SA Approval Sheet

This approval sheet declares that the SA has been performed at the below location.
And the work has been considered as complete and satisfactory fulfil the standard technical requirements in Telkomsel
project.

SA performed by

Approved by Didin Mahmudin, PT UCE INDONESIA on 23 Mar 2015

Site Assessment Information

Project Name TKS (Telkomsel)
Site Name Site Type Work Package ID / Type
TB_SET_AJI GF SST 42 9528750 / 3G TI for HSDPA Upgrade
Site Code / ID Partner/Subcontractor(Main) - BTS Assessment / Visit Date
PLK079_3G PT UCE INDONESIA 23-Mar-2015
Site Code / ID Partner/Subcontractor(Main) - TRS Assessment / Visit Date
Region / Zone Name Assessment Type Integration / OA Date
R8-KALIMANTAN Self Assesment 22-Mar-2015
Equipment Detail
Equipment Info Antenna Info Material Supplier
Equipment Type Antenna Type Antenna Direction TI Supplier
EXISTING EXISTING EXISTING PT STAR GLOBAL INDONESIA
Current Config Antenna Tilt Antenna Height CME Supplier
3/3/3 EXISTING EXISTING
Remark
Scoring Summary IMPLEMENTATION BTS
Responsible Party
Severity Level SQI SeQI MQI
Service Supplier NSN Customer
1 0 0 0 0
2 0 0 0 0
3 0 0 0 0 0 0 0
4 0 0 0 0
Total 0 0 0 0
Scoring Detail
Open Defects SQI Scores
Group
NS N C NS N C
IMPLEMENTATION ALARM PANEL / DDF SYSTEM (6501 - 6560) 0 0 0 0 0 0
IMPLEMENTATION ANTENNA SYSTEM (6701 - 6857) 0 0 0 0 0 0
IMPLEMENTATION BTS (6001 - 6405) 0 0 0 0 0 0
IMPLEMENTATION POWER SYSTEM (6601 - 6694) 0 0 0 0 0 0
IMPLEMENTATION TRANSMISSION SYSTEM (7001 - 7705) 0 0 0 0 0 0
This approval sheet is automatically generated by eBAST upon acceptance of all person in charge and no more signatures on
hard copy is required. This sheet is inseparable from the SA report and should be the first thing seen when opening the
report.

-2.237985 113.93093666666667 -2.238043333333333 113.93061666666667

 SA NO : SA NO :
01a 01b

-2.237985 113.93093666666667 -2.238043333333333 113.93061666666667

Scope:View to site view and antenna placement (Far away Scope:View to site view and antenna placement (close
picture) picture)
SA NO : SA NO :
02a 02b

-2.2380383333333334 113.93064166666666 -2.776431666666667 115.26698499999999

Scope:View to site (Access road) Scope:View to site (Yard view)

SA NO : SA NO :
02c 02d

-2.776431666666667 115.26698499999999 -2.776431666666667 115.26698499999999

Scope:View to site(Baseframe) Scope:View to site (Name plate)

SA NO : SA NO :
03 04a

-2.238015 113.93053166666665 -2.238023333333333 113.93053499999999

Scope:View to BTS Placement Scope:View to BTS fixed to H-beam / Baseframe (Bottom

view)

Site : PLK079_3G

Good Site Photo 1

 SA NO : SA NO :
04b 05

-2.238023333333333 113.93053499999999 -2.238015 113.93053166666665

Scope:View to BTS fixed to H-beam / Baseframe (Upper Scope:View of cover module installed tighthly, cable entry
view) kits and sealing installed properly
SA NO : SA NO :
06 07a

-2.238015 113.93053166666665 -2.2380166666666668 113.93049166666667

Scope:View of cover module and cable route beetween Scope:View to OVP installation SM modul
BTS module
SA NO : SA NO :
07b 07c

-2.237976666666667 113.93056666666668 -2.237976666666667 113.93056666666668

Scope:Grounding OVP on SM modul Scope:DC power termination on OVP SM modul

SA NO : SA NO :
08 09a

-2.219736666666667 113.92488666666668 -2.2379883333333335 113.93056999999999

Scope:View to BTS configuration and internal cable Scope:View to cable conduit for outdoor (Upper view)
installation

Site : PLK079_3G

Good Site Photo 2

 SA NO : SA NO :
09b 10a

-2.2379883333333335 113.93056999999999 -2.238023333333333 113.93053499999999

Scope:View to cable conduit for outdoor (Bottom view) Scope:View to grounding installation (to modul)

SA NO : SA NO :
10b 11

-2.237983333333333 113.93059333333333 -2.237955 113.93071833333333

Scope:View to grounding installation (to busbar) Scope:DC PS cable installed to circuit breaker, labeled on
both side (cable and MCB)
SA NO : SA NO :
12a 12b

-2.219736666666667 113.92488666666668 -2.238015 113.93053166666665

Scope:View to connector installation and IP seals (Optic Scope:View to connector installation and IP seals (PCM
cable and cover idle port) and cover idle port)
SA NO : SA NO :
13 14a

-2.2379966666666666 113.93066333333333 -2.2379966666666666 113.93066333333333

Scope:View to LSA installation. LSA has to be given for Scope:View to DDF grounding connected to busbar (View
proper label and installed according to plan of DDF frame)

Site : PLK079_3G

Good Site Photo 3

 SA NO : SA NO :
14b 15

-2.237975 113.93075333333333 -2.2379966666666666 113.93066333333333

Scope:View to DDF grounding connected to busbar Scope:View to alarm cable connection

(Connection to busbar)
SA NO : SA NO :
23a 23b

-2.238001666666667 113.93045833333332 -2.238001666666667 113.93045833333332

Scope:View safety rope; View to connector installation and Scope:View to connector installation and routing for
routing for internal cable internal cable
SA NO : SA NO :
24a 24b

-2.2379966666666666 113.930505 -2.237976666666667 113.93056666666668

Scope:View to OVP installation on RF modul Scope:Grounding installation and DC power termination on

OVP RF modul.
SA NO : SA NO :
25 26

-2.238046666666667 113.930555 -2.238046666666667 113.930555

Scope:View grounding RF module Scope:View to jumper installation (to BTS), labeled and
waterproofed

Site : PLK079_3G

Good Site Photo 4

 SA NO : SA NO :
27a 27b

-2.238046666666667 113.930555 -2.238046666666667 113.930555

Scope:View installation RF module Scope:View installation RF module: upper universal

bracket position
SA NO :
27c

-2.238046666666667 113.930555

Scope:View installation RF module: lower universal

bracket position

Site : PLK079_3G

Good Site Photo 5