき事項がある場合は「その他」のチェックボックスに「レ」マークを入れてください。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第二号(25)",{"$f":"'検査結果表（防火ｼｬｯﾀｰ)'!X27","v":"連動機構：手動閉鎖装置"}]
["⑤","　写真は、当該部位の外観の状況が確認できるように撮影したものを添付してください。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第二号(26)",{"$f":"'検査結果表（防火ｼｬｯﾀｰ)'!X28","v":"総合的な作動の状況"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第二号(27)",{"$f":"'検査結果表（防火ｼｬｯﾀｰ)'!X29","v":"総合的な作動の状況"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第三号(1)",{"$f":"'検査結果表（耐火ｸﾛｽｽｸﾘｰﾝ）'!X3","v":"耐火クロススクリーン：設置場所の周囲状況"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第三号(2)",{"$f":"'検査結果表（耐火ｸﾛｽｽｸﾘｰﾝ）'!X4","v":"耐火クロススクリーン：駆動装置"}]
["別添２様式（Ａ４）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第三号(3)",{"$f":"'検査結果表（耐火ｸﾛｽｽｸﾘｰﾝ）'!X5","v":"耐火クロススクリーン：カーテン部"}]
["関係写真",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第三号(4)",{"$f":"'検査結果表（耐火ｸﾛｽｽｸﾘｰﾝ）'!X6","v":"耐火クロススクリーン：カーテン部"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第三号(5)",{"$f":"'検査結果表（耐火ｸﾛｽｽｸﾘｰﾝ）'!X7","v":"耐火クロススクリーン：ケース"}]
["部位",null,"番号",null,"検査項目",null,null,null,"検査結果",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第三号(6)",{"$f":"'検査結果表（耐火ｸﾛｽｽｸﾘｰﾝ）'!X8","v":"耐火クロススクリーン：まぐさ及びガイドレール"}]
[null,null,null,null,{"$f":"IF(OR($C52=\"\",$D52=\"\"),\"\",IF(Y3=\"\",\"\",VLOOKUP($C52&$D52,$AD$2:$AE$94,2,FALSE)))","v":""},null,null,null,null,null,"要是正",null,null,null,null,"その他",null,null,null,null,null,null,null,null,null,null,null,null,null,"第三号(7)",{"$f":"'検査結果表（耐火ｸﾛｽｽｸﾘｰﾝ）'!X9","v":"耐火クロススクリーン：危害防止装置"}]
["写真貼付",null,null,null,null,null,"特記事項",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第三号(8)",{"$f":"'検査結果表（耐火ｸﾛｽｽｸﾘｰﾝ）'!X10","v":"耐火クロススクリーン：危害防止装置"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第三号(9)",{"$f":"'検査結果表（耐火ｸﾛｽｽｸﾘｰﾝ）'!X11","v":"耐火クロススクリーン：危害防止装置"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第三号(10)",{"$f":"'検査結果表（耐火ｸﾛｽｽｸﾘｰﾝ）'!X12","v":"耐火クロススクリーン：危害防止装置"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第三号(11)",{"$f":"'検査結果表（耐火ｸﾛｽｽｸﾘｰﾝ）'!X13","v":"耐火クロススクリーン：危害防止装置"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第三号(12)",{"$f":"'検査結果表（耐火ｸﾛｽｽｸﾘｰﾝ）'!X14","v":"連動機構：煙感知器、熱煙複合式感知器及び熱感知器"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第三号(13)",{"$f":"'検査結果表（耐火ｸﾛｽｽｸﾘｰﾝ）'!X15","v":"連動機構：煙感知器、熱煙複合式感知器及び熱感知器"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第三号(14)",{"$f":"'検査結果表（耐火ｸﾛｽｽｸﾘｰﾝ）'!X16","v":"連動機構：連動制御器"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第三号(15)",{"$f":"'検査結果表（耐火ｸﾛｽｽｸﾘｰﾝ）'!X17","v":"連動機構：連動制御器"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第三号(16)",{"$f":"'検査結果表（耐火ｸﾛｽｽｸﾘｰﾝ）'!X18","v":"連動機構：連動制御器"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第三号(17)",{"$f":"'検査結果表（耐火ｸﾛｽｽｸﾘｰﾝ）'!X19","v":"連動機構：連動制御器"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第三号(18)",{"$f":"'検査結果表（耐火ｸﾛｽｽｸﾘｰﾝ）'!X20","v":"連動機構：連動機構用予備電源"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第三号(19)",{"$f":"'検査結果表（耐火ｸﾛｽｽｸﾘｰﾝ）'!X21","v":"連動機構：連動機構用予備電源"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第三号(20)",{"$f":"'検査結果表（耐火ｸﾛｽｽｸﾘｰﾝ）'!X22","v":"連動機構：自動閉鎖装置"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第三号(21)",{"$f":"'検査結果表（耐火ｸﾛｽｽｸﾘｰﾝ）'!X23","v":"連動機構：手動閉鎖装置"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第三号(22)",{"$f":"'検査結果表（耐火ｸﾛｽｽｸﾘｰﾝ）'!X24","v":"総合的な作動の状況"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第三号(23)",{"$f":"'検査結果表（耐火ｸﾛｽｽｸﾘｰﾝ）'!X25","v":"総合的な作動の状況"}]
[null,null,"番号",null,"検査項目",null,null,null,"検査結果",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第四号(1)",{"$f":"'検査結果表（ﾄﾞﾚﾝﾁｬｰ）'!X3","v":"ドレンチャー等：設置場所の周囲状況"}]
[null,null,null,null,{"$f":"IF(OR($C70=\"\",$D70=\"\"),\"\",IF(Y4=\"\",\"\",VLOOKUP($C70&$D70,$AD$2:$AE$94,2,FALSE)))","v":""},null,null,null,null,null,"要是正",null,null,null,null,"その他",null,null,null,null,null,null,null,null,null,null,null,null,null,"第四号(2)",{"$f":"'検査結果表（ﾄﾞﾚﾝﾁｬｰ）'!X4","v":"ドレンチャー等：散水ヘッド "}]
["写真貼付",null,null,null,null,null,"特記事項",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第四号(3)",{"$f":"'検査結果表（ﾄﾞﾚﾝﾁｬｰ）'!X5","v":"ドレンチャー等：開閉弁"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第四号(4)",{"$f":"'検査結果表（ﾄﾞﾚﾝﾁｬｰ）'!X6","v":"ドレンチャー等：排水設備"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第四号(5)",{"$f":"'検査結果表（ﾄﾞﾚﾝﾁｬｰ）'!X7","v":"ドレンチャー等：水源"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第四号(6)",{"$f":"'検査結果表（ﾄﾞﾚﾝﾁｬｰ）'!X8","v":"ドレンチャー等：水源"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第四号(7)",{"$f":"'検査結果表（ﾄﾞﾚﾝﾁｬｰ）'!X9","v":"ドレンチャー等：加圧送水装置"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第四号(8)",{"$f":"'検査結果表（ﾄﾞﾚﾝﾁｬｰ）'!X10","v":"ドレンチャー等：加圧送水装置"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第四号(9)",{"$f":"'検査結果表（ﾄﾞﾚﾝﾁｬｰ）'!X11","v":"ドレンチャー等：加圧送水装置"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第四号(10)",{"$f":"'検査結果表（ﾄﾞﾚﾝﾁｬｰ）'!X12","v":"ドレンチャー等：加圧送水装置"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第四号(11)",{"$f":"'検査結果表（ﾄﾞﾚﾝﾁｬｰ）'!X13","v":"ドレンチャー等：加圧送水装置"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第四号(12)",{"$f":"'検査結果表（ﾄﾞﾚﾝﾁｬｰ）'!X14","v":"ドレンチャー等：加圧送水装置"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第四号(13)",{"$f":"'検査結果表（ﾄﾞﾚﾝﾁｬｰ）'!X15","v":"ドレンチャー等：加圧送水装置"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第四号(14)",{"$f":"'検査結果表（ﾄﾞﾚﾝﾁｬｰ）'!X16","v":"ドレンチャー等：加圧送水装置"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第四号(15)",{"$f":"'検査結果表（ﾄﾞﾚﾝﾁｬｰ）'!X17","v":"連動機構：煙感知器、熱煙複合式感知器及び熱感知器"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第四号(16)",{"$f":"'検査結果表（ﾄﾞﾚﾝﾁｬｰ）'!X18","v":"連動機構：煙感知器、熱煙複合式感知器及び熱感知器"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第四号(17)",{"$f":"'検査結果表（ﾄﾞﾚﾝﾁｬｰ）'!X19","v":"連動機構：制御盤"}]
["(注意)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第四号(18)",{"$f":"'検査結果表（ﾄﾞﾚﾝﾁｬｰ）'!X20","v":"連動機構：制御盤"}]
["①","　この書類は、検査の結果で「要是正」とされた項目のうち、「既存不適格」ではない項目について作成してください。また、「既存不適格」及び「指摘なし」の項目についても、特記すべき事項があれば、必要に応じて作成してください。「要是正」の項目がない場合は、この書類は省略しても構いません。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第四号(19)",{"$f":"'検査結果表（ﾄﾞﾚﾝﾁｬｰ）'!X21","v":"連動機構：制御盤"}]
["②","　記入欄が不足する場合は、枠を拡大、行を追加して記入するか、別紙に必要な事項を記入して添えてください。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第四号(20)",{"$f":"'検査結果表（ﾄﾞﾚﾝﾁｬｰ）'!X22","v":"連動機構：制御盤"}]
["③","「部位」欄の「番号」、「検査項目」は、それぞれ別記様式の番号、検査項目に対応したものを記入してください。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第四号(21)",{"$f":"'検査結果表（ﾄﾞﾚﾝﾁｬｰ）'!X23","v":"連動機構：連動機構用予備電源"}]
["④","「検査結果」欄は、検査の結果、要是正の指摘があった場合は「要是正」のチェックボックスに「レ」マークを入れ、それ以外の場合で特記すべき事項がある場合は「その他」のチェックボックスに「レ」マークを入れてください。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第四号(22)",{"$f":"'検査結果表（ﾄﾞﾚﾝﾁｬｰ）'!X24","v":"連動機構：連動機構用予備電源"}]
["⑤","　写真は、当該部位の外観の状況が確認できるように撮影したものを添付してください。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第四号(23)",{"$f":"'検査結果表（ﾄﾞﾚﾝﾁｬｰ）'!X25","v":"連動機構：自動作動装置"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第四号(24)",{"$f":"'検査結果表（ﾄﾞﾚﾝﾁｬｰ）'!X26","v":"連動機構：手動作動装置"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第四号(25)",{"$f":"'検査結果表（ﾄﾞﾚﾝﾁｬｰ）'!X27","v":"総合的な作動の状況"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第四号(26)",{"$f":"'検査結果表（ﾄﾞﾚﾝﾁｬｰ）'!X28","v":"総合的な作動の状況"}]
["別添２様式（Ａ４）"]
["関係写真"]
[]
["部位",null,"番号",null,"検査項目",null,null,null,"検査結果"]
[null,null,null,null,{"$f":"IF(OR($C99=\"\",$D99=\"\"),\"\",IF(Y5=\"\",\"\",VLOOKUP($C99&$D99,$AD$2:$AE$94,2,FALSE)))","v":""},null,null,null,null,null,"要是正",null,null,null,null,"その他"]
["写真貼付",null,null,null,null,null,"特記事項"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["部位",null,"番号",null,"検査項目",null,null,null,"検査結果"]
[null,null,null,null,{"$f":"IF(OR($C117=\"\",$D117=\"\"),\"\",IF(Y6=\"\",\"\",VLOOKUP($C117&$D117,$AD$2:$AE$94,2,FALSE)))","v":""},null,null,null,null,null,"要是正",null,null,null,null,"その他"]
["写真貼付",null,null,null,null,null,"特記事項"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["(注意)"]
["①","　この書類は、検査の結果で「要是正」とされた項目のうち、「既存不適格」ではない項目について作成してください。また、「既存不適格」及び「指摘なし」の項目についても、特記すべき事項があれば、必要に応じて作成してください。「要是正」の項目がない場合は、この書類は省略しても構いません。"]
["②","　記入欄が不足する場合は、枠を拡大、行を追加して記入するか、別紙に必要な事項を記入して添えてください。"]
["③","「部位」欄の「番号」、「検査項目」は、それぞれ別記様式の番号、検査項目に対応したものを記入してください。"]
["④","「検査結果」欄は、検査の結果、要是正の指摘があった場合は「要是正」のチェックボックスに「レ」マークを入れ、それ以外の場合で特記すべき事項がある場合は「その他」のチェックボックスに「レ」マークを入れてください。"]
["⑤","　写真は、当該部位の外観の状況が確認できるように撮影したものを添付してください。"]
[]
[]
[]
["別添２様式（Ａ４）"]
["関係写真"]
[]
["部位",null,"番号",null,"検査項目",null,null,null,"検査結果"]
[null,null,null,null,{"$f":"IF(OR($C146=\"\",$D146=\"\"),\"\",IF(Y7=\"\",\"\",VLOOKUP($C146&$D146,$AD$2:$AE$94,2,FALSE)))","v":""},null,null,null,null,null,"要是正",null,null,null,null,"その他"]
["写真貼付",null,null,null,null,null,"特記事項"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["部位",null,"番号",null,"検査項目",null,null,null,"検査結果"]
[null,null,null,null,{"$f":"IF(OR($C164=\"\",$D164=\"\"),\"\",IF(Y8=\"\",\"\",VLOOKUP($C164&$D164,$AD$2:$AE$94,2,FALSE)))","v":""},null,null,null,null,null,"要是正",null,null,null,null,"その他"]
["写真貼付",null,null,null,null,null,"特記事項"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["(注意)"]
["①","　この書類は、検査の結果で「要是正」とされた項目のうち、「既存不適格」ではない項目について作成してください。また、「既存不適格」及び「指摘なし」の項目についても、特記すべき事項があれば、必要に応じて作成してください。「要是正」の項目がない場合は、この書類は省略しても構いません。"]
["②","　記入欄が不足する場合は、枠を拡大、行を追加して記入するか、別紙に必要な事項を記入して添えてください。"]
["③","「部位」欄の「番号」、「検査項目」は、それぞれ別記様式の番号、検査項目に対応したものを記入してください。"]
["④","「検査結果」欄は、検査の結果、要是正の指摘があった場合は「要是正」のチェックボックスに「レ」マークを入れ、それ以外の場合で特記すべき事項がある場合は「その他」のチェックボックスに「レ」マークを入れてください。"]
["⑤","　写真は、当該部位の外観の状況が確認できるように撮影したものを添付してください。"]
[]
[]
[]
["別添２様式（Ａ４）"]
["関係写真"]
[]
["部位",null,"番号",null,"検査項目",null,null,null,"検査結果"]
[null,null,null,null,{"$f":"IF(OR($C193=\"\",$D193=\"\"),\"\",IF(Y9=\"\",\"\",VLOOKUP($C193&$D193,$AD$2:$AE$94,2,FALSE)))","v":""},null,null,null,null,null,"要是正",null,null,null,null,"その他"]
["写真貼付",null,null,null,null,null,"特記事項"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["部位",null,"番号",null,"検査項目",null,null,null,"検査結果"]
[null,null,null,null,{"$f":"IF(OR($C211=\"\",$D211=\"\"),\"\",IF(Y10=\"\",\"\",VLOOKUP($C211&$D211,$AD$2:$AE$94,2,FALSE)))","v":""},null,null,null,null,null,"要是正",null,null,null,null,"その他"]
["写真貼付",null,null,null,null,null,"特記事項"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["(注意)"]
["①","　この書類は、検査の結果で「要是正」とされた項目のうち、「既存不適格」ではない項目について作成してください。また、「既存不適格」及び「指摘なし」の項目についても、特記すべき事項があれば、必要に応じて作成してください。「要是正」の項目がない場合は、この書類は省略しても構いません。"]
["②","　記入欄が不足する場合は、枠を拡大、行を追加して記入するか、別紙に必要な事項を記入して添えてください。"]
["③","「部位」欄の「番号」、「検査項目」は、それぞれ別記様式の番号、検査項目に対応したものを記入してください。"]
["④","「検査結果」欄は、検査の結果、要是正の指摘があった場合は「要是正」のチェックボックスに「レ」マークを入れ、それ以外の場合で特記すべき事項がある場合は「その他」のチェックボックスに「レ」マークを入れてください。"]
["⑤","　写真は、当該部位の外観の状況が確認できるように撮影したものを添付してください。"]

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["第三十六号の九様式 （第六条、第六条の三、第十一条の四関係）（Ａ４）"]
[]
[null,"定期検査報告概要書"]
[null,"（防火設備）"]
[null,"（第一面）"]
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[null,"【１．所有者】"]
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[null,null,null,"【ハ．郵便番号】",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(報告書!O23=\"\",\"\",報告書!O23)","v":""}]
[null,null,null,"【ニ．住所】",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(報告書!O24=\"\",\"\",報告書!O24 )","v":""}]
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[null,"【２．管理者】"]
[null,null,null,"【イ．氏名のフリガナ】",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(報告書!O29=\"\",\"\",報告書!O29)","v":""}]
[null,null,null,"【ロ．氏名】",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(報告書!O30=\"\",\"\",報告書!O30 )","v":""}]
[null,null,null,"【ハ．郵便番号】",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(報告書!O31=\"\",\"\",報告書!O31)","v":""}]
[null,null,null,"【ニ．住所】",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(報告書!O32=\"\",\"\",報告書!O32 )","v":""}]
[]
[]
[null,"【３．報告対象建築物】"]
[null,null,null,"【イ．所在地】",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(報告書!O37=\"\",\"\",報告書!O37)","v":""}]
[null,null,null,"【ロ．名称のフリガナ】",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(報告書!O38=\"\",\"\",報告書!O38)","v":""}]
[null,null,null,"【ハ．名称】",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(報告書!O39=\"\",\"\",報告書!O39)","v":""}]
[null,null,null,"【二．用途】",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(報告書!O40=\"\",\"\",報告書!O40)","v":""}]
[]
[]
[null,"【４．検査による指摘の概要】"]
[null,null,null,null,{"$f":"IF(報告書!E44=\"\",\"\",報告書!E44)","v":""},"要是正の指摘あり 　",null,null,null,null,null,null,null,null,"（",{"$f":"IF(報告書!P44=\"\",\"\",報告書!P44)","v":""},"既存不適格 ）",null,null,null,null,null,null,null,{"$f":"IF(報告書!Y44=\"\",\"\",報告書!Y44)","v":""},"指摘なし"]
[]
[]
[null,"【５．不具合の発生状況】"]
[null,null,"【イ．不具合】　",null,null,null,null,null,null,null,null,null,{"$f":"IF(報告書!M138=\"\",\"\",報告書!M138)","v":""},"有",null,null,null,{"$f":"IF(報告書!R138=\"\",\"\",報告書!R138)","v":""},"無"]
[null,null,"【ロ．不具合記録】",null,null,null,null,null,null,null,null,null,{"$f":"IF(報告書!M139=\"\",\"\",報告書!M139)","v":""},"有",null,null,null,{"$f":"IF(報告書!R139=\"\",\"\",報告書!R139)","v":""},"無"]
[null,null,"【ハ．不具合の概要】",null,null,null,null,null,null,null,null,null,{"$f":"IF(報告書!H152=\"\",\"\",報告書!H152)","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(報告書!H153=\"\",\"\",報告書!H153)","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(報告書!H154=\"\",\"\",報告書!H154)","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(報告書!H155=\"\",\"\",報告書!H155)","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(報告書!H156=\"\",\"\",報告書!H156)","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(報告書!H157=\"\",\"\",報告書!H157)","v":""}]
[null,null,"【ニ．改善の状況】　",null,null,null,null,null,null,null,null,null,{"$f":"IF(報告書!M140=\"\",\"\",報告書!M140)","v":""},"実施済",null,null,null,{"$f":"IF(報告書!R140=\"\",\"\",報告書!R140)","v":""},"改善予定",null,null,null,null,null,"（平成",{"$f":"IF(報告書!Z140=\"\",\"\",報告書!Z140)","v":""},null,"年",{"$f":"IF(報告書!AC140=\"\",\"\",報告書!AC140)","v":""},null,"月に改善予定)"]
[null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(報告書!AM140=\"\",\"\",報告書!AM140)","v":""},"予定なし",null,null,null,"（理由：",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"※受付欄"]
[]
[]
[]
["（第二面）"]
[null,"防火設備の状況等"]
[]
[]
[null,"【１．建築物の概要】"]
[null,null,null,"【イ．階数】　",null,null,null,null,null,null,null,null,"地上",null,{"$f":"IF(報告書!N66=\"\",\"\",報告書!N66)","v":""},null,null,"階",null,"地下",null,{"$f":"IF(報告書!U66=\"\",\"\",報告書!U66)","v":""},null,null,"階"]
[null,null,null,"【ロ．建築面積】",null,null,null,null,null,null,null,null,{"$f":"IF(報告書!L67=\"\",\"\",報告書!L67)","v":""},null,null,null,null,null,null,"㎡"]
[null,null,null,"【ハ．延べ面積】",null,null,null,null,null,null,null,null,{"$f":"IF(報告書!L68=\"\",\"\",報告書!L68)","v":""},null,null,null,null,null,null,"㎡"]
[]
[]
[null,"【２．確認済証交付年月日等】"]
[null,null,null,"【イ．確認済証交付年月日】",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(報告書!Q72=\"\",\"\",報告書!Q72)","v":""},null,"・",{"$f":"IF(報告書!T72=\"\",\"\",報告書!T72)","v":""},null,{"$f":"IF(報告書!V72=\"\",\"\",報告書!V72)","v":""},null,"年",{"$f":"IF(報告書!Y72=\"\",\"\",報告書!Y72)","v":""},null,"月",{"$f":"IF(報告書!AB72=\"\",\"\",報告書!AB72)","v":""},null,"日",null,null,"第",{"$f":"IF(報告書!AH72=\"\",\"\",報告書!AH72)","v":""},null,null,null,null,null,null,null,null,null,null,"号"]
[null,null,null,"【ロ．確認済証交付者】",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(報告書!Q73=\"\",\"\",報告書!Q73)","v":""},"建築主事",null,null,null,null,{"$f":"IF(報告書!W73=\"\",\"\",報告書!W73)","v":""},"指定確認検査機関",null,null,null,null,null,null,null," (",{"$f":"IF(報告書!AG73=\"\",\"\",報告書!AG73)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,")"]
[null,null,null,"【ハ．検査済証交付年月日】",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(報告書!Q74=\"\",\"\",報告書!Q74)","v":""},null,"・",{"$f":"IF(報告書!T74=\"\",\"\",報告書!T74)","v":""},null,{"$f":"IF(報告書!V74=\"\",\"\",報告書!V74)","v":""},null,"年",{"$f":"IF(報告書!Y74=\"\",\"\",報告書!Y74)","v":""},null,"月",{"$f":"IF(報告書!AB74=\"\",\"\",報告書!AB74)","v":""},null,"日",null,null,"第",{"$f":"IF(報告書!AH74=\"\",\"\",報告書!AH74)","v":""},null,null,null,null,null,null,null,null,null,null,"号"]
[null,null,null,"【ニ．検査済証交付者】",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(報告書!Q75=\"\",\"\",報告書!Q75)","v":""},"建築主事",null,null,null,null,{"$f":"IF(報告書!W75=\"\",\"\",報告書!W75)","v":""},"指定確認検査機関",null,null,null,null,null,null,null," (",{"$f":"IF(報告書!AG75=\"\",\"\",報告書!AG75)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,")"]
[]
[]
[null,"【３．検査日等】"]
[null,null,null,"【イ．今回の検査】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"平成",{"$f":"IF(報告書!T79=\"\",\"\",報告書!T79)","v":""},null,"年",{"$f":"IF(報告書!W79=\"\",\"\",報告書!W79)","v":""},null,"月",{"$f":"IF(報告書!Z79=\"\",\"\",報告書!Z79)","v":""},null,"日","実施"]
[null,null,null,"【ロ．前回の検査】",null,null,null,null,null,null,null,null,null,{"$f":"IF(報告書!N80=\"\",\"\",報告書!N80)","v":""},"実施",null,null,null,"(平成",{"$f":"IF(報告書!T80=\"\",\"\",報告書!T80)","v":""},null,"年",{"$f":"IF(報告書!W80=\"\",\"\",報告書!W80)","v":""},null,"月",{"$f":"IF(報告書!Z80=\"\",\"\",報告書!Z80)","v":""},null,"日","報告）",null,null,null,{"$f":"IF(報告書!AG80=\"\",\"\",報告書!AG80)","v":""},"未実施"]
[null,null,null,"【ハ．前回の検査に関する書類の写し】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(報告書!V81=\"\",\"\",報告書!V81)","v":""},"有",null,null,{"$f":"IF(報告書!Z81=\"\",\"\",報告書!Z81)","v":""},"無"]
[]
[]
[null,"【４．防火設備の検査者】"]
[null,null,"（代表となる検査者）"]
[null,null,null,"【イ．資格】",null,null,null,null,null,null,null,null,null,null,"（",{"$f":"IF(報告書!P86=\"\",\"\",報告書!P86)","v":""},null,"）建築士",null,null,null,null,null,null,"（",{"$f":"IF(報告書!Z86=\"\",\"\",報告書!Z86)","v":""},null,null,null,null,null,null,null,"）登録",null,null,null,"第",{"$f":"IF(報告書!AM86=\"\",\"\",報告書!AM86)","v":""},null,null,null,null,null,"号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"防火設備検査員",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第",{"$f":"IF(報告書!AM87=\"\",\"\",報告書!AM87)","v":""},null,null,null,null,null,"号"]
[null,null,null,"【ロ．氏名のフリガナ】",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(報告書!O88=\"\",\"\",報告書!O88)","v":""}]
[null,null,null,"【ハ．氏名】 ",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(報告書!O89=\"\",\"\",報告書!O89)","v":""}]
[null,null,null,"【ニ．勤務先】",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(報告書!O90=\"\",\"\",報告書!O90)","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（",{"$f":"IF(報告書!P91=\"\",\"\",報告書!P91)","v":""},null,"）建築士事務所",null,null,null,null,null,null,"（",{"$f":"IF(報告書!Z91=\"\",\"\",報告書!Z91)","v":""},null,null,null,null,null,"）知事登録",null,null,null,null,null,"第",{"$f":"IF(報告書!AM91=\"\",\"\",報告書!AM91)","v":""},null,null,null,null,null,"号"]
[null,null,null,"【ホ．郵便番号】",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(報告書!O92=\"\",\"\",報告書!O92)","v":""}]
[null,null,null,"【へ．所在地】",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(報告書!O93=\"\",\"\",報告書!O93)","v":""}]
[null,null,null,"【ト．電話番号】",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(報告書!O94=\"\",\"\",報告書!O94)","v":""}]
[null,null,"（その他の検査者）"]
[null,null,null,"【イ．資格】",null,null,null,null,null,null,null,null,null,null,"（",{"$f":"IF(報告書!P96=\"\",\"\",報告書!P96)","v":""},null,"）建築士",null,null,null,null,null,null,"（",{"$f":"IF(報告書!Z96=\"\",\"\",報告書!Z96)","v":""},null,null,null,null,null,null,null,"）登録",null,null,null,"第",{"$f":"IF(報告書!AM96=\"\",\"\",報告書!AM96)","v":""},null,null,null,null,null,"号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"防火設備検査員",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第",{"$f":"IF(報告書!AM97=\"\",\"\",報告書!AM97)","v":""},null,null,null,null,null,"号"]
[null,null,null,"【ロ．氏名のフリガナ】",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(報告書!O98=\"\",\"\",報告書!O98)","v":""}]
[null,null,null,"【ハ．氏名】 ",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(報告書!O99=\"\",\"\",報告書!O99)","v":""}]
[null,null,null,"【ニ．勤務先】",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(報告書!O100=\"\",\"\",報告書!O100)","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（",{"$f":"IF(報告書!P101=\"\",\"\",報告書!P101)","v":""},null,"）建築士事務所",null,null,null,null,null,null,"（",{"$f":"IF(報告書!Z101=\"\",\"\",報告書!Z101)","v":""},null,null,null,null,null,"）知事登録",null,null,null,null,null,"第",{"$f":"IF(報告書!AM101=\"\",\"\",報告書!AM101)","v":""},null,null,null,null,null,"号"]
[null,null,null,"【ホ．郵便番号】",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(報告書!O102=\"\",\"\",報告書!O102)","v":""}]
[null,null,null,"【へ．所在地】",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(報告書!O103=\"\",\"\",報告書!O103)","v":""}]
[null,null,null,"【ト．電話番号】",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(報告書!O104=\"\",\"\",報告書!O104)","v":""}]
[null,null,"（その他の検査者２）"]
[null,null,null,"【イ．資格】",null,null,null,null,null,null,null,null,null,null,"（",{"$f":"IF(報告書!P106=\"\",\"\",報告書!P106)","v":""},null,"）建築士",null,null,null,null,null,null,"（",{"$f":"IF(報告書!Z106=\"\",\"\",報告書!Z106)","v":""},null,null,null,null,null,null,null,"）登録",null,null,null,"第",{"$f":"IF(報告書!AM106=\"\",\"\",報告書!AM106)","v":""},null,null,null,null,null,"号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"防火設備検査員",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第",{"$f":"IF(報告書!AM107=\"\",\"\",報告書!AM107)","v":""},null,null,null,null,null,"号"]
[null,null,null,"【ロ．氏名のフリガナ】",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(報告書!O108=\"\",\"\",報告書!O108)","v":""}]
[null,null,null,"【ハ．氏名】 ",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(報告書!O109=\"\",\"\",報告書!O109)","v":""}]
[null,null,null,"【ニ．勤務先】",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(報告書!O110=\"\",\"\",報告書!O110)","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（",{"$f":"IF(報告書!P111=\"\",\"\",報告書!P111)","v":""},null,"）建築士事務所",null,null,null,null,null,null,"（",{"$f":"IF(報告書!Z111=\"\",\"\",報告書!Z111)","v":""},null,null,null,null,null,"）知事登録",null,null,null,null,null,"第",{"$f":"IF(報告書!AM111=\"\",\"\",報告書!AM111)","v":""},null,null,null,null,null,"号"]
[null,null,null,"【ホ．郵便番号】",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(報告書!O112=\"\",\"\",報告書!O112)","v":""}]
[null,null,null,"【へ．所在地】",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(報告書!O113=\"\",\"\",報告書!O113)","v":""}]
[null,null,null,"【ト．電話番号】",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(報告書!O114=\"\",\"\",報告書!O114)","v":""}]
[]
[]
[null,"【５．防火設備の概要】"]
[null,null,"【イ．避難安全検証法等の適用】　"]
[null,null,null,null,{"$f":"IF(報告書!E119=\"\",\"\",報告書!E119)","v":""},"階避難安全検証法",null,null,null,null,null,null,null,null,"（",{"$f":"IF(報告書!P119=\"\",\"\",報告書!P119)","v":""},null,null,"階）",null,null,null,null,{"$f":"IF(報告書!X119=\"\",\"\",報告書!X119)","v":""},"全館避難安全検証法"]
[null,null,null,null,{"$f":"IF(報告書!E120=\"\",\"\",報告書!E120)","v":""},"その他",null,null,null,null,"（",{"$f":"IF(報告書!L120=\"\",\"\",報告書!L120)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,null,"【ロ．防火設備】　"]
[null,null,null,null,{"$f":"IF(報告書!E122=\"\",\"\",報告書!E122)","v":""},"防火扉",null,null,null,null,null,null,null,null,null,"（",{"$f":"IF(報告書!Q122=\"\",\"\",報告書!Q122)","v":""},null,null,"枚）",null,null,null,{"$f":"IF(報告書!X122=\"\",\"\",報告書!X122)","v":""},"防火シャッター",null,null,null,null,null,null,null,"（",{"$f":"IF(報告書!AH122=\"\",\"\",報告書!AH122)","v":""},null,null,"枚）"]
[null,null,null,null,{"$f":"IF(報告書!E123=\"\",\"\",報告書!E123)","v":""},"耐火クロススクリーン",null,null,null,null,null,null,null,null,null,"（",{"$f":"IF(報告書!Q123=\"\",\"\",報告書!Q123)","v":""},null,null,"枚）",null,null,null,{"$f":"IF(報告書!X123=\"\",\"\",報告書!X123)","v":""},"ドレンチャー",null,null,null,null,null,null,null,"（",{"$f":"IF(報告書!AH123=\"\",\"\",報告書!AH123)","v":""},null,null,"台）"]
[null,null,null,null,{"$f":"IF(報告書!E124=\"\",\"\",報告書!E124)","v":""},"その他　",null,null,null,null,null,null,null,null,null,"（",{"$f":"IF(報告書!Q124=\"\",\"\",報告書!Q124)","v":""},null,null,"台）"]
[]
[]
[null,"【６．備考】"]
[null,null,null,null,{"$f":"IF(報告書!E144=\"\",\"\",報告書!E144)","v":""}]
[]
[]
[null,"（注意）"]
[null,"　この様式には、第三十六号の八様式に記入した内容と同一の内容を記入してください。第二面は、同様式第二面において指摘があった防火設備についてのみ作成し、第一面に添えてください。"]