MAGNETIC RESONANCE
Wall shear stress distribution at the carotid bifurcation: influence of eversion carotid endarterectomy
A.Harloff&S.Berg&A.J.Barker&J.Sch?llhorn&
M.Schumacher&C.Weiller&M.Markl
Received:29April2013/Revised:31May2013/Accepted:7June2013
#European Society of Radiology2013
Abstract
Objectives To test the feasibility of four-dimensional(4D)flow MRI to quantify the systolic wall shear stress(WSS systole)and oscillatory shear index(OSI)in high-grade internal carotid artery(ICA)stenosis before and after endarterectomy(CEA). Methods Twenty patients with≥60%ICA stenosis were pro-spectively and consequently included.Four-dimensional flow MRI was used to measure individual time-resolved3D blood flow velocities.Segmental WSS systole and OSI were derived at eight wall segments in analysis planes positioned along the ICA,common(CCA)and external carotid artery(ECA). Results Regional WSS systole of all patients decreased after CEA(P<0.05).Changes were most prominent at the ICA bulb but remained unchanged in the CCA and ECA.OSI was significantly lower after CEA in the lateral vessel walls (P<0.05).For analysis planes at the stenosis in-and outlet,a reduction of mean WSS systole by32%and52%(P<0.001)and OSI distal to the stenosis(40%,P=0.01)was found after CEA.Conclusions Our findings show the potential of in vivo4D flow MRI to quantify haemodynamic changes in wall shear stress even in patients with complex flow conditions.
Key Points
?The4D flow MRI allows in vivo measurement of individual 3D blood flow.
?Regional wall shear stress can be derived from such3D flow data.
?Even complex flow in high-grade internal carotid artery stenosis can be analysed.
?This technique could be valuable for future studies of carotid atherosclerosis.
Keywords Atherosclerosis.Carotid.Endarterectomy. Wall shear stress.4D flow MRI
Introduction
Carotid endarterectomy(CEA)and carotid artery stenting are established treatments for high-grade internal carotid artery(ICA)stenosis,an important source of ipsilateral stroke[1].The purpose of CEA is to restore normal carotid anatomy and blood flow by plaque removal.A number of studies have confirmed that recanalisation leads to a signif-icant reduction of peak blood flow velocities and pressure gradients across the ICA[2–4].However,the influence of CEA on wall shear stress(WSS),the friction force of blood that acts on the vessel wall and a contributing factor to altered endothelial cell function,is poorly understood[5].
Low WSS magnitude and high oscillatory shear index (OSI)have been linked to the development of local athero-sclerosis in the carotid bifurcation and aorta in animal models [6,7]and are considered atherogenic wall parameters.In this context,a computational fluid dynamic(CFD)model of the carotid bifurcation has shown that individual
bifurcation A.Harloff(*)
:S.Berg:C.Weiller
Department of Neurology,University Hospital Freiburg,
Breisacher Strasse64,79106Freiburg,Germany
e-mail:andreas.harloff@uniklinik-freiburg.de
A.J.Barker
:M.Markl
Department of Radiology,Feinberg School of Medicine,
Northwestern University,Chicago,IL,USA
M.Markl
Department of Biomedical Engineering,McCormick School of
Engineering,Northwestern University,Chicago,IL,USA
J.Sch?llhorn
Department of Cardiothoracic Surgery,University Hospital
Freiburg,Freiburg,Germany
M.Schumacher
Department of Neuroradiology,University Hospital Freiburg,
Freiburg,Germany
Eur Radiol
DOI10.1007/s00330-013-2953-4
geometry was associated with differences in the topographic distribution of critical wall parameters in healthy volunteers [8].Findings of this CFD study have been confirmed by a4D flow MRI study that quantified the in vivo3D distribution of WSS and OSI in carotid bifurcations[9].The results of this study demonstrated that critically low WSS and high OSI were concentrated at the dilated posterior wall of the ICA and thus at a typical site of carotid plaque development.In addition,the distribution of wall parameters was substantially altered in a small group of patients with moderate ICA stenosis.
To date,however,no studies have investigated the distri-bution of WSS and OSI in patients before and after CEA of high-grade ICA stenosis in vivo and the effect of CEA-induced changes in blood flow on regional WSS is unclear. It was therefore the aim to investigate the in vivo WSS and OSI distribution along the carotid bifurcation by pre-and post-interventional carotid4D flow MRI in a cohort of20patients with≥60%ICA stenosis(following European Carotid Surgery Trial,ECST,criteria[10])undergoing eversion CEA.
We hypothesised that plaque removal and consecutive re-duction of high intrastenotic velocity gradients and poststenotic complex flow would result in measurable changes of WSS and OSI distribution.
Materials and methods
Study population
Patients with≥60%(ECST criteria[10],i.e.≥40% NASCET criteria)asymptomatic or symptomatic ICA steno-sis scheduled for CEA were prospectively and consequently included during a12-month period between July2008und July2009.All patients underwent eversion carotid endarter-ectomy and did not receive patch material to repair the ICA bulb during the CEA procedure because eversion CEA is the preferred surgical procedure for plaque removal at our insti-tution.As a result,we assumed that the inter-individual variation of bifurcation geometry due to surgery was mini-mal.The degree of ICA stenosis was determined using extra-and intracranial2D duplex ultrasound by two highly experi-enced examiners.During the study period83patients ful-filled the inclusion criteria.Fourteen patients refused to participate in the study or interrupted the initial MRI exam-ination.Owing to the short interval between admission to the hospital and CEA(emergency CEA was performed in2 patients)MRI was not available in13patients.Five patients had to be excluded because of ferromagnetic devices that were not compatible with3-T MRI.One patient weighed over135kg and could not be examined in the MRI,and five patients with symptomatic ICA stenosis were too unstable to undergo MRI examination.Of the43remaining patients29completed both pre-and postoperative4D flow MRI mea-surements and were considered for further evaluation.The study was approved by the local ethics committee and writ-ten informed consent was obtained from all participants.
MRI measurements
Magnetic resonance imaging measurements were performed on a3-T MRI system(TIM-TRIO;Siemens;Erlangen, Germany)using a combined12-element head and6-element neck coil.For an anatomical overview,3D time-of-flight MR angiography(MRA)in an axial slab covering the left and right carotid bifurcation was performed(flip angle=25°;time to echo(TE)/time to repeat(TR)=3.7ms/20ms;spatial resolution=0.5×0.8×1.0mm3;slab thickness=52mm).
In patients with a glomerular filtration rate>40ml/min who agreed to receive contrast agent a time-resolved(TWIST) MRA and subsequent contrast-enhanced(CE)MRA were performed before CEA and reconstructed as maximum intensity projections(MIP)allowing for a360°degree rota-tion for optimal visual assessment of stenosis location and length.MRAwas executed after injection of0.1mmol/kg body weight gadolinium-based contrast agent(gadobenate dimeglumine,Multihance,Bracco,Italy)at 3.5ml/s (voxel size=1.2×1.5×4.0mm3,field of view(FOV)= 250×380mm2,TE/TR=0.89ms/2.3ms,flip angle=20°, bandwidth=920Hz/pixel).
Four-dimensional flow MRI consisted of a prospectively electrocardiogram gated radiofrequency-spoiled gradient echo sequence with interleaved three-directional velocity encoding[11].The predominantly axial3D imaging volume was angulated based on the TOF MRA data in order to include the distal2cm of the common carotid artery (CCA),the carotid bifurcation,and the proximal5cm of the ICA and external carotid artery.Imaging parameters were as follows:flip angle15°,TE/TR=3.1ms/45.6ms,velocity sensitivity=200cm/s,spatial resolution=1.1×0.9×1.4mm3, slab thickness=50.4mm,36slices/slab,and temporal resolution=45.6ms.For follow-up examination after ever-sion carotid endarterectomy the velocity sensitivity was set to120cm/s to account for the reduced flow velocities in the ICA after plaque removal.
Data processing and WSS quantification
Data processing included noise filtering,correction for eddy currents,Maxwell terms,and velocity aliasing[12].For each 4D flow MR data set a3D phase-contrast MR angiogram (PC-MRA)was calculated and visualised as a3D isosurface as shown in Fig.1(EnSight;CEI;Apex,NC,USA)[13]. Next,analysis planes were positioned in the carotid bifurca-tion according to anatomical landmarks(Fig.1):analysis plane2was anchored at the flow bifurcation point(branching
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point between external carotid artery and ICA)and angulated normally to the ICA.All other analysis planes were generated by shifting the plane centre upstream (ICA,additional planes 3–6)or downstream (distal CCA =plane 1)in 4-mm intervals.The external carotid artery plane was positioned 4mm above the flow diverter,i.e.at the site where the common carotid artery branches into the ICA and ECA.One reference analysis plane was positioned at the most distal point of the ICA in
order to measure blood flow as far distally to the stenotic jet as possible.Each analysis plane was manually angulated normally to the arterial lumen [9].
Calculation and distribution of wall shear stress
For calculation of wall shear stress,all analysis planes were imported into a home-built analysis tool programmed
in
Fig.1Distribution of average WSS systole in each of the eight wall segments of the eight standard analysis planes in 20patients is given.Significance level of *<0.05and **<0.01in wall segments that show a significant change in values between pre-and postoperative measurements
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MatLab (The Mathworks,USA)[14].For each analysis plane,the peak systolic WSS (WSS systole )in N/m 2and the oscillatory shear index (OSI)in %were calculated using an eight-segment wall model (see Figs.1,2and 3)[15].WSS systole was calculated as the average over four time frames centred at peak systole.In addition,global WSS systole and OSI for the CCA,ICA,and ECA were calculated as the mean over all segments.
Determination of individual stenosis anatomy
Based on the standardised analysis planes,the planes closest to the in-and outlet of ICA stenosis were identified for each patient.Depending on stenosis morphology,i.e.length and extent of tapering,plane locations were variable between patients.As an example,Fig.4illustrates different
distances
Fig.2Distribution of average OSI in each of the eight wall segments of the eight standard analysis planes in 20patients is given.Significance level of *<0.05and **<0.01in wall segments that show a significant change in values between pre-and postoperative measurements
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of the stenosis maximum from the flow bifurcation (i.e.15mm and 3mm,respectively)for two patients with ICA stenosis.Consequently,analysis planes at the in-and outlet of the ste-notic plaque had to be defined and considered on an individual basis (Fig.3).The distance of the stenosis maximum from the flow diverter and plaque length was measured in millimetres with electronic callipers using IMPAX software (version EE R20VIII P1,Agfa,Vienna,Austria).Measurements were
performed by one experienced reader based on the MIPs of the TWIST angiography or,if unavailable,based on the MIP of TOF angiography.Statistical analysis
Continuous variables are reported as mean±standard devia-tion.Differences in global WSS and OSI were evaluated
by
Fig.3Distribution of average WSS systole and OSI in each of the eight wall segments of the individually chosen analysis planes (depending on stenosis geometry)before and after
carotid endarterectomy in the 20patients.Significance level of *<0.05and **<0.01in wall segments that show a significant change in values between pre-and postoperative
measurements
Fig.4Contrast-enhanced MR angiography of two patients with high-grade internal carotid artery (ICA)stenosis before carotid endarterectomy.a and b :ICA stenosis with 75%lumen narrowing:the physiologically dilated ICA bulb is preserved and most of the stenosis is located 15mm distally to the flow diverter.c and d :ICA stenosis with 65%lumen narrowing.Unlike the other patient,the ICA bulb is not preserved and the maximum of the stenosis is located only 3mm distally to the flow diverter indicating that the stenosis begins in the distal common carotid artery
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calculating pre-and post-interventional differences(in%). Statistical significance was assessed by the application of a paired two-sided t-test comparing pre-and post-intervention for the CCA,ECA,and ICA.For segmental WSS and OSI, pre-and post-interventional values were compared separate-ly for each segment using a paired two-sided t-test.All tests used a significance level of P<0.05.The given probability values represent values unadjusted for multiple testing. Results
Study population
The median of the interval between CEA and postoperative MRI was2days.Analysis planes could not be positioned at the ICA bulb because of the presence of a flow void at the high-grade ICA stenosis in five patients.In addition,inade-quate ECG triggering resulted in corrupt flow velocity curves in four patients.As a result,9of the29patients had to be excluded from the analysis.The average time required for ECG-gated4D flow MRI depended on the individual heart rate and was15-20min.Post-processing of the ac-quired raw data including calculation of WSS and OSI was approximately90min per data set.Patients'characteristics and the degree of ICA stenosis in the remaining20patients are summarised in Table1.
Distribution of WSS systole and OSI within standard analysis planes
Figure1illustrates the pre-and post-interventional distribu-tion of WSS systole along eight wall segments in all analysis planes along the carotid bifurcation.The individual data points represent average WSS systole over all20patients before (red squares)and after CEA(black circles)of the ICA steno-sis.No significant changes in WSS systole were observed as a result of CEA in the CCA and ECA.However,WSS systole significantly decreased at the posterior wall of the ICA bulb,in more distal ICA locations,and in most of the lateral wall segments of the ICA.Consistent with these findings,pre-and post-interventional global WSS systole was similar for the CCA(0.49±0.20N/m2vs.0.47±0.32N/m2,P=0.84)and the ECA(0.87±0.45N/m2vs.0.87±0.73N/m2,P=0.95)but significantly lower(37%reduction)at the ICA after CEA (0.72±0.30N/m2vs.0.45±0.21N/m2,P=0.0005).
The change in the oscillatory shear index(OSI)before and after CEA is shown in Fig.2.Variability between individual patients was high as indicated by the large standard deviations. Nevertheless,there was a significant decrease in OSI after CEA in lateral wall segments of most ICA locations close to the posterior wall of the proximal ICA and in the CCA and distal ICA.Pre-and post-interventional global OSIs were reduced in the CCA(14.8±9.1%vs.10.8±6.8%,P=0.03), similar in the ECA(10.4±7.4%vs.7.7±7.1%,P=0.19)and significantly lower(25%reduction)for the ICA(12.6±5.7% vs.9.4±4.8%,P=0.03).
Distribution of WSS systole and OSI considering individual plaque anatomy
A comparison of the distribution of WSS systole and OSI in locations directly proximal and distal to the ICA stenosis is shown in Fig.3.CEA resulted in a significant decrease in WSS systole in all eight segments distal to the former ICA stenosis.In addition,significant post-treatment WSS systole reductions were found in5/8segments along the posterior ICA wall proximal to the stenosis.Segmental OSI decreased at the lateral wall proximal and distal to the former ICA plaque but not at the posterior wall.
The segmental differences led to a significant reduction of mean post-interventional WSS systole by32%in locations prox-imal(0.37±0.13N/m2vs.0.25±0.14N/m2,P=0.005)and by 52%in locations distal to the ICA stenosis(0.75±0.46N/m2 vs.0.36±0.19N/m2,P=0.0005).The relative reductions in the OSI were24%and40%compared with preoperative values for locations proximal(14.8±7.5%vs.11.2±5.2%,P=0.05) and distal(11.8±8.7%vs.7.1±3.6%,P=0.01)to the stenosis, respectively.
Discussion
The findings of our study demonstrate that4D flow MRI was able to quantify wall parameters in20patients with≥60% ICA stenosis before and after recanalisation.Post-CEA we
Table1Cardiovascular risk factors of the study population
Patient characteristics(n=20)Values
Age,years69.4±8.6
Female,n[%]5(25.0)
Hypertension,n[%]18(90.0)
Diabetes,n[%]6(30.0)
Hyperlipidaemia–n[%]10(50.0)
Smoker,n[%]9(45.0)
Coronary heart disease,n[%]3(15.0)
Former stroke/TIA,n[%]6(30.0)
Peripheral artery disease,n[%]1(5.0)
Degree of internal carotid artery stenosis[%]-range60-95
-mean80.8±11.8
Degree of contralateral ICA stenosis[%]-range0–100
-mean26.0±27.2
Symptomatic ICA stenosis,n[%]15(75%)
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observed significant reductions in WSS systole and OSI in the recanalised ICA,at both the site of the plaque and up-and downstream of the vessel.The enlargement of the ICA after plaque removal led to a consecutive deceleration of local blood flow velocities.This occurred in particular at the posterior wall of the ICA due to the reconstruction of the physiological dilatation of the ICA bulb by eversion CEA. Accordingly,the gradient of adjacent velocities at the wall decreased and led to a measurement of decreased WSS systole
[11].CEA also changed post-stenotic complex flow towards
a more laminar blood flow profile.Thus,lower oscillations of blood flow in the distal ICA resulted in a decrease of OSI at this site postoperatively.In addition,we speculate that the reconstruction of normal ICA geometry led to a less pulsatile flow waveform and thus generally reduced OSI.
In vivo measurements of fluid dynamics in post-endarterectomy carotid vessels are a prerequisite to under-standing the interaction of fluid dynamic parameters with the carotid wall and the initiation and progression of atheroma. The ability to quantify such changes in vivo in ICA stenosis has important implications:identification of patients at in-creased risk of stroke and optimal timing of recanalisation procedures before brain infarction are highly challenging. Moreover,some patients suffer periprocedural stroke with devastating consequences and3%/year develop restenosis after CEA or CAS[16].Risk factors for stroke and re-stenosis,however,are largely unknown and constitute an important research goal in order to improve individual treat-ment decisions and surveillance.Regional changes in WSS and OSI may help to identify patients who are at risk of plaque progression or rupture because of flow-mediated endothelial cell dysfunction.While our study did not directly investigate the link between altered wall parameters and risk of plaque progression or stroke,it is an important prerequisite that demonstrates the potential to detect significant changes in WSS and OSI in high-risk patients.Further longitudinal stud-ies are now warranted to investigate the diagnostic value of 4D flow-derived WSS and OSI to identify patients at higher risk of plaque progression,re-stenosis,or stroke.
All carotid plaques were removed by eversion carotid endarterectomy because this is the preferred CEA technique at our institution.Thus,apart from a general enlargement of the diseased vessels because of atherosclerosis with outward remodelling,an almost physiological carotid bifurcation in-cluding an ICA bulb was restored by surgery.In addition, performance of the same surgical technique in all patients probably limited inter-individual variations of postoperative geometry.In contrast,CEA with patch repair may enlarge the internal carotid artery diameter compared to eversion CEA, which would result in different redistribution of local wall shear stress.The accuracy of our methodical approach has been previously validated for the carotid artery bifurcation in ten healthy volunteers[17].The current study demonstrates that the proposed in vivo WSS analysis can be performed even under complex blood flow conditions such as in high-grade ICA stenosis causing haemodynamically relevant flow ob-struction.Moreover,it shows that plaque removal leads to a significant reduction of both WSS systole and OSI along the ICA.These parameters,however,did not change at the prox-imal CCA and ECA,which are typically not affected by plaque removal at the ICA.These findings underline the ability of our approach to selectively quantify regional3D haemodynamics.
Comparable in vivo studies of WSS and OSI at the carotid bifurcation in humans are sparse.To our knowledge,this is the first study evaluating changes in WSS and OSI in high-grade ICA stenosis due to CEA in vivo.In a previous4D flow MRI study of64carotid bifurcations of healthy young volunteers,critical wall parameters(i.e.low absolute WSS and high OSI)were concentrated at the posterior wall of the ICA bulb,a known atheroprone region.Moreover,this study showed that the distribution of absolute WSS and OSI was altered in six patients when moderate(i.e.45–55%)ICA stenosis was present.In11patients who had undergone CEA of70–95%ICA stenosis,the topology of WSS and OSI distribution of the carotid bifurcation was similar to that of volunteers.However,a systematic comparison of local haemodynamics before and after CEA was not performed and ICA stenoses were only moderate[9].A recent case series of seven patients with<50%and one patient with 50–70%ICA stenosis calculated WSS using Doppler ultra-sound and computational fluid dynamics(CFD).Patients were treated with statins over6months and the change in plaque size and composition was analysed by multi-contrast MRI at3T[18].In agreement with the previous4D flow MRI study[9],the incidence of low WSS at baseline(but not OSI)was highest at the posterior wall of the ICA bulb, correlating with plaque thickness and other indicators of plaque vulnerability.The effect that recanalisation had on WSS and OSI was not evaluated.Another study investigated local carotid haemodynamics in two patients who underwent CEA and carotid artery stenting of ICA stenosis using3D CT angiography,Doppler ultrasound,and CFD[19].Data on haemodynamic changes before CEA and carotid artery stenting were not acquired.Recanalisation induced slow helical flow and regionally low WSS in the ICA bulb after patch CEA,comparable to findings of previous studies[9, 11,20,21].
Limitations associated with the4D flow MRI imaging protocol are the relatively low spatial and temporal resolution, which leads to an underestimation of absolute values of WSS and OSI.An increase in these MRI parameters and accelera-tion of data acquisition by parallel imaging may have the potential to improve the interpretation of intrastenotic maxi-mum blood flow velocities.However,the available resolution in our study did not affect relative pre-and post-interventional
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changes of WSS or OSI.Moreover,previous studies have demonstrated good reproducibility and inter-and intra-observer reliability of WSS and OSI[17]and a recent study found good agreement of4D flow MRI and high-resolution 2D duplex ultrasound[2]emphasising the accuracy of4D flow MRI.Owing to metal artefacts at the vessel wall,even in patients undergoing CAS using nitinol stents,accurate follow-up measurements of WSS are currently not possible.In addi-tion,the long process time of approximately60min for one single data set restricts the clinical use of this technique. However,promising new software prototypes are currently being evaluated in our institution and allow a significantly faster analysis of WSS,which is a prerequisite for application in clinical routine.
There was a dropout of patients who were screened and finally included in the study.Most of our patients suffered from acute stroke and it was challenging to perform an MRI examination shortly before carotid surgery.In addition,MRI examination required cooperation of patients in order to minimize motion artefacts and a robust ECG trigger for accurate data acquisition.These two factors currently limit the application in clinical routine.Further methodical im-provements are therefore desirable that will reduce total MRI examination times to less than30min to gain higher patient acceptance and comfort and that will improve the reliability of the ECG-triggering for optimal timing of flow measurement. However,as dropout was not due to the degree or morphology of ICA stenosis we do not expect a significant bias on our results.In some patients we observed insufficient data quality. An optimised carotid coil that can be directly attached to the surface of the neck(in combination with a higher number of coils)[22]could further improve the signal-to-noise ratio and overall image quality.
Another drawback of our study is related to the lack of a control group of age-matched patients without ICA stenosis. Similarly,cutoff and normal values of WSS systole and OSI along the carotid bifurcation have not been established for different age groups,limiting the predictive value of the WSS systole and OSI derived in this study.Currently,the opti-mal wall parameters have yet to be established.In our analysis we chose WSS systole over time-averaged WSS as an explor-atory metric.Previous intergroup comparisons of WSS have shown that time-averaged WSS often does not exhibit signif-icant intergroup differences because of averaging during the haemodynamically inactive diastolic period[23].Future follow-up studies are thus needed to identify which of the WSS parameters(time averaged,peak systolic or oscillatory) optimally and independently predict development,progres-sion,and occurrence of vulnerable plaques and thus allow for risk stratification in future patients.
Plaques of the ICA are typically eccentric.Accordingly, WSS systole or OSI may be different within one analysis plane depending on whether that segment resides at the site of the plaque/wall thickening or at an unaffected wall segment opposite to the plaque.In addition,individual plaque compo-sition such as predominant calcification versus a predominant large lipid-rich/necrotic core could have an influence on local haemodynamics due to the difference of elasticity of the plaque.Thus,co-registration of local WSS/OSI with local plaque distribution using source data of three-dimensional MR angiography would be of great interest to optimally study the potential role of WSS/OSI on ICA plaques.Unfortunately, multi-contrast plaque MRI,which would be needed for co-registration of plaque composition,was not part of the imaging protocol in this study.The three-dimensional and high-resolution MR-based assessment of wall thickening and plaque characteristics and its association with critical WSS/OSI should thus be further investigated in longitudinal patient studies.
In conclusion,4D flow MRI was feasible for assessing the in vivo distribution of WSS systole and OSI in patients with high-grade ICA stenosis.Plaque removal and thus reduced blood flow velocity gradients at the wall led to a selective and significant reduction of both average WSS systole and OSI at the ICA.Four-dimensional flow MRI can be easily combined with other MR imaging techniques such as MR angiography or multi-contrast MRI for plaque imaging during the same session,allowing for co-registration of3D flow and structural data.It therefore constitutes a highly promising tool for future large-scale longitudinal studies in patients evaluating the fluid-structure interactions at the carotid bifurcation. Acknowledgements We thank Hansj?rg Mast for performing all MRI measurements.
Andreas Harloff is supported by Deutsche Forschungsgemeinschaft grant no.HA5399/3-1;Michael Markl is supported by NIH NHLBI grant R01HL115828;NUCATS Institute NIH grant UL1RR025741, and the Northwestern Memorial Foundation Dixon Translational Re-search Grants Initiative.
Disclosures None of the authors has a conflict of interest related to this article.
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广东小健康管理有限公司 晨 * 会 * 制 * 度 一年之际在于春，一日之际在于晨，小健康公司为进一步增加各位家人的工作激情，将执行严格的晨会制度，各部门及中心均应该严格按照制度实施并执行! 一、晨会纪律 1、对主持人的要求 1）严格按照晨会流程和晨会内容进行主持； 2）精神必须饱满、声音必须洪亮，主持必须严谨有序； 3）不得无故缺席，不迟到、不拖延时间等； 4）主持人在主持过程中，有对影响团队氛围的人员给予批评处罚的权力。 2、对员工的要求 1）不迟到、不无故缺席，精神饱满，严格听从主持人安排，不影响团队 氛围。晨会过程中手机保持静音或者振动状态，不随便打接电话，不做 有影响氛围的事情。 2）保持良好的精神面貌，不得东倒西歪、勾肩搭背、窃窃私语，散漫走 动。 二、晨会流程话术： 1、主持人自我介绍：小家好，现在晨会开始，首先做一下自我介绍，我是XX 事业部的XXX，今天由我来为小家主持晨会；（要求声音洪亮，精神饱满） 2、问好：小健康的家人们小家早上好---统一回复：好，很好，非常好！ 3、整队：以排头为基准向左向右看齐-向前看-稍息-立正-跨立！
4、仪容仪表检查：相邻同事握手问好-早上好!并互相检查仪容仪表是否得体； 5、企业文化宣贯：下面请小家举起我们尊贵的右手进行企业文化宣贯-暂未执行 6、部门工作汇报；首先有请第一事业部进行汇报---第二事业部---（以此类推）汇报内容为昨日工作总结和今日工作计划；（要求提前准备，条理清晰） 7、领导工作分享：（一、二、三、四、五、六事业部轮流分享，因六事业部暂时空缺，所以每周一到五依次为第一到第五事业部分享，分享人可以是总经理，可以是储备领导，也可以是优秀员工，部门自行商定，提前一天报到人事行政部，如遗忘或者未安排分享人则事业部罚款20元/次）；（分享内容积极向上，充满正能量，语句简明扼要，分享时间掌握在5-10分钟） 8、总裁工作指示：每个周一晨会最后环节由总裁进行本周工作指示； 广东小健康管理有限公司 人事行政中心 2020-9-9
施工项目部晨会制度 为了加强工人的安全意识和技术技能和响应建业季度评估标准要求，项目部认真执行每日晨会制度。地点固定为安全讲评台，会议宣讲内容由项目部安全组，劳务公司安全员及专业工长负责，内容需要贴切近期工作，提醒工人当日安全注意事项，并有确实可行的安全保障措施。会议由项目部安全组或劳务安全员主持，每日晨会会议时长不少于十分钟，留有书面会议纪要及影像资料。当日需要开会的班组必须全体到场，如有特殊原因不能参加会议的工人，需要提前一天向班组长或劳务安全员汇报，再由劳务安全员向项目部安全组汇报，不得无故缺席。 1、每天早晨由专业工长和安全员组织工人按规定时间到施工现场集合，排好队。 2、由项目部安全组对交底班组进行班前安全技术交底。 3、由劳务现场负责人对交底班组进行班前安全技术交底。 4、由劳务专业工长分配生产任务和提醒工人注意事项。 5、每天由安全组 负责收集整理晨会纪要和照片，上午11点前发项目部邮箱： 6、每周具体安排如下： 每天晨会安全员必须参加，并做班前安全技术交底。 7、晨会奖罚措施 每日晨会时间： 夏季：早晨6点30分 冬季：早晨7点10分 个人无故缺席的或迟到，每次罚款10元；班组成员三人以上不到或迟到，每人罚款10元，该班组长罚款50元；该班组全体缺席的或迟到的，班组成员每人罚款10元，班组长罚款100元，安全员罚款100元 星期一 星期二 星期三 星期四 星期五 星期六 星期日 主持人 参加人员 全体管理人员及班组长 木工班组 钢筋班组 水电班组 脚手架班组 混凝土班组 塔吊司机、指挥、PC 厂及直属班组
7、晨会交底范本 工程名称施工单位中天九建班组负责人 应到人数实到人数 晨会地点安全讲评台 班前宣讲内容：1、进入现场，必须带好安全帽，扣好帽带，并正确使用个人劳动防护用品。 2、高处作业必须系好安全带，严禁在高处向下投放物料。 3、规范衣着，统一工服、帽签，不得随意佩戴。 4、禁止随意拆除、挪动各种防护装置、防护设施、安全标志、消防器材及电器设备等。 5、管理人员加强对劳务公司和现场的管理，及时发现问题，及时安排整改。 6、对劳务下发整改通知，需要注明整改限制时间，并跟踪关注整改进度。 7、对现场屡教不改的违规现象需要下发罚款单，并及时向上汇报 8、做到“六必讲”： 1）对每位职工必讲上一班现场情况和存在的问题； 2）必讲现场主要安全措施； 3）必讲本班具体明确的注意事项和处理方法； 4）必讲本班的主要安全责任和必须把住的安全环节； 5）必讲操作注意事项； 6）必讲有问题、有隐患地点作业人员必须注意的安全事项。 晨会照片 项目负责 人签字 日期
澜涛集团公司晨会晨练制度 目的：增进员工间感情、增强全员团队意识、提高公司整体管理水平、树立公司良好的社会形象。 人员范围：当日在岗全体员工 实施时间：除特殊原因外，每天早上7：50时—8:10时 实施地点：公司展厅正门前（或指定地点） 实施方法：由行政人事部组织实施 具体流程： （一）晨会： 1、集合（7:50时） 主持人口令：立正……向右看齐……向前看…… 员工：以主持人口令做相应动作 2、问好 主持人：各位同事大家早上好！大家：好！ 3、点名 主持人：稍息！按公司花名册点名。 员工：听到点自己名字后，立即答到。 4、晨誓 主持人：全员： 我们的理念是: 顾客第一，服务至上; 我们的目标是: 团结一致，勇争一流; （各公司结合本公司实际设立，如福港公司为以下：相信自己，我会做的更好！ 因为有我，我们的团队更加完整！ 让我们共同努力，共铸美好明天！） （二）晨练 1、主持人：以第某路为准成广播体操队形散开。
2、员工：分别向左向右平行散开，利用余光向前向右看齐。 3、放广播体操音乐，全员按体操音乐节拍做操。 4、主持人利用员工做操的时间检查仪容仪表，并作检查记录。仪容仪表检查结果要计入部门KPI考核项目。 5、做操完毕,主持人：向中看……齐！ 全员：迅速向中靠拢集合。 6．通报仪容仪表检查结果，晨会具体内容各公司自行安排。 七．晨会流程结束 主持人：预祝大家全天工作愉快！ 全员：三声掌声！ 附： 1、主持人要按制度在规定时间、地点、流程认真组织实施，如因出差、请假不能主持的，要在前一天自行委托代理人。 2、主持人要提前到达晨会地点，全员要按时参加晨会。 4、晨会晨练中，全员不得交头接耳、抽烟、嬉闹、插手、背手等行为，必须保持良好的站姿和形态。交头接耳、抽烟、嬉闹、插手、背手等行为要计入部门KPI考核项目。 5、主持人点名声音宏亮，全员宣誓时声音要整齐、刚劲有力。 6、公司将全员参加晨会晨练的表现列入履职考核的主要内容并进行考核。
柯玛士晨会机制 一、适用对象 本制度适用于柯玛士所有员工。 二、主要内容 (一)周一大早会 1.时间：周一早7:50开始。 2.地点：行政大楼前空地 3.形式：室外列队式 4.主要内容 ①抓钱舞 ②拜三道及祈祷 ③员工日志分享 ④领导讲话 ⑤互动小游戏 5.注：若遇周一下雨，则顺延至下一工作日。 （二）其他工作日早会 1.时间：工作日（周二至周六，节假日除外）行政部门早8:00开始，各车间开始时间自行规定。 2.地点：注塑车间和模具车间在注塑车间举行；装配车间和包装车间在包装车间举行；其他行政部员工在行政大楼内举行。 3.形式：室内队列式 4.主要内容（各部门、车间可以自由发挥增减项目内容） ①抓钱舞 ②互动小游戏 ③相关技术的学习及员工分享 ④运动健身
三、主持人资格及安排： 周一早会由全柯玛士全体员工自愿报名。车间主持人由各车间人员轮流主持。 四、晨会可选项目： A.行业新闻 B.财经热点聚焦 C.员工风采展示 D.员工经验分享 E.读书心得分享 F.每日一句学习及讨论 G.每日一则（小故事）及讨论 H.员工内部发生的感动故事 I.表扬与鞭策 J.历史上的今天 K.生日祝福 L.互动小游戏 M.其他 五、会后流程： 由各车间主任将每日的晨会参加人员考勤表交至快乐部张明处进行统计。 柯玛士会议部 二〇一四年六月九日
柯玛士企业愿景 企业愿景：成为具备全球竞争力的光电产业集团 企业使命：提升中国光电行业的全球竞争力，为世界环保事业贡献力量企业口号：以奋斗实现梦想
激励歌曲 《超越》[加—油—][加—油—] —music— 准备好让你的激情释放 我们会努力让它不失望 准备好让你的欢呼嘹亮 我们就要登场 千万双手一起拍响 踏着绿茵汇成欢乐的海洋我们超越自己超越赛场 我们是不可战胜的力量 千万双手一起拍响 踏着绿茵汇成欢乐的海洋我们超越自己在这个赛场我们是不可战胜的力量 《超越梦想》 当圣火第一次点燃是希望在跟随 当终点已不再永久是心灵在体会 不在乎等待几多轮回 不在乎欢笑伴着泪水 超越梦想一起飞 你我需要真心面对 让生命回味这一刻 让岁月铭记这一回 《激情飞越》 这一时间激情融化冰雪 可知道中华儿女满腔热血黄河惊涛告诉老祖先 今天又写下崭新的一页 看长空歌飞扬与天接 壮士心似浪涛铮如铁 望昆仑群山笑 为我今天喝彩 愿永远的记住这一切 上下五千年 龙的香火不灭 古有愚公志 而今从头越 华夏儿女走向世界 激情飞扬，我们共创伟业 愿滔滔江水从此不再停歇， 愿生命之火永不灭 华夏儿女走向世界， 激情飞扬，我们共创伟业 《壮志飞扬》 我上三山五岳 眺望清平世界 踏千重云海 举手与天接 百年悲欢 今朝了却 壮志飞扬 我们豪情正激越 《团结就是力量》 团结就是力量 团结就是力量 这力量是铁 这力量是钢 比铁还硬 比钢还强 向着法西斯蒂开火 让一切不民主的制度死亡 向着太阳向着胜利向着新中 国 发出万丈光芒！ 《中国人民志愿军军歌》 雄赳赳，气昂昂 跨国鸭绿江 保和平，卫祖国 就是保家乡 中华好儿女，齐心团结进 抗美援朝，打败美国野心狼！ 《我是一个兵》 我是一个兵 来自老百姓 打败了日本侵略者 消灭了蒋匪军 我是一个兵 爱国爱人民
项目部晨会制度 为了加强工人的安全意识和技术技能和响应建业季度评估标准要求，项目部认真执行每日晨会制度。地点固定为安全讲评台，会议宣讲内容由项目部安全组，劳务公司安全员及专业工长负责，内容需要贴切近期工作，提醒工人当日安全注意事项，并有确实可行的安全保障措施。会议由项目部安全组或劳务安全员主持，每日晨会会议时长不少于十分钟，留有书面会议纪要及影像资料。当日需要开会的班组必须全体到场，如有特殊原因不能参加会议的工人，需要提前一天向班组长或劳务安全员汇报，再由劳务安全员向项目部安全组汇报，不得无故缺席。 1、每天早晨由专业工长和安全员组织工人按规定时间到施工现场集合，排好队。 2、由项目部安全组对交底班组进行班前安全技术交底。 3、由劳务现场负责人对交底班组进行班前安全技术交底。 4、由劳务专业工长分配生产任务和提醒工人注意事项。 5、每天由安全组 负责收集整理晨会纪要和照片，上午11点前发项目部邮箱： 6、每周具体安排如下： 每天晨会安全员必须参加，并做班前安全技术交底。 7、晨会奖罚措施 每日晨会时间： 夏季：早晨6点30分 冬季：早晨7点10分 个人无故缺席的或迟到，每次罚款10元；班组成员三人以上不到或迟到，每人罚款10元，该班组长罚款50元；该班组全体缺席的或迟到的，班组成员每人罚款10元，班组长罚款100元，安全员罚款100元 星期一 星期二 星期三 星期四 星期五 星期六 星期日 主持人 参加人员 全体管理人员及班组长 木工班组 钢筋班组 水电班组 脚手架班组 混凝土班组 塔吊司机、指挥、PC 厂及直属班组
7、晨会交底范本 工程名称施工单位中天九建班组负责人 应到人数实到人数 晨会地点安全讲评台 班前宣讲内容：1、进入现场，必须带好安全帽，扣好帽带，并正确使用个人劳动防护用品。 2、高处作业必须系好安全带，严禁在高处向下投放物料。 3、规范衣着，统一工服、帽签，不得随意佩戴。 4、禁止随意拆除、挪动各种防护装置、防护设施、安全标志、消防器材及电器设备等。 5、管理人员加强对劳务公司和现场的管理，及时发现问题，及时安排整改。 6、对劳务下发整改通知，需要注明整改限制时间，并跟踪关注整改进度。 7、对现场屡教不改的违规现象需要下发罚款单，并及时向上汇报 8、做到“六必讲”： 1）对每位职工必讲上一班现场情况和存在的问题； 2）必讲现场主要安全措施； 3）必讲本班具体明确的注意事项和处理方法； 4）必讲本班的主要安全责任和必须把住的安全环节； 5）必讲操作注意事项； 6）必讲有问题、有隐患地点作业人员必须注意的安全事项。 晨会照片 项目负责 人签字 日期
中国电信股份有限公司樟树分公司文件 樟树电信〔2016〕17号签发人：赖军华 关于规范营业部晨会制度的通知 本公司各营业部： 为进一步提高规范化管理水平，及时掌握工作情况，明确工作事务安排，更好的推动各营业部工作及工作中问题的沟通，提升团队士气，特要求公司各营业部实行晨会管理制度: 一、目的 1、检查、掌握营业部内部工作执行情况。 2、提高各营业部执行工作目标的效率，加强日常工作过程管控。 3、加强营业部内部经营分享，促进工作方法和水平不断提高。 二、晨会要求： 1、各营业部每周至少召开二次晨会，每周相对固定时间，特殊情况可进行调整。 2、会议由营业部主任主持并指定专人做会议记录，营业部全体员工（含厅店负责人）参加，各分管领导不定期列席会议。 三、晨会内容：
1、员工向营业部主任汇报工作进展状况及下步工作计划，提出工作中所遇到的问题以及建议。 2、营业部主任对本部门前期重点工作进行总结，通报工作计划的执行情况及在执行过程中出现的问题，针对存在的问题进行现场沟通，制定解决方案，对下一步工作计划进行布置。 3、传达公司的最新政策、文件和要求。组织开展新方案、新业务、新知识、新技能的培训，学习分享经验体会。 4、对本营业部员工的工作情况进行点评。 三、晨会纪律 1、与会人员要准时到会，没有特殊情况不得缺席，不准迟到、早退，中途不得随意离场。特殊情况不能参会，需提前向营业部主任请假。 2、与会人员必须严格遵守会议纪律，不得随意走动，交头接耳并将手机调至无声或振动状态。 四、考核 1、分管领导每月月底对各营业部晨会制度执行情况进行检查考核，对营业部主任未按规定要求落实晨会制度的，每次扣罚当月KPI：5分。 2、迟到、早退，营业部主任在对当事人进行当月绩效考核时，每次扣罚KPI：2分。
（管理制度）湖南公司晨会 制度
湖南XX交通建设投资XX公司 晨会制度（草案） 一、目的及意义 1．增强组织凝聚力 ①通过对司歌/队歌、司训/口号的不断重复，使公司的核心使命、价值观、愿景目标、 行为准则等深深渗透到每壹位员工的灵魂，增强员工的使命感和责任感，进而增强 组织凝聚力； ②通过轮流主持、相互分享、共同学习，增强每位员工的舞台感，提升员工的信心， 增进彼此的了解，增强团队的斗志，促进团队成员的融合，进而增强组织凝聚力。2．增强员工活力 ①通过演讲、发言、唱歌、运动等形式，使员工进入积极、高昂的工作状态，壹日之 计于于晨； ②通过演讲、发言、交流学习等形式，促进员工的学习能力、思维能力、表达能力的 提升。 3．推进工作进展 ①通过当众设定目标、每日通告工作进度、员工间业务竞赛等形式，推动员工的工作紧迫感，促进工作目标的更快达成； ②通过每天的信息动态了解、小知识学习、读书心得分享等形式，推动员工的学习进程，不断提高员工的工作能力及职业素质，间接推动各类工作目标的达成。 二、适用对象 本制度仅适用于本公司于怀化大厦办公区办公的员工，工程部于外工作的员工因其工作时间、地点、内容的特殊性而暂时不适用本制度。 三、主要内容
1．时间：工作日（周壹至周六，节假日除外）每早8:10—8:25 2．地点：怀化大厦27楼办公室 3．形式：室内队列式会议 4．主要内容（具体见第四项流程部分）： ①企业核心文化语言重复 ②公司、行业、工作等动态信息汇集、分享或传达 ③关联知识的集体学习及分享 ④运动健身 5．主持人资格及安排：全体员工轮流主持或绩优/效优人员轮流主持 6．所需道具：电脑及音响（播放伴奏音乐及体操音乐） 7．主管部门：办公室（办公室暂未正式设立时，由战略发展部暂时主管） 四、主要流程 1．会前流程 ①由办公室（战略发展部）牵头，组织全体员工共同拟定司歌/队歌、司训/口号/背诵语 等企业文化表达语言，经公司高管层集体审定后，成为公司晨会的临时或长期使用歌曲、使用口号；同时组织全体员工创作或引用适宜晨会使用的广播体操、健美操或舞蹈。关联录音或伴奏音收集、朗诵稿印制等工作由办公室（战略发展部）牵头落实。 ②由办公室（战略发展部暂代）根据轮流顺序或择优选择，安排主持人主持顺序，每周 六下午将安排下发到每位员工（通过纸质文件及电子邮件、手机短信多重形式）。 ③每日下班前，由第二日晨会的主持人和办公室（战略发展部）关联人员商定第二日 晨会主题（若次日晨会有公司高管参和，则应由该管理人员事先向该高管事前协商 后再确定主题），由主持人去收集资料，策划主持内容。
班组班前安全早会制度 1．目的 将安全管理工作落到实处，加强基层组织安全管理，抓好事前控制，最大限度的避免直接作业环节的事故发生。体现“全员参与、群防群治”方针。 2．范围 全公司维护和施工作业班组或作业队，包括因单独工程或抢修、大检修外协派遣等情况临时组建的班组。 3．职责 3.1．公司安全主管经理和公司安全员有权随时检查公司各单位班组的安全早会活动，也有义务不定期轮流参加或旁听各班组的安全早会情况； 3.2．分公司经理作为本单位第一安全责任人，应保证本单位各班组执行安全早会制度，并监督执行情况，每月定期对安全早会记录审查签字； 3.3．分公司安全员应轮流参加本单位班组安全早会，指导监督活动的内容和形式，每月不少于四次在所参加的班组安全早会记录上签字，保证安全早会活动的严肃和有效； 3.4．班组长应坚持组织开展安全早会活动，提供活动条件，支持安全员的工作，对职工提出的问题予以解决，无法解决的立即上报处理； 3.5．班组安全员是安全早会活动的组织者和记录者； 3.6．班组职工应积极参加安全早会活动，服从班组长的工作安排，
对安全操作提出建议，拒绝执行违章指挥，要求应有的安全防护用具。4．要求 4.1．公司本制度范围内各施工作业班组每天早晨上工之前开始班组安全早会，早会内容应为总结上一工作日安全操作情况，并结合安排本日作业内容提出安全注意事项，班组职工可以提出有关安全的建议和要求，班组长应做出回应解答。 4.2．班组安全早会的时间应为到岗时间开始后的10分钟内为宜，有特殊情况时应提前通知员工提前到岗进行安全早会，以保证不耽误施工任务。 4.3．班组工作记录本上应有安全早会的内容，该项内容作为安全早会的记录。要求有参加人员的人数，主要安全注意事项等内容。 4.4．安全早会记录应有分公司安全员、分公司负责人参加的签字，安全早会记录内容应保存在本班组两年备查，由班组长负责，班组长更换时，应交接有该项内容的记录本。临时组建的班组在工作完成后将该记录本交分公司安全员保存。 4.5．公司安全主管经理和公司安全员随时抽查各单位班组班前安全早会制度的执行情况。 4.6．班组班前安全早会制度作为一项长期制度执行，作为考核分公司和班组安全管理活动和工作业绩的依据。要求各单位认真执行。5．考核规定 5.1．班组班前安全早会活动组织不利的单位，考核该分公司负责人100~300元；无特殊情况未按照本制度组织安全早会的班组长和安全
***电厂 生产晨会会议管理制度 1、目的 为规范**公司生产晨会会议流程，统一会议模式，提高会议质量，特制定本制度。 2、会议安排 2.1会议时间：每周一至周五早9∶30时（或10∶00时）召开生产晨会（根据公司作息时间调整；特殊情况调整时另行通知） 2.2 会议地点：生产晨会会议室（1号锅炉9米） 2.3 会议主持：生计部主任（副主任） 2.3 参加会议人员： 2.3.1 周一：公司领导及各部门主任、副主任； 2.3.2周二至周五：公司主管生产副总经理、生计部全体人员、运行部主任、检修部主任、物资部主任、燃料管理部主任、当日值长； 2.4 会议内容： 2.4.1当日值长汇报前一日（周二汇报上周六、周日及本周一）设备运行情况、发电量、生产主要指标完成情况、主要资源消耗情况以及存在主要缺陷、问题； 2.4.2与会各部门提出影响安全生产及经济指标的主要缺陷； 2.4.3安排主要缺陷、存在问题的处理要求及责任部门； 2.4.4 落实上次会议的工作完成情况，并对后续工作提出要求； 3、会议要求 3.1 参会人员原则上不可缺席或迟到，如遇特殊情况须提前向会议主持人请假，获得批准后方可指派副主任或专人代为参加。对不履行请假手续无故缺席会议者，每次考核100元；对无故迟到者（提前请假获批者除外），每次考核50元。部门主任应在会后主动询问会议内容及工作安排，确保会议布署的各项工作按时保质完成。 3.2 与会人员必须详细记录会议内容，会后应及时准确传达会议精神、落实各项工作任务。 3.3 与会人员在开会期间不得交头接耳、大声喧哗或随意进出，并按次序发言，如有急需说明事项，应向会议主持人示意获准后发言。
班组班前安全早会制度 1.目的 将安全管理工作落到实处，加强基层组织安全管理，抓好事前控制，最大限度的避免直接作业环节的事故发生。体现“全员参与、群防群治”方针。 2.范围 全公司维护和施工作业班组或作业队，包括因单独工程或抢修、大检修外协派遣等情况临时组建的班组。 3.职责 3.1.公司安全主管经理和公司安全员有权随时检查公司各单位班组的安全早会活动，也有义务不定期轮流参加或旁听各班组的安全早会情况； 3.2.分公司经理作为本单位第一安全责任人，应保证本单位各班组执行安全早会制度，并监督执行情况，每月定期对安全早会记录审查签字； 3.3.分公司安全员应轮流参加本单位班组安全早会，指导监督活动的内容和形式，每月不少于四次在所参加的班组安全早会记录上签字，保证安全早会活动的严肃和有效； 3.4.班组长应坚持组织开展安全早会活动，提供活动条件，支持安全员的工作，对职工提出的问题予以解决，无法解决的立即上报处理； 3.5.班组安全员是安全早会活动的组织者和记录者； 3.6.班组职工应积极参加安全早会活动，服从班组长的工作安排， 对安全操作提出建议，拒绝执行违章指挥，要求应有的安全防护用具。
4.要求 4.1 .公司本制度范围内各施工作业班组每天早晨上工之前开始班组安全早会，早会内容应为总结上一工作日安全操作情况，并结合安排本日作业内容提出安全注意事项，班组职工可以提出有关安全的建议和要求，班组长应做出回应解答。 4.2.班组安全早会的时间应为到岗时间开始后的10分钟内为宜，有特殊情况时应提前通知员工提前到岗进行安全早会，以保证不耽误施工任务。 4.3.班组工作记录本上应有安全早会的内容，该项内容作为安全早会的记录。要求有参加人员的人数，主要安全注意事项等内容。 4.4 .安全早会记录应有分公司安全员、分公司负责人参加的签字，安全早会记录内容应保存在本班组两年备查，由班组长负责，班组长更换时，应交接有该项内容的记录本。临时组建的班组在工作完成后将该记录本交分公司安全员保存。 4.5.公司安全主管经理和公司安全员随时抽查各单位班组班前安全 早会制度的执行情况。 4.6.班组班前安全早会制度作为一项长期制度执行，作为考核分公司和班组安全管理活动和工作业绩的依据。要求各单位认真执行。 5.考核规定 5.1.班组班前安全早会活动组织不利的单位，考核该分公司负责人 100~300元；无特殊情况未按照本制度组织安全早会的班组长和安全
丽优宝晨会及晚会制度 晨会及晚会是门店的一个重要的沟通和培训平台,高质量、高效率的晨会及晚会既能让员工领悟公司的文化精神、了解公司最新动态，又能让员工以饱满的状态投入到工作中来。丽优宝门店应按以下要求召开晨会及晚会。 一、晨会及晚会的目的 晨会及晚会的目的就是要总结昨天的工作和布置今天的任务，培训员工、激励员工，鼓舞员工的士气。既然我们每天都安排晨会及晚会，其目的就是要达到今日事今日毕，不要把任务拖到明天以后。 二、晨会及晚会时间 1、周一~周五：时间10分钟，以每日固定内容为主； 2、周六~周日（包括节假日）：时间15~20分钟，每日固定内容+各种节日促销信息 三、晨会及晚会负责人 1、晨会及晚会责任人：店长及组长，每天必须保证一名责任人在现场。 2、晨会及晚会主持人：店长、组长、优秀员工。或每日轮流由各组推荐一名员工作为主持人。
四、晨会及晚会内容 晨会的主要内容主要包括以下10项，晨会的主持人及责任人可就当天晨会的具体情况，而适当地修改部分项目。 1、员工点名。 2、昨天门店总销售情况通报。 3、新商品引进信息。 4、促销、特价信息。 5、门店昨天重要事项。 6、表扬优秀员工、好人好事，批评工作表现较差的员工。 7、总部信息沟通。 8、当天生日员工祝福。 9、激励员工开始一天全新工作。 10、经验分享 晚会的主要内容主要包括以下8项，晚会的主持人及责任人可就当天晚会的具体情况，而适当地修改部分项目。 1、员工点名 2、当天门店总销售情况通报 3、第二天的新商品引进信息 4、第二天的促销、特价信息 5、门店当天重要事项
6、表扬优秀员工，批评工作表现较差的员工 7、总部信息沟通 8、感谢员工一天辛勤的工作 五、晨会及晚会流程 1、点名 在规定的晨会及晚会地点及晨会及晚会时间，按队列要求点名。未经请假不参加晨会及晚会者，缺勤一次罚款20元。晨会及晚会迟到者，迟到一次罚款10元。 晨会及晚会应在规定的时间开始，哪怕只有一个员工准时参加均要按时召开。 2、检查仪容仪表 检查员工的仪容仪表，能购保证员工在迎接顾客时能有一个良好的面貌，还可利用晨会及晚会观察员工的精神面貌和状态。 3、整齐队列 为了以整齐的队列会传递积极向上的氛围，并给予发言者尊敬，在开会时要求所有员工要按标准站姿态站立：员工面要带微笑，下颌微含、抬头挺胸，双目平视前方、双腿不得弯曲、微分开，双手自然交叉背在身后。 4、昨天或今天的工作总结 每天在晨会及晚会上都要对昨天做一个经验分享和业绩总结，并给予部分员工表扬。
业务部晨会管理制度 一、晨会目的 通过晨会进一步加强管理，提升团队士气。明确工作部署，检查工作进度。使企业文化和核心价值观深入到员工心中，让员工以最佳的工作状态投入工作。 二、职责 1、人力资源部负责制度的制定、修订及完善； 2、行政部负责制度实施过程中的监督及检查； 3、其他部门负责协助执行。 三、晨会组织 1、晨会时间 每周一、周三、周五早晨8：20分——8：50分期间召开晨会。原则上晨会时间不可少于15分钟，也不可超过30分钟。 2、地点管理 （1）晨会召开地点定于就近的工作场所或办公区域，确保开会时周边环境不会影响到会议效果。具体由主持人进行安排； （2）无特殊情况，不可随意更改会议地点。如需更改，主持人要预先通知所有参会人员。
3、参会人员管理 （1）总经理和副总经理，在晨会中二者有其一参加即可； （2）业务部全体成员届时参加晨会； （3）新入职业务人员上岗后开始参加晨会； （4）公司各部门主管例行参加晨会。 4、主持人管理 （1）主持人分为正式主持人和机动主持人； （2）正式主持人是晨会的第一责任人，由合伙人担任。机动主持人由人资顾问担任； （3）晨会实行轮流主持，每人主持一周，各部进行排班，并把月度晨会主持排班明细表发人力资源部备案； （4）如机动主持人在主持周期内因故不能主持晨会，由主持人代为主持。 四、晨会管理 （1）主持人要在晨会前做好相关准备工作，要严格按照晨会流程和晨会内容进行主持。确保晨会能够顺畅实施，有效发挥出晨会的管理效应； （2）全体参会人员要着装整齐，佩戴工牌，精神饱满。与会人员要积极配合主持人，做到声音洪亮，严谨有序； （3）晨会队形要整齐有序，主持人站在队伍正前方，面向队伍，总经理（副总）站在队伍中间的第一排，后面依次为各职能部门经理。业务部以部门为基准进行列队，合伙人
晨会管理制度 一、目的 为进一步规范管理，提升团队士气，明确工作事务安排，特要求公司各级部门及车间实行晨会管理制度 二、适用范围 公司各级职能部门及车间 三、实施办法 1.晨会时间 职能部门：工作日（周一至周六）7：50—8：20，原则上不得提前或超时。 供销部按照《供销部晨会制度》执行。 生产车间：工作日（公司安排休假除外）7：50—8：20，原则上不得提前或超时。2.晨会地点 职能部门：公司办公楼前坪或办公楼内； 生产车间：车间大门空坪； 如遇雨雪天气，可在室内召开。 3.晨会流程 3.1集合列队：7：50准时集合，由晨会主持人负责整合队伍（一般以整齐报数、向左转、向右转、跨立等口令为主）； 3.2晨会主持人或班组长通报当班人员出勤情况，检查员工的劳保用品、工牌穿戴等情况； 3.3由主持人问好：亲爱的伙伴们，大家早上好！参会人答：好、很好、非常好、见到你更好！ 3.4由主持人安排学习分享，内容涵盖：公司的相关制度、文件、文章、心得体会、故事哲理等； 3.5由参会人员做前一日工作总结和当日工作计划（车间为岗位主操或员工代表），再由部门负责人或代理人，对前一日部门工作进行讲评，对当日部门重点工作进行部署； 3.6宣读口号，展示团队风采。 4.晨会常用对答术语 4.1主持人早上问好时， 如：亲爱的伙伴们，大家早上好；对答：好、很好、非常好、见到你更好!
4.2如主持人提问：好不好？对答：好! 4.3主持人提问：大家状态好不好？对答：好、很好、非常好！ 4.4主持人提问：大家准备好了吗？对答：时刻准备着！ 4.5对答术语未全数列举。 5.宣读口号择选 各部门宣读口号，必须从公司备案的口号中选取，不得随意私编。各部门有增添口号建议权，经由综合部组织评审后，可收纳为口号汇集。 口号汇集： 安全宣誓内容 疯狂努力、没有借口、达成目标、坚守承诺； 团结一致并肩奋斗友爱协同立即行动 创新是根本，质量是生命，服务是宗旨，效益是目标，全力以赴，振兴东大！ 6.晨会相关注意事项 6.1全体人员必须按时参加晨会，不得迟到、早退，不得中途离开； 6.2晨会时所有人员必须按要求规范着装，将通讯工具调至无声或振动状态，不得做与晨会无关的事情； 6.3工作日内召开晨会，节假日取消；参会对象为部门或车间所有部署员工，无故不参加晨会者视为旷工半天，部门自行督察处理； 6.4对执行其他工作任务和晨会时间相冲突的，必须经得部门负责人同意，方可缺席； 6.5各级部门及车间，必须严格按照晨会管理制度，召开晨会。 6.6督察组督察员会不定期督察各职能部门和车间组织的晨会。
安全晨会实施方案 为了提高广大工友的安全操作意识、操作技能与安全事故防范意识，自觉遵守操作规程与项目部的安全管理制度与劳动纪律；切实做到“三不伤害”，杜绝安全死亡事故与重伤事故的发生，根据国家《安全生产法》与《安全培训管理规定》的相关条款要求，结合本项目的实际情况，特制订本安全晨会制度。具体实施条款如下： 一．安全晨会的召开要求 安全晨会每天召开，覆盖范围：项目部所有管理人员、各作业工种全部作业人员、所有特种作业人员。 1.周一全员安全晨会由项目经理组织，参加人员为：项目部全体管理人员、所有特种作业人员、木工班组、钢筋班组、砼班组、外架班组、安装班组。 2.周一安全晨会由安全工程师主持召开：参加人员为项目部全部特殊工种，特殊工种为：塔吊司机、塔吊指挥、施工电梯司机、电工、焊工。 3、周二、周三、周四、周五、周六、周日安全晨会由分管楼栋栋号长或施工员主持召开：依次参加的工种为：周二晨会为1-2#楼木工班组、周三晨会：砼班组、外架班组、周四晨会为钢筋班组，周五晨会为6#楼所有作业班组、周六为7#楼所有作业班组、周日为13#楼所有作业班组。 二、安全晨会的讲解内容: 1.普通工种的晨会内容： ①、各工种操作规程、高处作业、临边作业的有关规定。 ②、劳动防护用品的使用、检查、维护以及职业健康卫生的有关知识。 ③、安全用电知识。
④、项目部的各项安全管理制度与劳动纪律。 ⑤、吊装作业的安全知识。 ⑥、各机具的操作规程。 ⑦、安全应急救援常识、紧急逃生路线。 ⑧万泰“安全作业纪律”和“个人安全违规罚则” ⑨万泰工人“工资打卡”强制性管理规定 ⑩本周“安全/质量”要求和【特别注意事项】 2.特种作业人员的晨会内容： ①、塔吊操作规程、十个不准吊、塔吊安全隐患检查。 ②、电梯操作规程、电梯运行注意事项。 ③、电工安全技术操作规程、电箱“一机、一闸、一漏、一箱”、巡检记录、防护用品佩戴。 ④、焊工安全技术操作规程、作业过程防火、焊机操作规程、防护用品佩戴、氧气瓶、乙炔瓶正确使用及安全距离。 ⑤、架子工安全技术操作规程、防护用品正确佩戴。 ⑥万泰“安全作业纪律”和“个人安全违规罚则” ⑦万泰工人“工资打卡”强制性管理规定 重庆万泰建设（集团）有限公司 万科西安东方传奇项目部 2017月6月