20sda023 krian

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20SDA023 KRIAN Document Number :RAN LTE PRE PUMA Project Doc. Rev. No. :

Technical Site Survey Report Template Number :Template Rev. No. :

TSSR Document Contents

Section123 Site Access Informationiiiiiiv Photos Guide - Ground Based Structuresv Photos Guide - Rooftop Based Structuresvi Photos Guide - IBS Sites456 Maps7 Service Rack Footprint8 CME Visual Checklist9 Building and Surroundings10 Equipment Room11 AC Distribution - Part 1 of 312 AC Distribution - Part 2 of 313 AC Distribution - Part 3 of 314 Earthing and Grounding - Part 1 of 215 Earthing and Grounding - Part 2 of 21617181920212223242526272829303132 Transmission Frequency Scan Data (Near end)33 Transmission Frequency Scan Screen Capture (Near End) Vertical34 Transmission Frequency Scan Screen Capture (Near End) Horizontal35 Transmission Frequency Scan Data (Far end)36 Transmission Frequency Scan Screen Capture (Far End) Vertical37 Transmission Frequency Scan Screen Capture (Far End) Horizontal38 Dismantling - Part 1 of 239 Dismantling Part 2 of 240 List of Photos41 Photos42 Checklist of Photos Taken43 List of Drawings

Description of Section Contents (Hyperlinked to actual page)Cover SheetIndex / Table of Contents

GuidanceMin. Tools Req'd

Site Type and Info - Part 1 of 2Site Type and Info - Part 2 of 2

Power, Transmision, CME (Overview)Antenna Mounting Structure (Self-Supported Lattice Tower) - Part 1 of 3Antenna Mounting Structure (Self-Supported Lattice Tower) - Part 2 of 3Antenna Mounting Structure (Self-Supported Lattice Tower) - Part 3 of 3Antenna Mounting Structure (Monopole)Antenna Mounting Structure (Rooftop Pole)Antenna Mounting Structure (Guyed Mast)Antenna Mounting Structure (Mobile BTS)Signal Cables & Distribion FramesRadio Transmission Equipment (TRM)RF InformationAntenna Observed on StructureObstacle DiagramTransmission Link SummaryTransmission Route and Path ProfileTransmission Line of Site (LOS) Photos

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44 Sample Drawings45 Document Control Sheet46 Template Approval Sheet

Controlled Document

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20SDA023_RAN_TSSR_2015_10_21v01.0 Issued : 15 January 2014ISAT_PGMT_RNSG_TMPL_TSSR_0001v03.5 Issued : 13 January 2014

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295983352.xlsx

20SDA023 KRIAN Document Number : 20SDA023_RAN_TSSR_2015_10_21RAN LTE PRE PUMA Project Doc. Rev. No. : v01.0 Issued : 15 January 2014

Technical Site Survey Report Template Number : ISAT_PGMT_RNSG_TMPL_TSSR_0001Template Rev. No. : v03.5 Issued : 13 January 2014

TSSR Document Guidance and minimum standards of working safely and technically.

1 All Guidance pages including this page, Min. Tools Req'd page, Photos Guide pages, etc. to be deleted from the submitted reports.

2

3

4

5

6

7

8

9

10

11

12 The proper filenaming convention must be followed as specified in the Site Binders file naming convention, e.g..RAN Modernisation Project RAN MBS Project RAN Modernisation Project

12.1 RAN - Macro Site 01JKB002_RBS_TSSR_RMBS_2013 01JKB002_RBS_TSSR_RANM_201312.2 RAN - In-Building System 01JKB002_IBS_TSSR_RMBS_2013 01JKB002_IBS_TSSR_RANM_201312.3 Power Supply 01JKB002_PWR_TSSR_RMBS_2013 01JKB002_PWR_TSSR_RANM_201312.4 Transmission 01JKB002_TRM_TSSR_RMBS_2013_01JKB036 01JKB002_TRM_TSSR_RANM_2013_01JKB03612.5 Mini-CME 01JKB002_CME_TSSR_RMBS_2013 01JKB002_CME_TSSR_RANM_201312.6 Combined Multi-Scope 01JKB002_CME_TSSR_RMBS_2013 01JKB002_RAN_TSSR_RANM_2013

13

14 For Transmission specific TSSRs, two separate site reports may be combined for submission of a single "link" or "hop" TSSR.15 Further guidance to be added in later revisions

Controlled Document

All "Proposed information" particularly in the RF sections to be filled in prior to site visit for the Technical Site Survey (TSS), with such information to have been provided by Vendor Radio Network Planning and Transmission Planning departments.Vendor and/or Vendor Approved Service Provider (Subcontractor) must us qualified, competent, trained, certified personnel in the performance of the Technical Site Survey, and production of the Technical Site Survey Report (TSSR).

Vendor and/or Vendor Approved Service Provider (Subcontractor) must work in accordance with International best practices for Occupational Health and Safety, and all personnel going on sites must work in accordance with safe working practices, at a minimum in alignment with Indosat and Ooredoo group policy, manual, procedures and safety instructions.All personnel must be fully certified at a minimum to Indonesian regulatory standards and requirements, and furthermore, to Indosat, Vendor own and any additional requirements, and have been provided OJT, and certified competent to perform the job both technically and safely by the Vendor.

Vendor and/or Vendor Approved Service Provider (Subcontractor) must provide at a minimum, the Indosat specified minimum tools, equipment, PPE and First Aid kit required for TSSRs, and furthermore additional as recommended by the Vendor, and as required per the Site Specific Safe Working Method Statement (SWMS), and Job-Safety Analysis, both of which also must be performed and approved by the Vendor prior to any personnel going on any sites to perform the TSSRs.

Aside from the requirement of the main Vendor and their ASPs / subcontractors to have performed Job Safety Analysis and written proper Safe Working Method Statements for each type of TSS to be done on each type of site, in generic form but specific to the area and situations and safety issues to be found in each area and site type, enforcement of the usage of all required Personal Protection Equipment is mandatory, and the responsibility of the Vendor, including the wearing and usage of personal radiation monitors, and the instruction of all personnel in the function and usage of these.

All photographs taken per the requirements of the various sections of the TSSR must be both included in the TSSR from a report perspective, in the specified sections, and additionally, must be uploaded in the appropriate directory allocated to the TSSR within the Site Specific directory in Site Binders part of Share-point. Guidance on the sub-directories required to be created and photos to be uploaded is contained within the Required Photos sections of this document, as well as the specified sections for photo placement. Where in doubt, more photos should be taken, and uploaded.

All photographs must be taken with the minimum required capability camera, including the ability to geo-tag, time-stamp, and date-stamp the photos, with such properties preserved in the raw photo upload to Share-point.

All photographs must be properly labelled, and for the raw photo upload, properly oriented for storage in Share-point, without loss or modification of Geo-tagging, timestamp and datestamp properties.

Panoramic View (30, 60, 90, 120, 150, 180, 210, 240, 270, 300, 330, 360) Panoramic views for tower/monopole site must be taken either from top of tower/monopole or above the existing antenna under survey. Panoramic views for rooftop pole site must be taken from the center of building at highest point if possible. If it is not doable, panoramic views must be taken from each building corner correspond to compass north reading. Sector views must be taken for existing antennas under survey in order to align the current coverage objective with panoramic photos taken.

Earth resisitivity measurements must be made with the appropriate test equipment, and where there is no earthing in place as identified either visually or during the earth resisitivity measurement test, Vendor must immediately notify Indosat Tower Management Group and Network Operations of this so that the site may be rectified.

The TSSR must be saved in the proper directory for TSSRs in within the Site Specific directory in Site Binders part of Share-point, ie. Directory 22 TSSRs (all SoW). It is within this directory that a sub-directory referring to the specific TSSR, e.g. TSSR_RMBS_2013 or TSSR_RANM_2014 shall be created, and under that, the raw photos uploaded into the specified sub-subdirectories.

Example of Folder format and Photo Directory Ground Based Structure

Photos to be properly rotatedAll Photos should show description and Date

Indosat Area code e.g. 01JKP

Site ID Location example (01JKP009)

Power Distribution & SESCO/TNB Meter

4 Photographs

4 Photographs

4 Photographs

4 Photographs

TSSR doc

Raw (Other) Photographs

Access Road to Site

Cabin / Shelter

Gate and Fencing

Generator Set

Equipment inside the Cabin

AC Power Distribution Board (ACPDB

Note: Digital photos must be taken in high resolution size with aspect ratio 4:3 and able to zoom in without missing details.Photos must contain geo-location (geo-tag), time-stamp, and date-stamp information in the file meta-data.The standard digital photo file index should be indicated for each picture for future reference. The height information should be available for each panoramic and sector view. In case of dual/tri/multi band antennas, sector view can be represented by single photo and should be specified band and technology applied.

4 Photographs

4 Photographs

4 Photographs

4 Photographs

4 Photographs

4 Photographs


Outdoor Equipment

Feeder Entry Point (FEP), Feeder cable for RF and microwave antenna

Climbing Ladder, Vertical Cable Ladders, Feeder cables for RF and microwave antennas

Each leg of tower from bottom to top.

Each leg to leg facing of tower from bottom to top.

Lightning Protection, Obstruction Lights (OBL), Control Panel and Photo Sensor

4 Photographs

Tower Earthing Cable 4 Photographs

Top view of whole layout site

Earthing Points 4 Photographs

4 Photographs

Antenna & Microwave 4 Photographs

Structural damage information : Photos of all damage to the existing structures on site must be taken..

Cabin and Cabin Foundation Damage PhotosPhotos of all damage to the existing cabin and cabin foundation on site must be taken..

General Site Condition,

4 Photographs

4 Photographs

4 Photographs

Tower Anchor Bolts, Concrete Pedestal, Ground Connexion 4 Photographs

Tower / Structure Load Information (Picture of plate which indicates maximum load capacity of structure.

4 Photographs

Cabin and Foundation, Outdoor Air conditioning Units and Cages

4 Photographs

Dismantling : Photos of all power cable and other cabling to be dismantled from site. 4 Photographs

Dismantling : Photos of all Antenna and RRU's or outdoor units proposed to be dismantled from site. 4 Photographs

Dismantling : Photos of all appurtenances (Booms, mounting brackets, stays, etc) to be dismantled from site.

4 Photographs

Dismantling : Photos of all equipment proposed to be dismantled from site. 4 Photographs

Drawings Drawings

Panoramic View(30, 60, 90, 120, 150, 180, 210, 240, 270, 300, 330, 360) Panoramic views for tower/monopole site must be taken either from top of tower/monopole or above the existing antenna under survey.Panoramic views for rooftop pole site must be taken from the center of building at highest point if possible. If it is not doable, panoramic views must be taken from each building corner correspond to compass north reading. Sector views must be taken for existing antennas under survey in order to align the current coverage objective with panoramic photos taken.

Photos Panoramic View

Dismantling : Photos of all RF Feeder and/or hybrid cable, jumpers, junction boxes, etc to be dismantled from site.

4 Photographs

Example of Folder format and Photo Directory Ground Based Structure

All raw photos to be submiited Folder



TSSR Engineer / Technician Essential Tools

Engineer / Technician Name :: Item Provider Brand Amount

Vendor or Vendor ASP 1

1

Vendor or Vendor ASP Samsung 1

Mobile Phone (for communication purposes only) Vendor or Vendor ASP 1Notebook / Laptop PC Vendor or Vendor ASP 1

Mobile Internet Facility Vendor or Vendor ASP Speedy USB Dongle 1

GPS with compass + Vehicle Charger Vendor or Vendor ASP 1Laser height / distance meter Vendor or Vendor ASP 1

Magnetic Compass (Optional backup to digital compass) Vendor or Vendor ASP Suunto 1Infrared Thermometer Vendor or Vendor ASP Fluke Series 60, or equiv. 1Earth Resistivity Tester Vendor or Vendor ASP 1Downtilt Gauge (angle measuring level) Vendor or Vendor ASP 1BTS Rack Access Keys (If Required) Vendor or Vendor ASP 1

Safety Equipment (specs as per attached file) Inspector

First Aid Certificate (current within last 12 months) Vendor or Vendor ASP 1Vendor or Vendor ASP 1


Vehicle & Fuel & Insurance for Vehicle+Driver(s)+3rd Party Persons and PropertyProof of personal insurance coverage (by own company) for medical / death / permanent disabililty / hospitalisation

Digital Camera (>5Mpixel with capability to have the Geographic location, time, date information embedded within photo metadata)

Working At Height certification (current within last 2yrs, and valid) - MenakertransBasic Telecommunications tower climbing certification - Indosat Approved training providers


Hard hat (for climbing) Vendor or Vendor ASP 1Hard hat (for ground work) Vendor or Vendor ASP 1Safety Spectacles, Glasses or goggles (Anti UV) Vendor or Vendor ASP 1prSafety Boots or Safety Shoes Vendor or Vendor ASP 1prFull Body Climbing Harness Vendor or Vendor ASP 1



Climbing Overalls - Orange colour Vendor or Vendor ASP 1High Visibility Jacket or Vest Vendor or Vendor ASP 1Gloves Vendor or Vendor ASP 1prPersonal Radiation Monitor (Occupational) Vendor or Vendor ASP 1First Aid Kit Vendor or Vendor ASP 1

General Tool Kit Case Vendor or Vendor ASP 1Tower Climbing Tool Bag (Leather or Canvas) Vendor or Vendor ASP 2

Vendor or Vendor ASP

ESP Wriststrap + Cable attachment Vendor or Vendor ASP 1Fluke Digi Multimeter (or equiv brand) Vendor or Vendor ASP 1Steel Retractable Tape Measure - 5m Vendor or Vendor ASP 1Flashlight - Penlight Vendor or Vendor ASP 1

Documentation VendorVendor MANY

Copy of Indosat Safety Policy & Instructions Vendor 1Copy of Vendor Safety Policy & Instructions Vendor 1Copy of Site/Work Emergency Response Plan and Site SpecifVendor 1Copy of Safe Working Method Statement Vendor 1Copy of TSSR Method Of Procedure (MOP) Vendor 1Accident Report Form Vendor 5TSSR Technician Tool List Vendor 1

Intermediate / Practical Working at Height certification - Indosat Approved training providers

Lanyard for full body climbing harness- Shock Absorbing double end lanyardLanyards for full body climbing harness- Positioning Lanyard

Lanyards for tieing off tools and survey equipment to prevent them from being dropped at height.

> 10 (as many as required)

TSSR Form in electronic form on computer and/or tablet device

NOTE :: All tools must be of good quality and ALL safety equipment bear labels providing conformation of international safety specifications The maintenance and care of all supplied equipement and tools is the prime responsibility of the Quality Inspector

Controlled Document

TSSR Engineer / Technician Essential Tools

Supplier Remarks

Indosat must provide this

Samsung 7.7" P6800, Samsung Galaxy Note 8"

For communication purposes with Indosat PIC, TLP PIC, etc.

Not required if the GPS has a compass facility - Preferable OptionWhere applicable Temperature inside the service cabinet should be measured.Insert Hyperlink to pictureInsert Hyperlink to picture

Scanned copy to be submitted in Sharepoint along with scan copy of KTP for verificationScanned copy to be submitted in Sharepoint along with scan copy of KTP for verification

For use in preparing the reports, not necessarily to bring to site, but must be available to personnel who will prepare the TSSRs, upload the information collected, etc. per requirements of this template.For use in preparing the reports, not necessarily to bring to site, but must be available to personnel who will prepare the TSSRs in the area, for timely submission and upload the information collected, reports, etc. per requirements of this template.

www.alatsurvey.com Tape measures could be alternatively used, however Laser height / distance meter is the preferred tools for a professional, good quality TSSR.

http://www.fluke.com/fluke/usen/thermometers/infrared-thermometers/fluke-60-series.htm?PID=56094

Must comply with Indosat standard SI001 PPE - Indosat Telecommunications Field & Site Work v.01.0 (2013-07-18) or later revision.

Scanned copy to be submitted to Sharepoint along with scan copy of KTP for verification. This may be already provided by the Working At Height certification, however proof of this (by way of submission of course outline) must be provided.

Must be undamaged and in a serviceable conditionMust be undamaged and in a serviceable condition

Not required if high visibility features are integrated into the Climbing Overalls

Berca [Vicky Alphonse : FieldSense Orange Occupational Personal Radiation MonitorInsert Hyperlink to the specs document

Can be a small penlight, or larger flashlight.

Scanned copy to be submitted to Sharepoint along with scan copy of KTP for verification. This may be already provided by the Working At Height certification, however proof of this (by way of submission of course outline) must be provided.

NOTE :: All tools must be of good quality and ALL safety equipment bear labels providing conformation of international safety specifications The maintenance and care of all supplied equipement and tools is the prime responsibility of the Quality Inspector

Dave Vipond - 26.08.2013

Example of Folder format and Photo Directory Rooftop Site



Site ID Location example (01JKB001)

Building

Structure

Rooftop

Grounding System


4 Photographs / Structure

4 Photographs

TSSR doc


Structural damage information : Photos of all damage to the existing structures on site must be taken.. 4 Photographs /

damage


Antenna's

Cabin Outside and Inside

FEP

ODU

4 Photographs / Antenna

4 Photographs

4 Photographs

4 Photographs

4 Photographs

Lightning Protection, Obstruction Lights (OBL), Control Panel and Photo Sensor

Dismantling : Photos of all RF Feeder and/or hybrid cable, jumpers, junction boxes, etc to be dismantled from site.

4 Photographs


Dismantling : Photos of all Antenna and RRU's or outdoor units proposed to be dismantled from site. 4 Photographs

Dismantling : Photos of all appurtenances (Booms, mounting brackets, stays, etc) to be dismantled from site. 4

Photographs


General Site Condition, 4 Photographs

Drawings Drawings

Photos Panoramic ViewPanoramic View(30, 60, 90, 120, 150, 180, 210, 240, 270, 300, 330, 360) Panoramic views for tower/monopole site must be taken either from top of tower/monopole or above the existing antenna under survey.Panoramic views for rooftop pole site must be taken from the center of building at highest point if possible. If it is not doable, panoramic views must be taken from each building corner correspond to compass north reading. Sector views must be taken for existing antennas under survey in order to align the current coverage objective with panoramic photos taken.

Example of Folder format and Photo Directory Rooftop Site

All raw photos to be submited in a Directory per site, with folders



Example of Folder format and Photo Directory IBS Site



Site ID Location example (20SDA003)


4 Photographs

4 Photographs

4 Photographs

4 Photographs

TSSR doc


Front of the Building

Rear of the Building

Access to the Building

Shelter

Equipment inside the Shelter


4 Photographs


General Site Condition,

4 Photographs

4 Photographs

4 Photographs

4 Photographs

Outdoor Equipment

Feeder Entry Point (FEP), Feeder cable for RF and microwave antenna

IBS Radio Antennas

Drawings Drawings

Dismantling : Photos of all RF Feeder, leaky coaxial cable, amplifiers, combiners, multi-couplers, etc to be dismantled from site.

4 Photographs


Dismantling : Photos of all Antenna and DAS units proposed to be dismantled from site. 4 Photographs


Example of Folder format and Photo Directory IBS Site

All raw photos to be submited in a Directory per site, with folders



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20SDA023 KRIAN Document Number : 20SDA023_RAN_TSSR_2015_10_21RAN LTE PRE PUMA Project Doc. Rev. No. : v01.0 Issued : 15 January 2014

Template Number : ISAT_PGMT_RNSG_TMPL_TSSR_0001Template Rev. No. : v03.5 Issued : 13 January 2014

Hariff Service Rack Footprint

Huawei Service Rack Footprint

Technical Site Survey Report

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Controlled Document

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20SDA023_RAN_TSSR_2015_10_21

15 January 2014

ISAT_PGMT_RNSG_TMPL_TSSR_000113 January 2014

Hariff Service Rack Footprint

Huawei Service Rack Footprint

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20SDA023 KRIAN Document Number : 20SDA023_RAN_TSSR_2015_10_21RAN LTE PRE PUMA Project Doc. Rev. No. : v01.0 Issued :

Technical Site Survey Report Template Number : ISAT_PGMT_RNSG_TMPL_TSSR_0001Template Rev. No. : v03.5 Issued :

Surveyor InformationTechnical Site Surveyor Haryo Widagdo Technical Site Surveyor -

Company PT. Dexa Telekomunikasi Indonesia Company -Contact Number 085257553920 Contact Number -Technical Site Surveyor - Technical Site Surveyor -Company - Company -Contact Number - Contact Number -Technical Site Surveyor - Technical Site Surveyor -Company - Company -Contact Number - Contact Number -Checked and Verified by (Vendor)

No Full Name Mobile Number Date Signature1 Radio Network Planning - - - -

2 - - - -

3 CME Engineering - - - -

4 Fahrudin Busro 081584706434 1/9/2015

Checked and Acknowledged (Indosat)No Full Name Mobile Number Date Signature

1 Radio Network Planning - - - -

2 - - - -

3 CME Engineering - - - -

4 - - - -

Vendor Representative

Transmission Network Planning

Telecom Implmentation Engineering

Indosat Representative

Transmission Network Planning

Structural Engineering Services Group

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20SDA023_RAN_TSSR_2015_10_21Issued : 15 January 2014

ISAT_PGMT_RNSG_TMPL_TSSR_0001Issued : 13 January 2014

---------

Signature-

-

-

Signature

-

-

-

-

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Site InformationProvince : East Java Survey Date: 21 October, 2015Indosat Area Surabaya Survey Type Code: RANCity / District (within Indosat Area) : Sidoarjo Project Type Code: RANMCity/District ID : 20SDA Cluster Type: Rural (Farmland)Site ID: 20SDA023 Longitude: (+/- Decimal) & DMS S : 7 22' 50.34"Site Name: KRIAN Latitude: (+/- Decimal) & DMS E : 112 37' 12.3954"Structure Owner: Indosat TMG 1785.00 Sq.mFor other owner please specify: - Structure Type: Self Supporting Tower (4 Leg)Site type (general): Macro Structure Height: 120.0 mSite Coverage Area: Outdoor Base Station Configuration: GSM, DCS dan WCDMASite Equipment Location: Outdoor Number of Microwave Links 17 Links/HopsStructure Base: Ground Elevation at Bldg Base (AMSL): 12.0 mBuilding Height (if a Rooftop base): Greenfield Elevation at Structure Base (AMSL): 0.0 mSite Address: Jl. Kayoon No.72, Surabaya

Site Access Condition:24 hoursFor limited (other) access please specify -

Site Access Information Indosat TMG or Tower Lease Provider PIC Contact DetailsLandlord Name - Contact PIC Name Kelik PurnomoLandlord Phone - Conact PIC Phone -Landlord Mobile - Contact PIC Mobile 08553001661Site Keeper Name - Contact PIC Email [email protected] Keeper Phone - Contact PIC Name -Site Keeper Mobile - Conact PIC Phone -Other PIC Name - Contact PIC Mobile -Other PIC Phone - Contact PIC Email -Other PIC Mobile -Site Keepers Address: -

Community Issue: Yes, (reason):

No

Site Area (m2):

Note: (Informasi tambahan kondisi site, ex: sampah, kecurian, kerusakan & dan informasi lainnya yang ditemukan)

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21 October, 2015RANRANMRural (Farmland)S : 7 22' 50.34"E : 112 37' 12.3954"1785.00 Sq.mSelf Supporting Tower (4 Leg)120.0 mGSM, DCS dan WCDMA17 Links/Hops12.0 m0.0 m

Site Address: Jl. Kayoon No.72, Surabaya

-

Indosat TMG or Tower Lease Provider PIC Contact DetailsKelik Purnomo

-08553001661

[email protected]

Site Keepers Address: -

(Informasi tambahan kondisi site, ex: sampah, kecurian, kerusakan & dan informasi lainnya yang ditemukan)

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Tick the box, () when checked.Site Name: DCSKAYUNMSC Region: East JavaSite ID: 20SBY288 City/ District: SurabayaSite Type Cluster Type CBD Dense Urban Urban Sub-Urban

Coverage Area Macro Site Micro SiteStructure Type GF Tower RT Tower

Yes (Specify): No

Site Ownership TMG Tower Bersama Group Indonesian Tower Protelindo XL Mitratel TSEL SMI H3I

Site Access Keys Regional Cyber Key If others, where: Site keeper (25m from site)

Start Date (DD-MMM-YYYY): - End Date (DD-MMM-YYYY): -

Building height (m):

3-LeggedHeight(m):

3-LeggedHeight(m):

4-LeggedHeight(m): 55 M

4-LeggedHeight(m):

Guyed MastHeight(m):

Guyed MastHeight(m):

MonopoleHeight(m):

MonopoleHeight(m):

Site Concealment (camoflauge)

Site Contract Status(If it's applicable)Note: (Informasi tambahan type site dan info site, ex: site type beda dari biasa untuk owner itu & dan informasi lainnya yang ditemukan)

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Tick the box, () when checked.East JavaSurabayaSub-Urban Rural

In-Building

Wall Mounted

Others (Specify)

Yes (Specify):

Others (Specify)

If others, where: Site keeper (25m from site)End Date (DD-MMM-YYYY): -

MinaretHeight(m):

e.g: Water Tank, PBTS etc

(Informasi tambahan type site dan info site, ex: site type beda dari biasa untuk owner itu & dan informasi lainnya yang ditemukan)

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Tick the box, () when checked.

GPS Geodetic Datum Data WGS 84 Others (Specify):Distance from Main Road (m) 100 mRoad Surface

Asphalt Gravel Block Pavement

Concrete Dirt Road (Sandy, Stony, Rocky, Muddy)

Road Accessable by All Weather 4WD Light Truck(Check all applicable) Pedestrian Van/ Sedan Heavy Truck/ Crane

Material Storage On Site Yes (Space Availability) No

Maps Google Earth Top View of Site MapInfo View of Site including Tier-1 Sites

Remarks:

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100 m Block Pavement

Dirt Road (Sandy, Stony, Rocky, Muddy)

Light Truck Heavy Truck/ Crane

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Google Earth Top View of Site

Site Name: 20SDA023 KRIAN

MapInfo View of Site Including Tier-1 Sites

Site Name: 20SBY288 DCSKAYUNMSC

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Google Earth Top View of Site

Site Name: 20SDA023 KRIAN

MapInfo View of Site Including Tier-1 Sites

Site Name: 20SBY288 DCSKAYUNMSC

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20SDA023 KRIAN Document Number : 20SDA023_RAN_TSSR_2015_10_21RAN Modernisation Project Doc. Rev. No. : v01.0 Issued :

Technical Site Survey Report Template Number : ISAT_PGMT_RNSG_TMPL_TSSR_0001Template Rev. No. : v03.5 Issued :CME Visual Checklist

Note: *NA = Not Applicable (dipilih jika item tidak digunakan untuk tipe site tertentu)No. Item Description1 Ground Based Structures / Sites (Brownfield/Greenfield)1.1

1.1.1Yes, OK

1.1.2Yes, OK

1.1.3Yes, OK

1.1.4Yes, OK

1.1.5Yes, OK

1.1.6Yes, OK

1.1.7Yes, OK

1.1.8Yes, OK

1.1.9Yes, OK

1.1.9

Yes, OK1.1.10

Yes, OKComments:

1.2 Tower and Monopole1.2.1

Yes, OK1.2.2

Yes, OK1.2.3

Yes, OK1.2.4

Yes, OK1.2.5

Yes, OK1.2.6

Yes, OK1.2.7

Yes, OK1.2.8

Yes, OK1.2.9

Yes, OK1.2.10

Yes, OK1.2.11

Yes, OK1.2.12

Yes, OK1.2.13

Yes, OKComments:

Status (Yes OK / No Not OK)

Site, Fence and Gate / Site, Pagar dan GerbangSite, Pagar dan Pintu PagarSite is secure, BRC fence is intactSite aman, pagar BRC utuhSite concrete wall is in good condition free of cracks and no graffitiDinding dalam keadaan baik, tidak ada retakan dan coretanBarbed Wire is complete and continuousKawat berduri lengkap dan berkesinambunganGate is in good condition and securedPintu pagar dalam keadaan baik dan amanSite is clean, no shrubs and trashSite bersih, tidak ada semak belukar dan sampahSite Paving is in good condition and no signs of subsidencePaving dalam keadaan baik dan tidak ada tanda-tanda penurunanSite Security lights are in good condition and workingLampu keamanan dalam keadaan bagus dan berfungsi dengan baikSite security lights are IP rated typeLampu keamanan adalah tipe IPSite is not subject to floodingSite tidak rawan banjir

If the site is subject to flooding, are any existing foundations below the flood levels experienced in the last 20yrs?Kalau site rawan banjir, apakah ada pondasi di dalam daerah site setingginya kurang cukup atau di bawah tingkatan banjir dalam terakhir 20 tahun2?0cm

Site has no animals or birds kept (housed) or living in itSitus tidak punya binatang atau burung disimpan atau yang tinggal di dalamnya

Structure is complete with no loose membersStruktur lengkap dan tidak ada yang kendur atau potongan yang kurang berhubunganStructure does not have visible defectsStruktur tidak ada cacat2 yang bisa di lihatStructure does not have visible corrosion in any members or main structureStruktur tidak ada korosi, karatanStructure does not have missing bolts or nutsStruktur lengkap, tidak ada yang kendur, cacat dan karatanStructure is visibly strengthenedStruktur terlihat ada perkuatanStructure has space for additional Antenna and/or equipment, does not appear fullStruktur punya ruang cukup untuk antena2 yang rencana di pasang dan / atau peralatan tambahan, struktur tidak terlihat penuh (seperti tidak ada tempat untuk menempatkan equipment/antenna)Structure is ICAO painting is in good condition.Struktur dicat dengan cat ICAO dalam keadan baikClimbing ladder is complete, straight and safe to climbTangga lengkap, lurus dan aman untuk dinaikiFall Arrest system if available, is installed and function properlySistem Fall Arrest jika tersedia, terpasang dan berfungsi dengan baikAdditional vertical ladders are installed and positioned correctlyTangga vertical tambahan telah terpasang dan dalam posisi yang benarWork and Rest Platforms are properly installed and safe to usePlatform untuk kerja dan istirahat terpasang dengan baik dan aman digunakanHorizontal cable ladders are installed and positioned correctlyTangga kabel horizontal telah terpasang dan dalam posisi yang benarNo beehives, birds nests or other environmental issuesTidak ada sarang lebah, sarang burung atau isu-isu lingkungan lainnya

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Note: *NA = Not Applicable (dipilih jika item tidak digunakan untuk tipe site tertentu)No. Item Description Status (Yes OK / No Not OK)1.3 Obstruction Lights1.3.1

Yes, OK1.3.2

Yes, OK1.3.3

Yes, OKComments:

1.41.4.1

No, Not OK1.4.2

No, Not OKComments:

1.51.5.1

Yes, OK1.5.2

Yes, OKComments:

1.6 Grounding System1.6.1

Yes, OK1.6.2

Yes, OK1.6.3

Yes, OK1.6.4

Yes, OK1.6.5

Yes, OK1.6.6

Yes, OKComments:

1.7 KWH Panel and ACPDB1.7.1

Yes, OK1.7.2

Yes, OK1.7.3

Yes, OK1.7.4

Yes, OK1.7.5

Yes, OK1.7.6

Yes, OK1.7.7

Yes, OK1.7.8

Yes, OK

Obstruction lights are installed and in good condition and workingObstruction Lights telah terpasang, kondisi bagus dan berfungsi dengan baikObstruction lights are LED typeObstuction Light yang digunakan adalah tipe LEDObstruction light control panel is in good condition and sensor workingPanel control untuk obstruction lights dalam kondisi bagus dan sensornya berfungsi

Bulk Fuel Tank / Tangki Bahan BakarBulk Fuel Tank is not corroding or leakingTangki bahan bakar tidak karatan maupun bocorPiping, valves and pumps are in good conditionPipa, keran dan pompa dalam kondisi bagus

Lightning Protection System / Sistem Perlindungan PetirLightning Finial is complete and properly installedPenangkal petir lengkap dan terpasang dengan baikDown Conductor (if installed) is complete and properly installedKonduktor bawah (jika terpasang) lengkap dan terpasang dengan baik

Main Ground Box is lockable.Ground Box utama dapat dikunciBus bar is available and ground connected and not concretedBus bar tersedia, terhubung dengan tanah dan tidak dibetonStructure legs / monopole base are groundedStruktur kaki / dasar monopole memiliki alasGround Bars on structure are installed i.e top, middle, bottomGround Bars pada struktur terinstall pada atas, tengah dan bawahDown Conductors exist for Ground BarsKonduktor bawah tersedia untuk Ground BarsAll cable ladders are groundedSemua tangga kabel memiliki alas

KWH Panel is in good condition and properly installedKWH Panel dalam kondisi bagus dan terpasang dengan baikKWH Panel is lockedKWH Panel dikunciKWH Panel cable entries are glandedJalur masuk kabel pada KWH panel dilindungi oleh konektor atau fittingAll Circuit Breakers are installed and labeledSemua sirkuit Breakers telah terpasang dan diberi labelWiring Diagram is inside KWH PanelWiring Diagram ada di dalam KWH PanelACPDB Panel is in good condition and properly installedACPDB panel dalam kondisi yang bagus dan terpasang dengan baikACPDB LED lights are workingLampu LED ACPDB berfungsiACPDB Panel cable entries are glandedJalur masuk kabel pada ACPDB panel dilindungi oleh konektor atau

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Note: *NA = Not Applicable (dipilih jika item tidak digunakan untuk tipe site tertentu)No. Item Description Status (Yes OK / No Not OK)1.7.9

Yes, OK1.7.10

Yes, OKComments:

2 Rooftop Based Structures / Sites2.1 Roof Top and Access2.1.1

No, Not OK2.1.2

No, Not OK2.1.3

No, Not OK2.1.4

No, Not OKComments:

2.2 Poles and Minitower2.2.1

No, Not OK2.2.2

No, Not OK2.2.3

No, Not OK2.2.4

No, Not OK2.2.5

No, Not OK2.2.6

No, Not OK2.2.7

No, Not OK2.2.8

No, Not OK2.2.9

No, Not OK2.2.10

No, Not OK2.2.11

No, Not OK2.2.12

No, Not OK2.2.13

No, Not OK2.2.14

No, Not OKComments:

All Circuit Breakers are installed and labeledSemua sirkuit Breakers terpasang dan diberi labelWiring Diagram is inside ACPDBWiring Diagram ada didalam ACPDB

Rooftop is secure and access is safeRooftop dan akses amanParapat walls are in good conditionTembok dinding pembatas dalam kondisi bagusRooftop floor slab condition appears good and there are no visible signs of cracks or other defectsLantai di atap terlihat kondisi baik, dan tidak bisa lihat adanya retaka atau cacat lainya.Rooftop is clean and does not need cleaning and clearing of rubbish and other materialsKondisi Rooftop bersih dan tidak perlu dibersikan dari sampah dan material lainnya

Poles are in good condition and verticalPole dalam kondisi yang bagus dan vertikalPole Anchor Bolts are in good condition and no signs of corrosionPole Anchor Bolts dalam kondisi yang baik dan tidak ada tanda karatanPoles and minitowers are complete, no missing or loose membersPole dan minitower lengkap dan tidak ada kekurangan

Poles and minitowers have no visible structural defects, no corrosion or welded membersPole dan minitower tidak memilki cacat struktural yang dapat terlihat, tidak ada karatan dan bagian yang dilas

Poles and Minitower have been previously strengthenedPole dan Minitower sudah diperkuatPoles and Minitower are visibly overloadedPole dan Minitower sangat jelas kelebihan bebanMinitower structure is ICAO paintedStruktur Minitower dicat dengan cat ICAOICAO painting is in good condition, needs repainting in next 2 yearsKondisi cat ICAO dalam kondisi bagus dan butuh dicat kembali 2 tahun kemudianClimbing ladder is complete, straight and safe to climbTangga lengkap, tegak lurus dan aman untuk dipanjatFall Arrest system is installed and functioning correctlySistem Fall Arrest terpasang dan berfungsi dengan baikOriginal Vertical cable ladder is installed and positioned correctlyTangga kabel vertical yang awal telah terpasang pada posisi yang benarAdditional vertical cable ladders on outside of structure is installed and positioned correctlyTangga kabel vertical tambahan berada diluar struktur, telah terpasang pada posisi yang benarHorizontal cable ladders on rooftop are installed and positioned correctlyTangga kabel horizontal pada rooftop telah terpasang pada posisi yang benarNo beehives, birds nests or other environmental issuesTidak ada sarang lebah, sarang burung atau isu-isu lingkungan lainnya

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Note: *NA = Not Applicable (dipilih jika item tidak digunakan untuk tipe site tertentu)No. Item Description Status (Yes OK / No Not OK)2.3 Obstruction Lights2.3.1

No, Not OK2.3.2

No, Not OK2.3.3

No, Not OKComments:

2.42.4.1

No, Not OK2.4.2

No, Not OKComments:

2.5 Grounding System2.5.1

No, Not OK2.5.2

No, Not OK2.5.3

No, Not OK2.5.4

No, Not OK2.5.5

No, Not OK2.5.6

No, Not OKComments:

2.6 KWH Panel and ACPDB2.6.1

No, Not OK2.6.2

No, Not OK2.6.3

No, Not OK2.6.4

No, Not OK2.6.5

No, Not OK2.6.6

No, Not OK2.6.7

No, Not OK2.6.8

No, Not OK2.6.9

No, Not OK2.6.10

No, Not OK

Comments:

Obstruction lights are installed to minitower and in good condition and workingObstuction light telah terpasang pada minitower dalam kondisi bagus dan berfungsi dengan baikObstruction lights are LED typeObstuction Light yang digunakan adalah tipe LEDObstruction light control panel is in good condition and sensor workingPanel control untuk obstruction lights dalam kondisi bagus dan sensornya berfungsi

Lightning Protection System / Sistem Perlindungan PetirLightning Finial is complete and properly installedPenangkal petir lengkap dan terpasang dengan baikDown Conductor (if installed) is complete and properly installedKonduktor bawah (jika terpasang) lengkap dan terpasang dengan baik

Main Ground Box is lockable.Ground Box utama dapat dikunciMain ground bar is installed in MGB and all grounds connectedGround Bar utama telah terpasang dalam MGB dan terhubung dengan tanahPoles and minitower base are groundedDasar Pole dan minitower memiliki alasGround Bars on structures are installed i.e top, middle, bottomGround Bars pada struktur terinstall pada atas, tengah dan bawahDown Conductors exist for Ground BarsKonduktor bawah tersedia untuk Ground BarsAll cable ladders are groundedSemua tangga kabel memiliki alas

KWH Panel is in good condition and properly installedKWH Panel dalam kondisi bagus dan terpasang dengan baikKWH Panel is lockedKWH Panel dikunciKWH Panel cable entries are glandedJalur masuk kabel pada KWH panel dilindungi oleh konektor atau fittingAll Circuit Breakers are installed and labeledSemua sirkuit Breakers telah terpasang dan diberi labelWiring Diagram is inside KWH PanelWiring Diagram ada di dalam KWH PanelACPDB Panel is in good condition and properly installedACPDB panel dalam kondisi yang bagus dan terpasang dengan baikACPDB LED lights are workingLampu LED ACPDB berfungsiACPDB Panel cable entries are glandedJalur masuk kabel pada ACPDB panel dilindungi oleh konektor atau All Circuit Breakers are installed and labeledSemua sirkuit Breakers terpasang dan diberi labelWiring Diagram is inside ACPDBWiring Diagram ada didalam ACPDB

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CME Visual Checklist*NA = Not Applicable (dipilih jika item tidak digunakan untuk tipe site tertentu)

Ground Based Structures / Sites (Brownfield/Greenfield)

Yes, OK

Yes, OK

Yes, OK

Yes, OK

Yes, OK

Yes, OK

Yes, OK

Yes, OK

Yes, OK

Yes, OK

Yes, OK Comments:

Tower and Monopole

Yes, OK

Yes, OK

Yes, OK

Yes, OK

Yes, OK

Yes, OK

Yes, OK

Yes, OK

Yes, OK

Yes, OK

Yes, OK

Yes, OK

Yes, OK Comments:


Photos (/ NA)

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Photos (/ NA)

Obstruction Lights

Yes, OK

Yes, OK

Yes, OK Comments:

No, Not OK NA

No, Not OK NAComments:

Yes, OK

Yes, OK Comments:

Grounding System

Yes, OK

Yes, OK

Yes, OK

Yes, OK

Yes, OK

Yes, OK Comments:

KWH Panel and ACPDB

Yes, OK

Yes, OK

Yes, OK

Yes, OK

Yes, OK

Yes, OK

Yes, OK

Yes, OK

Sistem Perlindungan Petir

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Photos (/ NA)

Yes, OK

Yes, OK Comments:

Rooftop Based Structures / SitesRoof Top and Access

No, Not OK NA

No, Not OK NA

No, Not OK NA


Poles and Minitower

No, Not OK NA

No, Not OK NA

No, Not OK NA

No, Not OKNA

No, Not OK NA

No, Not OK NA

No, Not OK NA

No, Not OK NA

No, Not OK NA

No, Not OK NA

No, Not OK NA

No, Not OK NA

No, Not OK NA


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Photos (/ NA)

Obstruction Lights

No, Not OK NA

No, Not OK NA


No, Not OK NA


Grounding System

No, Not OK NA

No, Not OK NA

No, Not OK NA

No, Not OK NA

No, Not OK NA


KWH Panel and ACPDB

No, Not OK NA

No, Not OK NA

No, Not OK NA

No, Not OK NA

No, Not OK NA

No, Not OK NA

No, Not OK NA

No, Not OK NA

No, Not OK NA

No, Not OK NA

Comments:

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Tick the box, () when checked.Existing Rooftop: Yes No

Rooftop Available Space: m X m

Overall Condition to Add Additional Equipment: Yes No

INDOSAT CKD/ Room Available: Yes No

INDOSAT Outdoor Equipment Available: Yes No

Drawings Available: Floor Layouts Yes NoOthers:

Height: (Typically: 1 Floor = 3.5m) mAccess to Rooftop: Material Loading to Rooftop:

Stairs Escalator Any Special Tool Required: Yes Lift Spiral Staircase Specify: Ladder with hatch CAT Ladder Internal Others, (Specify) External

Remarks:

Surrounding Buildings: Yes NoHigher than the Existing Site Building: Yes NoDistance from the Existing Site: KmDirection: Deg

Power Lines Nearby: Yes, distance m No

Any Existing Tower used by other Operators: Yes, distance m NoName of Operator:

Other Equipments on Existing Rooftop (Antennas, Poles etc): Yes, distanceName of Operator:

Sufficient Space Available for Additional Proposed Equipment (Antenna/Poles etc.) YesRemarks:

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Material Loading to Rooftop:No

m No

No

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Tick the box, () when checked.Existing Equipment Room: CKD Permenent Room Others (Specify): Shelterless

On Rooftop Different Floor (Specify Floor):Distance from Equipment Room to Rooftop:

Dimensions(inner) W: 3 m L: 5 m H: 2Dimensions:(outer) W: - m L: - m H: -Space (for Indoorisation Only)

Space available for Proposed Indoor Equipment: YesDistance from Proposed Equipment to FEP: 6 m

Space (for Outdoorisation Only) Space available for Proposed Outdoor Equipment: YesDistance from Proposed Equipment to KWH Panel:Distance from Proposed Equipment to ATS Panel(Site with Gen Set only):

Dismantling & Relocation Works Equipment Yes No Other StructureCables & Ladders Yes No Specify:

Air Conditioning Unit: Available No. of Units: 2 Capacity: 2 PK Working

Not AvailableRemarks:

Exhaust Fan: Working Not OKRemarks:

Lighting: Working Not OKRemarks:

Fire Extinguisher: Working Not OKAlarm Panel: Working Not OKRemarks:Cable Ladder/ Tray Sufficient Space for New Cable Ledder Yes

Existing, Dimension (Width) 500 mm Proposed New, Dimension (Width) mm Length

IndoorFloor Layouts

Yes

NoOthers:

Remarks on Equipment Room:

Drawings Available:(provided by Indosat)

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Shelterless

m2 m- m

No

Nom

m

Yes No

Not OK

No

mm

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Technical Site Survey Report Template Number : ISAT_PGMT_RNSG_TMPL_TSSR_0001Template Rev. No. : v03.5 Issued :Tick the box, () when checked.

AC Source Available: Yes No Tapped from Separate Room Yes Distance from equipment room/ outdoor BTS:

Phases: Single ThreeAC Power Stability: Stable Unstable(Verify from Indosat authorized person/ Site Keeper)ACPDB Box Available: Yes, Distance from Proposed BTS 3 m / from Rectifier 5

MCB Capacity, Main 50 AmpPropose New CB: Yes X Amp NoSpace available: Yes No

New ACPDBDistance from Main Source (KWH Meter) m

Distance from Rectifier m Support required (Pole, Wall Mount etc.)

AC Junction Box to Share AC Power between Existing ACPDB & New ACPDB: Distance from Main KWH Meter m, Position Indoor

Arrester: KHW Meter Yes No Brand: Type: ACPDB Yes No Brand: Phoenix Contact Type: ATS Yes No Brand: Type:

ACPDB Measurement: Voltage measured Upgrade RequiredYes KVA

R - N : 21.44 Volt NoS - N : 21.58 VoltT - N : 21.27 Volt

Existing Load Amperage (measured)R - S : 379.4 Volt R= 7.63 AmpR - T : 383.4 Volt S= 7.46 AmpS - T : 382 Volt T= 6.88 Amp

G - N : 5.44 Volt

KWH Meter Existing: YesMCB = 32 Amp

Voltage measuremen

R - N : 212.3 Volt Existing Load Amperage (measured)S - N : 218.9 Volt R= 10.15 AmpT - N : 229.3 Volt S= 9.20 Amp

T= 9.53 AmpR - S : 380.9 VoltR - T : 384.8 Volt Upgrade RequiredS - T : 385.7 Volt Yes KVA

NoG - N : 4.78 Volt

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No Distance from equipment room/ outdoor BTS: 24 m

5 m

Yes NoIndoor Outdoor

Type:Type: FlashtrabType:

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Technical Site Survey Report Template Number : ISAT_PGMT_RNSG_TMPL_TSSR_0001Template Rev. No. : v03.5 Issued :Tick the box, () when checked.

Rectifier Available: Yes NoSeparate Room from Proposed BTS Equipment: Yes No

Distance from Proposed Equipment: 0.10 m Brand: ELTEK Type: Flatcpack2 Voltage - Existing Rectifier Capacity:Modules : Quantity - X - A Total Load Capacity: - ALoad Current: - A Remain Current: - AMaximum Capacity of Rectifier Modules: Quantity - Units

MCB Capacity: Please fill in MCB capacity at Rectifier

ON OFF OFF OFF ON ON ON ONLoad No Label Spare Spare Spare TRS DRIYOREJO SM G900 SM D1800 SM U900

ON ON ON ON ON OFF ON ONLoad RFG/U900#2 RFG/U900#3 RFD 1800#1 RFD 1800#2 RFD 1800#3 Spare RFU 2100#1 RFU 2100#2

ON ONLoad RFG/U900#2 RFG/U900#3

Recifier Capacity for New BTS No Need Upgrade

Module Upgrade Required: Modules Additional MCB Required: ANew Rectifier Required:

Battery Available: Yes NoExisting Battery Condition:

No. of Banks 2 Capacity per Bank = 180 amp/ hour Total Battery Capacity = 360 amp/ hour (no. of Bank x Capacity per bank)

Battery Capacity for New BTS No Need Upgrade

Battery Upgrade Required BankDCPDB Box Available:

Yes, Distance from proposed Rectifier: mMCB Capacity: A

Proposed New CB: X Amp

Space Available: Yes No No (Propose New)

Distance from Rectifier: - mDistance from Proposed Equipment: - m

Additional Support Required(Pole, Wall Mount, etc.) : -Please fill in MCB & CB capacity at Rectifier

MCB CB 1 CB 2 CB 3 CB 4 CB 5 CB 6 CB 7 CB 8 CB 9 CB 10 CB 11A A A A A A A A A A A A

- - - - - - - - - - - -X= Used for Equipment (1) = Spare (0) = Space for New CB

Genset Available Yes No ATS Available Yes No

MCB 110 A

MCB 240 A

MCB 340 A

MCB 416 A

MCB 516 A

MCB 616 A

MCB 716 A

MCB 816 A

MCB 1125 A

MCB 1225 A

MCB 1325 A

MCB 1425 A

MCB 1525 A

MCB 1640 A

MCB 1725 A

MCB 1825 A

MCB 2116 A

MCB 2216 A

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Phase(Volt)

ON ONSM U2100 RFG/U900#1

ON ONRFU 2100#3 RFG/U900#1

MCB 916 A

MCB 1025 A

MCB 1925 A

MCB 2016 A

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Remark Of AC/DC Distrubution: -

Wall through: No. of Holes: 32 Sizes of Holes: 150

HFC - 3 Holes

Remarks of Cable FEP: -

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-

150 mm

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Technical Site Survey Report Template Number : ISAT_PGMT_RNSG_TMPL_TSSR_0001Template Rev. No. : v03.5 Issued :Earthing and Grounding for EquipmentTick the box, () when checked.

Type: (+) Earth (-) Earth FloatingEarthing Busbar:Grounding System Available: Yes No Reason:

Existing Resistance (OHM) - ohmGrounding Bar Existing Existing (Yes/ No) No Existing/ Propose New

1Hole 1 2 3 4 5 6 7 8 9 10 11 12 Quantity:-

Total holes: - hole Spare: - hole Hole 13 14 15 16 17 18 19 20 21 22 23 24

Existing Resistance (OHM) = Spare X = Used -

2Hole 1 2 3 4 5 6 7 8 Quantity:-

Total holes: 16 hole Spare: 12 hole Hole 9 10 11 12 13 14 15 16

X X X X = Spare X = Used

3Hole 1 2 3 4 5 6 7 8 9 10 11 12 Quantity:-


Existing Resistance (OHM) = Spare X = Used -

4Hole 1 2 3 4 5 6 7 8 9 10 11 12 Quantity:-


Existing Resistance (OHM) = Spare X = Used 0.07

Hole 1 2 3 4 5 6 7 8 9 10 11 12 Quantity:-5 Total holes: hole

Spare: hole Hole 13 14 15 16 17 18 19 20 21 22 23 24

= Spare X = Used

Hole 1 2 3 4 5 6 7 8 9 10 11 12 Quantity:-6 Total holes: hole

Spare: hole Hole 13 14 15 16 17 18 19 20 21 22 23 24

= Spare X = Used

7Hole 1 2 3 4 5 6 7 8 9 10 11 12 Quantity:-

Total holes: hole Spare: hole Hole 13 14 15 16 17 18 19 20 21 22 23 24

Existing Resistance (OHM) = Spare X = Used

MGB :

EGB:

IGB (if indoor shelter) :

Lower Bar :

Middle Bar :

Upper Bar :

ATS Ground Bar (if Any)

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Earthing and Grounding for EquipmentTick the box, () when checked.

No Existing/ Propose New

Quantity:-- pcshole

Existing Resistance (OHM)- ohm

Quantity:-4 pcs

12 hole


Existing Resistance (OHM)- ohm


Existing Resistance (OHM)0.07 ohm



Quantity:-pcshole

Existing Resistance (OHM)ohm

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Earthing and Grounding for Equipment

Measurement existing Grounding SystemGrounding Pit : - OhmGrounding Pit : - OhmGrounding Pit : - OhmGrounding Pit : - OhmGrounding Leg A : - OhmGrounding Leg B : - OhmGrounding Leg B : - OhmGrounding Leg D : - OhmKWH panel Grounding : - OhmATS Grounding Bar : - OhmACPDB Grounding Bar : - Ohm

2G & 3G Grounding System summaryGrounding Pit, Bus Bar Required: Qty: - pcs - holeVertical Tray, Bus Bar Required: Qty: - pcs - holeHorizantal Tray, Bus Bar Required: Qty: - pcs - holeFEP/ ODBTS, Bus Bar Required: Qty: - pcs - holeIGB, Bus Bar Required: Qty: - pcs - holeTotal Grounding Cables BCC 50mm Qty: mGrounding Pit, has been concreted: Yes No

Remarks on Earthing & Grounding System: Not Measured Because On Building

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Earthing and Grounding for Equipment

Measurement existing Grounding System

2G & 3G Grounding System summary

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Technical Site Survey Report Template Number : ISAT_PGMT_RNSG_TMPL_TSSR_0001Template Rev. No. : v03.5 Issued :Power Supply

AC

Voltage 230VMain Breaker Capacity 50 A Used capacity 50 ATotal service breakers 15 Spare service breakers 5New AC Power Cable Length Required New AC breakers No

DC

Cabinet RectifierPS Brand ELTEK Output voltageRectifier Type | Qty Flatpack2/'- Max. CapacitySpare Module Slots 5 Capacity OutputSpare DC Breakers 5 LoadRequired New DC breakers 0 DC Swap Solution Reuse DC systemDC PD4 Quantity - New DC Cabinet TypeDC PD4 DC Cable Length 0 Groundig Cable Length -

Batt

ery Cabinet Rectifier Battery Manufacture Date -

Battery Model 6-FMX-180 Battery Rack Size (WxDxH) 20x30x50 cmBattery Quantity 2 BANKS Battery Swap Solution Reuse BatteryBattery Capacity 180 Ah

BBU New BBU QTY BBU DC Cable Length

BBU Installation Type BBU E1 Cable LengthNEW RACK GND Cable Length BBU Net Cable Length

Existing Equipment

Eric

sson

SystemSi

emen

s SystemRack Type | Quantity Rack Type | QuantityRack Dimensions (WxDxH) Rack Dimensions (WxDxH)Rack Type | Quantity Rack Type | QuantityRack Dimensions (WxDxH) Rack Dimensions (WxDxH)

Hua

wei System

Oth

er

SystemRack Type | Quantity Rack Type | QuantityRack Dimensions (WxDxH) Rack Dimensions (WxDxH)Rack Type | Quantity Rack Type | QuantityRack Dimensions (WxDxH) Rack Dimensions (WxDxH)

TransmissionTransmission Type MW Hop Qty 61Total E1 Quantity - Used E1Transmission Cable Transmission Cable 120 ODF Type LC DDF Type

Civil WorksSufficient Space for cabinets YesExisting Baseframe ConcreteDim. of existing baseframe 42 x 42 New Cable Tray

No New Equipment Foundation

New RRU BracketQTYQTYQTY

Flood level - cmNotes:

Can existing cabinets be temporarily moved?

Structurally sound ( visual check of baseframe)

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230V50 A

5No

-

Reuse DC system

--

20x30x50 cmReuse Battery

61

120

Length

QTYQTYQTY

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Signal Cables and Distribution FramesTick the box, () when checked.

2G Transmission Type: Radio 2G Transport:Fiber

Others Specify:

DCS Transmission Type: Radio DCS Transport:Fiber

Others Specify:

3G Transmission Type: Radio 3G Transport:Fiber

Others Specify:

Metro-E Equipment: Available N/A

Transmission DDF:Total E1 Required: Total E1 Available:

Hops Details:-

1Facing to: Site

E1 Capacity : (Used: / Available: )

2Facing to: Site


3Facing to: Site


* Note: Pls add if more that 3 links

Transmission Link Status:-

Link X-ConnectSite Origin Site 1 Site 2 Site 3

E1 Status OK No OK No OK No OK No

Link X-ConnectSite 5 Site 6 Site 7 Site 8

E1 Status OK No OK No OK No OK No

Link X-ConnectSite 10 Site 11 Site 12 Site 13

E1 Status OK No OK No OK No OK No* Note: Pls add more columns if more that 13 sites

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2G Transport: E1 IP

DCS Transport: E1 IP

3G Transport: E1 IP

Site 4

OK No

Site 9

OK No

Site 14

OK No

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Radio Transmission EquimpentDIRECTION TO SITE TYPE AND MODEL FREQUENCYCAPACITY FEEDER BASE BAND CABLSITE ID SITE NAME TYPE SIZE

- - BSL2-127DS-M 13 GHz 1+0 - 0.6 m- - Alcatel A1213SHP/NFD 13 GHz 1+1 - 1.2 m- - VHLP6-11-AW2A 11 GHz 1+1 - 1.2 m- - VHLPX4-13-2WH/B 13 GHz 1+0 - 1.2 m- - VHLPX4-13-2WH 13 GHz 1+1 - 1.2 m- - BSL2-127DS-M 13 GHz 1+0 - 0.6 m- - VHLPX4-7W-4WH/D 7 GHz 1+0 - 1.2 m- - Label Missing 7 GHz 1+0 - 1.2 m- - VHLPX2-15-2WH/A 15 GHz 1+0 - 0.3 m- - VHLPX2-15-2WH/A 15 GHz 1+0 - 0.6 m- - VREFA-6S-7-WH 7 GHz 2x1+1 - 1.8 m- - VHLPX4-13-2WH/B 13 GHz 1+0 - 1.2 m- - BSL2-127DS-M 13 GHz 1+0 - 0.6 m- - BSL2-127DS-M 13 GHz 2x1+1 - 1.2 m- - VHLP4-15-N13 15 GHz 1+1 - 1.2 m- - VHLPX2-15-2WH/A 15 GHz 1+0 0.6 m

Remarks :

Other Transmission EquimpentDIRECTION TO SITE TYPE AND MODEL FREQUENCYCAPACITY FEEDER BASE BAND CABLSITE ID SITE NAME TYPE SIZE

- - - - - - -- - - - - - -- - - - - - -- - - - - - -- - - - - - -- - - - - - -- - - - - - -- - - - - - -- - - - - - -- - - - - - -- - - - - - -- - - - - - -- - - - - - -- - - - - - -- - - - - - -

Remarks: ** If Optic transmission, specify route from Node to FDF/OTB(MSC) **

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Radio Transmission EquimpentFEEDER BASE BAND CABL RACKSIZE

0.6 m -1.2 m -1.2 m -1.2 m -1.2 m -0.6 m -1.2 m -1.2 m -0.3 m -0.6 m -1.8 m -1.2 m -0.6 m -1.2 m -1.2 m -0.6 m -

Remarks :

Other Transmission EquimpentFEEDER BASE BAND CABL RACKSIZE

- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -

If Optic transmission, specify route from Node to FDF/OTB(MSC) **

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Radio Transmission EquimpentDIRECTION TO SITE TYPE AND MODEL FREQUENCYCAPACITY FEEDER BASE BAND CABLSITE ID SITE NAME TYPE SIZE

- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -

Remarks :

Other Transmission EquimpentDIRECTION TO SITE TYPE AND MODEL FREQUENCYCAPACITY FEEDER BASE BAND CABLSITE ID SITE NAME TYPE SIZE

- -- -- -- -- -- -- -- -- -- -- -- -- -- -

Remarks: ** If Optic transmission, specify route from Node to FDF/OTB(MSC) **

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Radio Transmission EquimpentFEEDER BASE BAND CABL RACKSIZE

---------------

Remarks :

Other Transmission EquimpentFEEDER BASE BAND CABL RACKSIZE

--------------

If Optic transmission, specify route from Node to FDF/OTB(MSC) **

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Technical Site Survey Report Template Number : ISAT_PGMT_RNSG_TMPL_TSSR_0001Template Rev. No. : v03.5 Issued :3G Configuration

Exis

ting

3G

Info

rmat

ion

Antenna Sector 1 Sector 2 Sector 3System U2100 U2100 U2100Type ARGUS CVVPX310R-BT1 ARGUS CVVPX310R-BT1 ARGUS CVVPX310R-BT1Band | Number of Ports OCTA 8 OCTA 8 OCTANumber of Antennas 1 1 1Height (AGL) | Azimuth 52.0 m 45 52.0 m 110 52.0 mTilting: Mechanical | Electrical 0.0 m 7 0.0 m 7 0.0 mRCU Model installed NA NA NATMA Model installed NA NA NACombiner Type used NA NA NACombiner Model used NA NA NAAntenna PoleOverall Structure Type SST 4 LEG SST 4 LEG SST 4 LEGAntenna Pole # | Diameter 1 3" 1 3" 1Total Pole Length 3M 3M 3MJumper & FeederAnt Jumper Type RF Jumper 1/2 RF Jumper 1/2 RF Jumper 1/2Ant Jumper Length 1.5m 1.5m 1.5mAnt Jumper Connector Type DMDM DMDM DMDMAnt Jumper Connector Quantity 2 2 2 Main Feeder Type Hybrid Cable Hybrid Cable Hybrid CableMain Feeder Length 60 M 60 M 60 MMain Feeder Connector Type Optic Cable Optic Cable Optic CableMain Feeder Connector Quantity 2 2 2 BTS Jumper Type RF Jumper 1/2 RF Jumper 1/2 RF Jumper 1/2BTS Jumper Length 1.5 M 1.5 M 1.5 MBTS Jumper Connector Type DMDR DMDR DMDRBTS Jumper Connector Quantity 2 2 2 FilterBrand - - -Type - - -RRU - - -Available, Yes/ No | Quantity Yes 1 Yes 1 YesType / Model FRGP FRGP FRGPRADIO (RAN)Equipment Vendor NOKIA NOKIA NOKIAEquipment Model FMR FMR FMRDigital Unit: Quantity | Type 1 1 1 Digital Unit: Type FSME FSME FSME# TRX Hardware Configured 2 2 2# TRX Software Configured 2 2 2

Antenna Sector 4 Sector 5 Sector 6SystemTypeBand | Number of PortsNumber of AntennasHeight (AGL) | AzimuthTilting: Mechanical | ElectricalRCU Model installedTMA Model installedCombiner Type usedCombiner Model usedAntenna PoleOverall Structure TypeAntenna Pole # | Diameter

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Technical Site Survey Report Template Number : ISAT_PGMT_RNSG_TMPL_TSSR_0001Template Rev. No. : v03.5 Issued :Ex

isti

ng 3

G In

form

atio

n

Total Pole LengthJumper & FeederAnt Jumper TypeAnt Jumper LengthAnt Jumper Connector TypeAnt Jumper Connector QuantityMain Feeder TypeMain Feeder LengthMain Feeder Connector TypeMain Feeder Connector QuantityBTS Jumper TypeBTS Jumper LengthBTS Jumper Connector TypeBTS Jumper Connector QuantityFilterBrand TypeRRUAvailable, Yes/ No | QuantityType / ModelRADIO (RAN)Equipment VendorEquipment ModelDigital Unit: Quantity | TypeDigital Unit: Type# TRX Hardware Configured# TRX Software Configured

2G Configuration

Exis

ting

2G

Info

rmat

ion

Antenna Sector 1 Sector 2 Sector 3System GSM GSM GSMType ARGUS CVVPX310R-BT1 ARGUS CVVPX310R-BT1 ARGUS CVVPX310R-BT1Band | Number of Ports OCTA 8 OCTA 8 OCTANumber of Antennas 1 1 1Height (AGL) | Azimuth 52.0 m 45 52.0 m 110 52.0 mTilting: Mechanical | Electrical 0.0 m 7 0.0 m 7 0.0 mRCU Model installed NA NA NATMA Model installed NA NA NACombiner Type used NA NA NACombiner Model used NA NA NAAntenna PoleOverall Structure Type SST 4 LEG SST 4 LEG SST 4 LEGAntenna Pole # | Diameter 1 3" 1 3" 1Total Pole Length 3M 3M 3MJumper & FeederAnt Jumper Type RF Jumper 1/2 RF Jumper 1/2 RF Jumper 1/2Ant Jumper Length 3m 3m 3mAnt Jumper Connector Type DMDM DMDM DMDMAnt Jumper Connector Quantity 2 2 2 Main Feeder Type Hybrid Cable Hybrid Cable Hybrid CableMain Feeder Length 60 M 60 M 60 MMain Feeder Connector Type Optic Cable Optic Cable Optic CableMain Feeder Connector Quantity 2 2 2 BTS Jumper Type RF Jumper 1/2 RF Jumper 1/2 RF Jumper 1/2BTS Jumper Length 1.5 M 1.5 M 1.5 MBTS Jumper Connector Type DMDR DMDR DMDRBTS Jumper Connector Quantity 2 2 2 Filter

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isti

ng 2

G In

form

atio

n

Brand KAELUS_DDF0052FxV2 KAELUS_DDF0052FxV2 KAELUS_DDF0052FxV2Type High High HighRRUAvailable, Yes/ No | Quantity Yes 1 Yes 1 YesType / Model FXDB FXDB FXDBRADIO (RAN)Equipment Vendor NOKIA NOKIA NOKIAEquipment Model FMR FMR FMRDigital Unit: Quantity | Type 1 1 1 Digital Unit: Type ESMB ESMB ESMB# TRX Hardware Configured 3 3 3 # TRX Software Configured 3 3 3

Antenna Sector 4 Sector 5 Sector 6SystemTypeBand | Number of PortsNumber of AntennasHeight (AGL) | AzimuthTilting: Mechanical | ElectricalRCU Model installedTMA Model installedCombiner Type usedCombiner Model usedAntenna PoleOverall Structure TypeAntenna Pole # | DiameterTotal Pole LengthJumper & FeederAnt Jumper TypeAnt Jumper LengthAnt Jumper Connector TypeAnt Jumper Connector QuantityMain Feeder TypeMain Feeder LengthMain Feeder Connector TypeMain Feeder Connector QuantityBTS Jumper TypeBTS Jumper LengthBTS Jumper Connector TypeBTS Jumper Connector QuantityFilterBrand TypeRRUAvailable, Yes/ No | QuantityType / ModelRADIO (RAN)Equipment VendorEquipment ModelDigital Unit: Quantity | TypeDigital Unit: Type# TRX Hardware Configured# TRX Software Configured

DCS Configuration

Exis

ting

DCS

Info

rmat

ion

Antenna Sector 1 Sector 2 Sector 3System DCS DCS DCS

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isti

ng D

CS In

form

atio

n

Type ARGUS CVVPX310R-BT1 ARGUS CVVPX310R-BT1 ARGUS CVVPX310R-BT1Band | Number of Ports OCTA 8 OCTA 8 OCTANumber of Antennas 1 1 1Height (AGL) | Azimuth 52.0 m 45 52.0 m 110 52.0 mTilting: Mechanical | Electrical 0.0 m 8 0.0 m 8 0.0 mRCU Model installed NA NA NATMA Model installed NA NA NACombiner Type used NA NA NACombiner Model used NA NA NAAntenna PoleOverall Structure Type SST 4 LEG SST 4 LEG SST 4 LEGAntenna Pole # | Diameter 1 3" 2 3" 3Total Pole Length 3M 3M 3MJumper & FeederAnt Jumper Type RF Jumper 1/2 RF Jumper 1/2 RF Jumper 1/2Ant Jumper Length 3 M 3 M 3 MAnt Jumper Connector Type DMDR DMDR DMDRAnt Jumper Connector Quantity 2 2 2 Main Feeder Type Hybrid Cable Hybrid Cable Hybrid CableMain Feeder Length 60 M 60 M 60 MMain Feeder Connector Type Optic Cable Optic Cable Optic CableMain Feeder Connector Quantity 2 2 2 BTS Jumper Type RF Jumper 1/2 RF Jumper 1/2 RF Jumper 1/2BTS Jumper Length 3 M 3 M 3 MBTS Jumper Connector Type DMDR DMDR DMDRBTS Jumper Connector Quantity 2 2 2 FilterBrand - - -Type - - -RRUAvailable, Yes/ No | Quantity Yes 1 Yes 1 YesType / Model FXEB FXEB FXEBRADIO (RAN)Equipment Vendor NOKIA NOKIA NOKIAEquipment Model FMR FMR FMRDigital Unit: Quantity | Type 1 1 1 Digital Unit: Type ESMC ESMC ESMC# TRX Hardware Configured 3 6 8# TRX Software Configured 3 6 8

Antenna Sector 4 Sector 5 Sector 6SystemTypeBand | Number of PortsNumber of AntennasHeight (AGL) | AzimuthTilting: Mechanical | ElectricalRCU Model installedTMA Model installedCombiner Type usedCombiner Model usedAntenna PoleOverall Structure TypeAntenna Pole # | DiameterTotal Pole LengthJumper & FeederAnt Jumper TypeAnt Jumper Length

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isti

ng D

CS In

form

atio

n

Ant Jumper Connector TypeAnt Jumper Connector QuantityMain Feeder TypeMain Feeder LengthMain Feeder Connector TypeMain Feeder Connector QuantityBTS Jumper TypeBTS Jumper LengthBTS Jumper Connector TypeBTS Jumper Connector QuantityFilterBrand TypeRRUAvailable, Yes/ No | QuantityType / ModelRADIO (RAN)Equipment VendorEquipment ModelDigital Unit: Quantity | TypeDigital Unit: Type# TRX Hardware Configured# TRX Software Configured

Notes:

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Sector 3U2100

ARGUS CVVPX310R-BT1OCTA 8

152.0 m 265 0.0 m 7

NANANANA

SST 4 LEG1 3"

3M

RF Jumper 1/21.5m

DMDM2

Hybrid Cable60 M

Optic Cable2

RF Jumper 1/21.5 MDMDR

2

---

Yes 1FRGP

NOKIAFMR1

FSME22

Sector 6

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Sector 3GSM


152.0 m 265 0.0 m 7

NANANANA

SST 4 LEG1 3"

3M

RF Jumper 1/23m

DMDM2

Hybrid Cable60 M

Optic Cable2

RF Jumper 1/21.5 MDMDR

2

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KAELUS_DDF0052FxV2High

Yes 1FXDB

NOKIAFMR1

ESMB3 3

Sector 6

Sector 3DCS

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152.0 m 265 0.0 m 8

NANANANA

SST 4 LEG3 3"

3M

RF Jumper 1/23 M

DMDR2

Hybrid Cable60 M

Optic Cable2

RF Jumper 1/23 M

DMDR2

--

Yes 1FXEB

NOKIAFMR1

ESMC88

Sector 6

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Notes:

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Technical Site Survey Report Template Number : ISAT_PGMT_RANS_TSSR_TMPL_0001Template Rev. No. : v03.5 Issued :Observed Antenna on Structure

Antenna Details

System Type Technology Type Length (cm) Azimuth

Panel Mobile 2G/3G/4G Multi 2G/3G/4G Multi H x W x D (cm) 2533 x 353 x 209 52.0 m ARGUS CVVPX310R-BT1 45



Dish Microwave Point to Point Point to Point (m) 0.6 m 35.0 m BSL2-127DS-M 50

Dish Microwave Point to Point Point to Point (m) 0.6 m 37.0 m Alcatel A1213SHP/NFD 25

Dish Microwave Point to Point Point to Point (m) 0.6 m 44.0 m VHLP6-11-AW2A 20

Dish Microwave Point to Point Point to Point (m) 0.6 m 45.0 m VHLPX4-13-2WH/B 60

Dish Microwave Point to Point Point to Point (m) 0.6 m 46.0 m VHLPX4-13-2WH 330


Dish Microwave Point to Point Point to Point (m) 0.3 m 55.0 m VHLPX4-7W-4WH/D 300

Dish Microwave Point to Point Point to Point (m) 0.6 m 56.0 m Label Missing 180

Dish Microwave Point to Point Point to Point (m) 0.6 m 60.0 m VHLPX2-15-2WH/A 330


Dish Microwave Point to Point Point to Point (m) 0.6 m 67.0 m VREFA-6S-7-WH 60

Dish Microwave Point to Point Point to Point (m) 0.6 m 68.0 m VHLPX4-13-2WH/B 85



Antenna Type

Bands (Single/ Dual/ Tri etc)

Dimensions (RF) or Diameter

(Mwave)

Height (mounted height on

tower)

Brand / Model (Kathrein, SNxxxxx)

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13 January 2014

Antenna Details

Number of Ports

8 1 Hybrid

8 1 Hybrid

8 1 Hybrid

- 1 RG 214

- 1 RG 214

- 1 RG 214

- 1 RG 214

- 1 RG 214

- 1 RG 214

- 1 RG 214

- 1 RG 214

- 1 RG 214

- 1 RG 214

- 1 RG 214

- 1 RG 214

- 1 RG 214

- 1 RG 214

Amount of Feeders

Feeder Diameter (7/8, 1 5/8, etc.)

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Antenna Details


Dish Microwave Point to Point Point to Point (m) 0.6 m 41.0 m VHLP4-15-N13 160


Dish Microwave Point to Point Point to Point (m)

















Antenna Type



(Mwave)Height (mounted height on tower)


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13 January 2014

Antenna Details

Number of Ports

- 1 RG 214

- 1 RG 214

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Amount of Feeders


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Antenna Details


Dish Microwave Point to Point Point to Point (m) 0.6 m 35.0 m VHP2-71W-SA1 345



Dish Microwave Point to Point Point to Point (m) 0.6 m 47.0 m HPL06-071SWBUDR 270

Dish Microwave Point to Point Point to Point (m) 0.6 m 51.0 m MLPG06127SC3 310


Dish Microwave Point to Point Point to Point (m) 1.2 m 56.0 m A1278SHP/NFB 340


Dish Microwave Point to Point Point to Point (m) 1.2 m 67.0 m A1278SHP/NFB 345

Dish Microwave Point to Point Point to Point (m) 0.6 m 68.0 m SLG0678DS6 15


Dish Microwave Point to Point Point to Point (m) 0.6 m 80.0 m ALCATEL 280

Dish Microwave Point to Point Point to Point (m) 1.2 m 85.0 m SU2-W71PSY 220


Panel Mobile 2G/3G/4G Multi 2G/3G/4G Multi H x W x D (cm) - 32.0 m - -





Antenna Type





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Antenna Details

System Type Technology Type Length (cm) AzimuthAntenna TypeBands (Single/ Dual/ Tri etc)








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Antenna Details

Number of Ports

- 1 RG 214

- 1 RG 214

- 1 RG 214

- 1 RG 214

- 1 RG 214

- 1 RG 214

- 1 RG 214

- 1 RG 214

- 1 RG 214

- 1 RG 214

- 1 RG 214

- 1 RG 214

- 1 RG 214

- 1 RG 214

- - -

- - -

- - -

- - -

- - -

Amount of Feeders


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Antenna Details

Number of Ports Amount of FeedersFeeder Diameter (7/8, 1 5/8, etc.)

- - -

- - -

- - -

- - -

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Antenna Details




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