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["附件4"]
["国家森林康养基地基础数据表"]
[]
["序号","一级指标","二级指标","数据情况","备注"]
[1,"康养环境","森林面积","___公顷","●○"]
[2,null,"森林覆盖率","___ %","●○"]
[3,null,"郁闭度","___","●○"]
[4,null,"水质","地表水环境质量：□Ⅰ类 □Ⅱ类 □Ⅲ类 □Ⅳ类 □Ⅴ类 （参照GB3838标准执行）","●○△"]
[5,null,"声环境","开展森林康养活动的区域声环境功能区类别：□0类 □1类 □2类 □3类 □4类（参照GB3096标准执行）","●○△"]
[6,null,"大气","AQI空气质量年平均指数___ ，年优良天数___天（参照GB3095标准执行）","●○△"]
[7,null,"空气负氧离子浓度","年平均值 ___，等级□Ⅰ级 □Ⅱ级 □Ⅲ级 □Ⅳ级 □Ⅴ级（参照LY/T2586标准执行）","●○△"]
[8,"基础设施","住宿场所","数量___个，床位    张。","●○"]
[9,null,"餐饮场所","数量___个，餐位    个。","●○"]
[10,null,"购物场所","数量___个，面积___平方米。","●○"]
[11,null,"外部交通","距离最近的中心城区    公里，车程    小时；\n距离最近的机场    公里，车程    小时；\n距离最近的火车站    公里，车程    小时；\n距离最近的汽车客运站    公里，车程    小时；\n距离最近的轮船码头    公里，车程    小时。","●○"]
[12,null,"停车场","数量    处，车位数    个。","●○"]
[13,null,"康养步道","    公里。","●○"]
[14,null,"科普宣教场馆","数量：___个，面积 ___平方米。","●○"]
[15,null,"宣教材料","宣教视频__个，图册__类。","●○"]
[16,null,"康养场所","体检中心面积    平方米，养老中心面积    平方米，康复中心面积    平方米","●○"]
[17,null,"种养基地","种植种类    、    ，面积    亩；养殖种类    、    ，面积    亩。","●○"]
[18,null,"导引系统","导引/标识牌    个。（用于道路、建筑及设施指引，康养建筑及设施说明、宣传展示等功能的标识标牌、图示牌等。）","●○"]
[19,null,"无障碍设施","是否按照标准GB 50763第3项要求执行  □是 □否；\n无障碍设施符号是否按照标准现行国家标准GB/T 10001.9执行  □是 □否。","●○△"]
[20,null,"污水处理","1.是否纳入市政污水回收系统  □是 □否；（如选择是，则无需填写2、3项）\n2.是否有污水处理设施  □有 □无；\n3.是否满足GB 18918中一级标准的B执行标准规定  □是 □否 。","●○△"]
[21,null,"生活垃圾处理","生活垃圾处理是否满足GB 16889或GB 18485标准  □是 □否。","●○△"]
[22,null,"医疗垃圾处理","是否产生医疗垃圾  □是 □否；是否遵守《医疗垃圾管理条例》  □是 □否。","●○△"]
[23,"康养产品","森林食品饮品","名称1.    2.    3.    ……（如：林下产品、森林康养菜系等）","●○"]
[24,null,"森林药材","名称1.    2.    3.    ……","●○"]
[25,null,"保健养生","名称1.    2.    3.    ……（如：中医保健、太极、健步等）","●○"]
[26,null,"康复疗养","名称1.    2.    3.    ……（如：森林浴、药浴药膳等）","●○"]
[27,null,"健康养老","名称1.    2.    3.    ……（如：旅居、特色养老等）","●○"]
[28,null,"休闲游憩","名称1.    2.    3.    ……（如：禅茶制作、观光摄影等）","●○"]
[29,null,"文学","名称1.    2.    3.    ……（如：征文、诗歌会等）","●○"]
[30,null,"音乐","名称1.    2.    3.    ……（如：森林音乐会、音乐作品等）","●○"]
[31,null,"美术","名称1.    2.    3.    ……（如：书画教学、写生等）","●○"]
[32,null,"教育","名称1.    2.    3.    ……（如：森林课堂等）"]
[33,null,"品牌","数量    个，名称1.    2.    3…… （填写基地自有或自营产品品牌。）","●○"]
[34,"管理体系","机构","机构名称____","●○"]
[35,null,"人员","职工人数    人，其中管理人员    人，康养专业人员    人。","●○"]
[36,null,"政策制度","名称1.     2.     ……（填写出台的森林康养产业发展有关文件名称及住宿服务、餐饮管理、康养活动服务标准等方面的制度文件）。","●○△"]
[37,"安全保障体系","服务及游憩场地","是否符合DZ/T 0286-2015规范建设适宜性评价要求  □是 □否","●○△"]
[38,null,"医疗应急设施","是否具备救护条件  □是 □否；\n是否与当地卫生医疗机构建立合作机制  □是 □否。","●○"]
[39,null,"防灾应急体系","是否制定生产安全、食品安全、拥挤踩踏、防恐防暴等突发事件的应急预案  □是 □否；\n应急设施设备是否经消防部门检查合格  □是 □否。","●○"]
[40,"经济社会效益","产 值","上年度森林康养产业产值合计    万元，占GDP比重    %。","○"]
[41,null,"经营收入","上年度经营收入    万元。","●"]
[42,null,"服务人数","上年度康养服务消费人数    人次。","●○"]
[43,null,"就业人数","长期劳务人员人数    人，临时雇用劳务人员人数    人。","●○"]
[44,null,"带动增收","促进当地农民人年均增收金额    元。","●○"]
[45,null,"荣  誉","产品或经营主体获得省级以上荣誉称号数量及名称1.     2.     ……。","●○"]
[null,"注：","○县级申报主体必填内容"]
[null,null,"●经营主体申报必填内容"]
[null,null,"△需要提供监测、检测报告或其他证明材料"]