The utility model discloses a high-speed rail bridge padstone and quakeproof falling beam combined adjustable anchor bolt hole positioning tool. The utility model belongs to the technical field of high-speed rail bridge padstone construction and bridge support anchor bolt hole reserved hole site construction. The problems that an existing high-speed rail bridge padstone is low in construction efficiency, poor in quality and not suitable for a curved bridge, and the integrity of a high-speed rail shockproof beam falling stop block and a support padstone cannot be achieved can be solved. The template comprises a convex template consisting of steel plates, the formwork comprises a module with the top end used for pouring of the shakeproof beam falling stop block and a positioning frame composed of angle steel in the formwork, a plurality of positioning embedded pipes corresponding to the padstone embedded holes are arranged in the positioning frame, adjusting grooves used for up-down andleft-right adjustment are formed in the angle steel on the periphery of the positioning embedded pipes, and adjusting bolts are arranged in the adjusting grooves. The utility model is not only suitable for linear bridges, but also suitable for engineering padstone construction at the lower part of curved bridges.