PAT Form Template Approval Sheet

PHYSICAL CHECK ACCEPTANCE TEST RESULT

FOR PDH MICROWAVE EQUIPMENT

Vendor : ERICSSON SoW : SWAP LINK

Configuration : 15E6691-ML6K-200Mbps- Frequency : 15 GHz
1.2DP-NP
Site name : SIDONDO Site ID : 24BWA023
Link Name : SIDONDO- Capacity : 200 Mbps
KOTAPULU_DOLO
ATP Date : PIC : ROBI HARTONO

PT Indosat Contractor

Print Name : Print Name :

Title : Title :

Signature : Signature :

Acceptance Category*

 Accepted  Conditionally Accepted  Not Accepted

 Accepted if there is no Punchlist recorded or Punchlist has been closed

 If conditionally accepted or not accepted, the action required to achieve acceptance must be
detailed write down.

REMARKS :

Revision : 02
Date : October 19, 2018

1
 ATP CHECK LIST FORM

Site Name : SIDONDO PT. INDOSAT Vendor

Sign. / Date Sign. / Date
Site ID : 24BWA023
Hop Name : SIDONDO- KOTAPULU_DOLO p.2
 ATP CHECK LIST FORM
1. OUTDOOR INSTALLATION

Item to be Checked Status Remarks

Installation of ODU + Label OK NOK NA Pict 3 & 4

Installation of Antenna + Label OK NOK NA Pict 2

Installation of IF cable + Label (on ODU and FEP) OK NOK NA Pict 8

Grounding for ODU and Busbar + Label (both side) OK NOK NA Pict 8 & 9

Installation of Ground Kit + Label (both side) OK NOK NA Pict 8 & 9

Waterproofing / Rubber & Isolation tape OK NOK NA Pict 8 & 12

Antenna Mounting Installation (double nut) OK NOK NA Pict 5 & 6

2. INDOOR/SERVICE CABINET INSTALLATION

Item to be Checked Status Remarks

Installation of IDU + Label OK NOK NA Pict 15 & 16 & 17

Ground for IDU&Modem + Label OK NOK NA Pict 16 & 19

Installation of IF Cable + Label OK NOK NA Pict 15 & 16 & 17

Installation of DDF + Label OK NOK NA Pict 20

Installation of IDU Power Cable + Label OK NOK NA Pict 17

Installation of Optical Cable + Label OK NOK NA Pict 15 & 16

Installation of Ethernet Cable + Label (must use

OK NOK NA Pict 15 & 16
fabrication connector)

3. DC Power Input Measurement

Measurement Result Specification Status Remarks

Measurement with DC
VDC –43.2 VDC to –56.0 VDC OK NOK
Voltmeter

4. VISUAL ALARM CHECK

Alarm Status
Item test Specification Remarks
Main Stand By

Modem No Alarm OK NOK NA OK NOK NA Pict 16

5. ETHERNET TEST RFC 2544

Item to be Checked Status Remarks

Throughput Test Result OK NOK NA Pict 25

Latency Test Result OK NOK NA Pict 26

Frame Loss Test Result OK NOK NA Pict 27

Site Name : SIDONDO PT. INDOSAT Vendor

Sign. / Date Sign. / Date
Site ID : 24BWA023
Hop Name : SIDONDO- KOTAPULU_DOLO p.3
 ATP CHECK LIST FORM
6. ATTACHMENT CHECKING

Item to be Attached Status Remarks

Bill Of Quantity (BOQ) as Equipment Inv. OK NOK NA

Picture of Physical Installation OK NOK NA

7. REGISTRATION ISR

Item to be Checked Registration Number Status Remarks

ISR Registration OK NOK

Site Name : SIDONDO PT. INDOSAT Vendor

Sign. / Date Sign. / Date
Site ID : 24BWA023
Hop Name : SIDONDO- KOTAPULU_DOLO p.4
 ATP CHECK LIST FORM
Attachement 1. Transmission Bill of Quantity
Hop Name :
Configuration :
Scope :

No Description S/ N Qty Unit Remark

1 IDU 400 set
2 IDU 1000 set
3 ODU 8GHz Ea
4 ODU 11GHz Ea
5 ODU 13GHz Ea
6 ODU 15GHz Ea
7 ODU 23GHz Ea
8 16E1 Card Ea
9 Modem Card Ea
10 MAIN BOARD FOR iPASOLINK1000 (Standard) Ea
11 2xSTM-1 INTFC CARD (STM1-A) Ea
12 STM-1 S-1.1 SFP Module Ea
13 1000BASE-SX SFP Module Ea
14 ANTENNA DP 7/8GHz 1.2m set
15 ANTENNA DP 7/8GHz 1.8m set
16 ANTENNA DP 11GHz 1.2m set
17 ANTENNA DP 13GHz 0.6m set
18 ANTENNA DP 13GHz 1.2m set
19 ANTENNA DP 15GHz 0.6m set
20 ANTENNA DP 23GHz 0.6m set
21 Bracket ODU (1+0) 8GHz Ea
22 Bracket ODU (1+1) 8GHz Ea
23 Bracket ODU 11GHz Ea
24 Bracket ODU 13GHz Ea
25 Bracket ODU 15GHz Ea
26 Bracket ODU 23GHz Ea
27 Hybrid 8GHz Ea
28 Hybrid 11GHz Ea
29 Hybrid 13GHz Ea
30 Hybrid 15GHz Ea
31 Hybrid 23GHz Ea
32 LOW LOSS 8GHz (1M) + Connector + Transducer set
33 LOW LOSS 8GHz (2M) + Connector set
34 FLEXIBLE WAVEGUIDE 11GHz Ea
35 FLEXIBLE WAVEGUIDE 13GHz Ea
36 FLEXIBLE WAVEGUIDE 15GHz Ea
37 FLEXIBLE WAVEGUIDE 23GHz Ea
38 5D-FBCoaxial Cable + Connector (100m/Set) set
39 MDR Cable Set
40 Installation Material for New Link Hop
41 Installation Material for New Link w/ SD System Hop
42 Installation Material for Swap IDU Hop
43 Installation Material for Swap ODU Hop
44 Installation Material for Swap Upgrade with Antenna Hop
45 Installation Material for Swap Upgrade with SD System Hop
46 Installation Material for Swap Upgrade w/o Antenna Hop

Site Name : SIDONDO PT. INDOSAT Vendor

Sign. / Date Sign. / Date
Site ID : 24BWA023
Hop Name : SIDONDO- KOTAPULU_DOLO p.5
 ATP CHECK LIST FORM

Attachement 2. Picture of Installation

1. Penempatan antena dari kaki tower 2. Pemasangan antena main + label + barcode

3. Pemasangan ODU 1+0, label + barcode 4. Pemasangan ODU 1+1, label + barcode

5. Pemasangan mounting antena 6. Pemasangan brackett mounting antena di kaki

tower (mur 2 set)

Site Name : SIDONDO PT. INDOSAT Vendor

Sign. / Date Sign. / Date
Site ID : 24BWA023
Hop Name : SIDONDO- KOTAPULU_DOLO p.6
 ATP CHECK LIST FORM

7. Pemasangan brackett antena di pipa mounting 8. Pemasangan kabel IF & ground ODU + label +
waterproof

9. Terminasi ground ODU di busbar tower + label 10. Pemasangan kabel ties pada sisi vertikal tray (3 foto)

11. Pemasangan kabel ties pada sisi horisontal tray (3 foto) 12. Pemasangan grounding kit + label

Site Name : SIDONDO PT. INDOSAT Vendor

Sign. / Date Sign. / Date
Site ID : 24BWA023
Hop Name : SIDONDO- KOTAPULU_DOLO p.7
 ATP CHECK LIST FORM

13. Terminasi kabel ground kit di busbar + label 14. Posisi masuknya kabel IF di FEP Shelter/SC. FEP SC
tidak perlu di Sealent, FEP Shelter harus di Sealant.

15. Posisi IDU tampak depan dari SC/rak 19” 16. Pemasangan kabel IF, ground IDU/Modem + label

17. Pemasangan kabel traffic, power IDU + label 18. Label IDU dan barcodenya

N/A
19. Pemasangan kabel IF, ground, + label 20. Pemasangan terminal blok LSA + label

Site Name : SIDONDO PT. INDOSAT Vendor

Sign. / Date Sign. / Date
Site ID : 24BWA023
Hop Name : SIDONDO- KOTAPULU_DOLO p.8
 ATP CHECK LIST FORM

21. Pemasangan kabel power di Rectifier/DCPDB 22. Kondisi shelter/SC tempat IDU terpasang tampak
depan

23. Foto SID + Red mark 24. Foto Ketinggian Antenna (pakai meteran)

Site Name : SIDONDO PT. INDOSAT Vendor

Sign. / Date Sign. / Date
Site ID : 24BWA023
Hop Name : SIDONDO- KOTAPULU_DOLO p.9
 ATP CHECK LIST FORM

25. Throughput Test Result

26. Latency Test Result

27. Frame Loss Test Result

Site Name : SIDONDO PT. INDOSAT Vendor

Sign. / Date Sign. / Date
Site ID : 24BWA023
Hop Name : SIDONDO- KOTAPULU_DOLO p.1
0
 ATP CHECK LIST FORM

Punchlist Summary

Rectification
NO Punchlist Item Event Date Date Status Remarks

Site Name : SIDONDO PT. INDOSAT Vendor

Sign. / Date Sign. / Date
Site ID : 24BWA023
Hop Name : SIDONDO- KOTAPULU_DOLO p.1
1
 ATP CHECK LIST FORM

PUNCHLIST and Rectification PHOTOS

BEFORE AFTER

Comment Comment

BEFORE AFTER

Comment Comment

BEFORE AFTER

Comment Comment

Site Name : SIDONDO PT. INDOSAT Vendor

Sign. / Date Sign. / Date
Site ID : 24BWA023
Hop Name : SIDONDO- KOTAPULU_DOLO p.1
2
 ATP CHECK LIST FORM

PUNCHLIST and Rectification PHOTOS

BEFORE AFTER

Comment Comment

BEFORE AFTER

Comment Comment

BEFORE AFTER

Comment Comment

Site Name : SIDONDO PT. INDOSAT Vendor

Sign. / Date Sign. / Date
Site ID : 24BWA023
Hop Name : SIDONDO- KOTAPULU_DOLO p.1
3