LIST OF SITE SURVEY REPORTS

Site Name

Longitude

: (Desimal Only)

Project ID

Latitude

Site ID DMT

Altitude

Site Type

Greenfield

RO

Tower Hight

Building Height (Roof Top)

Address

Rooftop

RT

Kodya/Kab

Kecamatan

Kelurahan/Desa/Dusun :

RW

Kode Pos

Total Operator :
Date of Survey :
Tower Owner :
A. TOWER TECHNICAL SPECS
1 Land Dimension Area

= p. x l . m

2 Shelter Dimension

= p. x l . x t .. m

3 Shelter Collapsible

CKD

Outdoor

Permanen

..

4 Pedestal

Yes

No

5 Tower Type

SST

Mini Tower

Guyed Mast

Mini Pole

Pole

Monopole

Camoufulage

Combat

Microcell

Minaret

6 Tower Leg

1 Leg

3 Legs

4 Legs

7 Tower HD MD LD

HD

MD

LD

8 Tower Height
9Pagar
10 Tower Age
11 Tower Lighting

Lebarsiku legs .. cm

= . m
BRC

Tembok

BRC & Tembok

= ..............................
Yes

Harmonika

(dd/mm/yy)

No Jumlah Lampu Tower bh

None

12 Tower Painting

Yes

13 Feeder Length (summary x 2)

No

= .. m

14 PLN Connectivity

On Grid

Off Grid

15Permanen Generator

CDC

Solar Cell

16Genset Power Capacity

Daya yang digunakan .... kva

Genset

= .. watt/kva

17 Type of Security

DSK

18 Tower Manufacturer

19 Informasi lainnya

No
None

B. TENANT
I. Tenant 1
a. Name Site by Tenant

b. Side ID Tenant

c. Operator Name

d. Number of RF Antena

e. Number of Microwafe

f. Number of BTS

g. BTS Technology

: 2G (GSM) / 3G / DCS / 3.5 G / 3.75 G / Not Identify

h. BTS Manufacturer

i. SOW

: B2S / COLO /RESELLER / SHELTER ONLY / LAINNYA :

No

Jenis Label

Tower

Pondasi BTS

Shelter

ME Shelter

a.

AC 1

b.

AC 2

c.

Panel Alarm

d.

Extinguisher

ME Outdoor
a.

Panel KWH

b.

Panel ACPDB

Nomor Barcode

None

II. Tenant 2
a. Name of Tenant

b. Side ID Tenant

c. Operator Name

d. Number of RF Antena

e. Number of Microwafe

f. Number of BTS

g. BTS Technology

h. BTS Manufacturer

: 2G (GSM) / 3G / DCS / 3.5 G / 3.75 G / Tidak Diketahui

i. SOW

: B2S / COLO /RESELLER / SHELTER ONLY / LAINNYA :

No

Jenis Label

Tower

Pondasi BTS

Shelter

ME Shelter
e. AC 1
f.

AC 2

g. Panel Alarm
h. Extinguisher
5

ME Outdoor
c. Panel KWH
d. Panel ACPDB

No Barcode

III. Tenant 3
a. Name of Tenant

b. Side ID Tenant

c. Operator Name

d. Number of RF Antena

e. Number of Microwafe

f. Number of BTS

g. BTS Technology

h. BTS Manufacturer

: 2G (GSM) / 3G / DCS / 3.5 G / 3.75 G / Tidak Diketahui

i. SOW

: B2S / COLO /RESELLER / SHELTER ONLY / LAINNYA :

No

Jenis Label

Tower

Pondasi BTS

Shelter

ME Shelter
i.

AC 1

j.

AC 2

k. Panel Alarm
l.
5

Extinguisher

ME Outdoor
e. Panel KWH
f.

Panel ACPDB

No Barcode

IV. Tenant 4
a. Name of Tenant

b. Side ID Tenant

c. Operator Name

d. Number of RF Antena

e. Number of Microwafe

f. Number of BTS

g. BTS Technology

h. BTS Manufacturer

: 2G (GSM) / 3G / DCS / 3.5 G / 3.75 G / Tidak Diketahui

i. SOW

: B2S / COLO /RESELLER / SHELTER ONLY / LAINNYA :

No

Jenis Label

Tower

Pondasi BTS

Shelter

ME Shelter
m. AC 1
n. AC 2
o. Panel Alarm
p. Extinguisher

ME Outdoor
g. Panel KWH
h. Panel ACPDB

No Barcode

DATA ANTENA MICROWAFE

No

Jenis

Diameter

ketinggian

Azimuth

Merk

Jumlah

1
2
3
4
5
6
7
8
9

DATA ANTENA RF
No
1
2
3
4
5
6
7
8
9

Panjang

Ketinggian

Azimuth

Merk

Jumlah

Site Layout

ARAH UTARA

Site Location

ARAH UTARA

Jakarta,
Pembuat

Mengetahui

2013