Project ROMA Tower Site Control Sheet_V3.

Document Notes

This document is a contrtolled document for specific use by Centratama and it's approved contractors for a specific project for the QA validation and data records of sites. This document is not to be modified or shared with non
authorised persons. Should any issues arrise from using this document it should be reported imediatley to the Centratama project management team for correction and modification by the authorised team.

Version Control

Version # Date Version Description Author Client Owner

0.10 11/10/21 Draft Release for Review Spencer Crawford-White Jim Burns

0.20 11/10/21 Modifications to TEI and Defect Tables Spencer Crawford-White Jim Burns

0.30 19/10/21 Modifications for Defect Category, Fibre and RRU positioning Spencer Crawford-White Jim Burns

0.40 03/11/21 Various additions and Tab Changes plus language additions Spencer Crawford-White Jim Burns

1.00 07/11/21 Set As FIRST Issue for Contractors Project ROMA Spencer Crawford-White Jim Burns

2.00 16/11/21 Added additional fibre provider options to sheet Spencer Crawford-White Jim Burns

2.10 18/11/21 Azimuth MAX limits modified to cover 0 to 359 degrees Spencer Crawford-White Jim Burns

3.00 24/11/21 Power and Note Changes for Operations Spencer Crawford-White Jim Burns

3.10 25/11/21 Defect Summary Page Corrected for automation Spencer Crawford-White Jim Burns
 Project ROMA Tower Site Database Sheet_V3.1

Structure Height Building Height Number of Legs /

Site ID / ID Site Type / Type Structure Type / Type of Legs /
Site Name/Nama Site Region Longitude Latitude (m) / Tinggi (m) / Tinggi Jumlah Kaki
Site Site Tipe Structure Tipe Kaki Tower
Struktur ( m ) Gedung ( m ) Tower

Lattice Tower
R3580076 MINGGIRAN (EJ) East Java 112.05140 -7.73304 Greenfield ( GF ) 32 0 3 Angle (siku)
(menara kisi)

No. of
Equipment
Generator Size Fibre Site / Site No. Antennas (RF) No. Dishes (MW) /
Housings on Compound Length / ukuran Compound Width / ukuran Compound Area/ Power Type / Tipe AirCon Status / No. Operators /
(kVa) / Ukuran dengan / Jumlah Antenna Jumlah Antenna
site / panjang site (m) lebar site (m) luas site (m2) Sumber Listrik Status AC Jumlah Operator
Genset ( kVa ) Fibernisasi RF MW
Jumlah BTS
Foundation

1 0.000 0.000 0.000 Grid Power (PLN) 0 No AirCon 0 1 3 1

No. Radios Audit Company /

Number of Defects / Audit Date / QA Date / Tanggal Pass/Fail / Lulus / Comments /
(RRU) / Total Items of Equipment Penyelenggara
Jumlah Defect Tanggal Audit QA Gagal Keterangan
Jumlah RRU Audit

0 4 3 08/02/2022 Ebeka

Note: Insert Data in to Yellow Cells Only

Catatan : Isi data hanya di kolom kuning
 Project ROMA Tower Equipment Database Sheet_V3.1

Site ID / ID Site Type / Type Structure Type / Structure Height Building Height
Site Name/Nama Site Region Longitude Latitude (m) / Tinggi (m) / Tinggi
Site Site Tipe Structure
Struktur ( m ) Gedung ( m )

Lattice Tower
R3580076 MINGGIRAN (EJ) East Java 112.05140 -7.73304 Greenfield ( GF ) 32 0
(menara kisi)

Operator Type of Fibre Installation

Is Fibre Connected at the site FLP Information No. Antennas (RF) No. Dishes (MW) / No. Radios
Name / (yes/no) / Apakah ada koneksi (Aerial/Underground) / (Fibre Lease / Jumlah antenna Jumlah antenna (RRU) / Jumlah
Nama fiber di site ( Ada / Tidak ) Tipe fibernisasi ( Kabel Provider) RF MW RRU
Operator layang / Kabel tanam )

INDOSAT 0 0 0

XL 0 0 0

TELKOMSEL 0 0 0

H3I No / Tidak ada N/A 3 1 0

SMART Fren 0 0 0

BBSC 0 0 0

Berca 0 0 0

Daymitra 0 0 0

IBS 0 0 0

MSM 0 0 0

PAB 0 0 0

PGAS 0 0 0

STI 0 0 0
3 1 0
Note: Do not insert any data except the FIBRE information
Catatan : Jangan mengubah data apapun kecuali informasi fibernisasi
 Project ROMA Tower Defects Database Sheet_V3.1

Structure Height Building Height

Site ID / ID Site Name/Nama Site Region Longitude Latitude Site Type / Type Structure Type / (m) / Tinggi (m) / Tinggi
Site Site Tipe Structure Struktur ( m ) Gedung ( m )

Lattice Tower
R3580076 MINGGIRAN (EJ) East Java 112.05140 -7.73304 Greenfield ( GF ) (menara kisi) 32 0

Fix Required /
# Type / Tipe Description / Deskripsi Position on Site / Posisi di Site Perbaikan yang
dibutuhkan

1 Outdoor Cabinets ( kabinet outdoor ) Cracking pad cabinet Ground Repair concert pad cabinet

2 Tower Equipment (peralatan menara) Rusty bolt brecket antena mw Leg C Rusty treatment

3 Wildlife and Insects (satwa liar dan serangga) Wildlife nest at brecket antena RF Leg B Clean up

4 0 0 0 0

5 0 0 0 0

6 0 0 0 0

7 0 0 0 0

8 0 0 0 0

9 0 0 0 0

10 0 0 0 0

11 0 0 0 0

12 0 0 0 0

13 0 0 0 0

14 0 0 0 0

15 0 0 0 0

Note: Do not insert any data

 Project ROMA Ground Site Audit Sheet_V3.1

Structure Height Building Height

Site ID / ID Site Name/Nama Site Region Longitude Latitude Site Type / Type Structure Type / Tipe (m) / Tinggi (m) / Tinggi
Site Site Structure Struktur ( m ) Gedung ( m )

R3580076 MINGGIRAN (EJ) East Java 112.05140 -7.73304 Greenfield ( GF ) Lattice Tower (menara kisi) 32 0

Audit Details / Detail Audit :

Vendor: Ebeka Audit Date / Tanggal Audit: 08/02/2022 Created by / Dibuat Oleh: Agung

Site Ground Details / Detail Site Informasi :

General / Over grow with tree and plants in site area / Provider tenant only H3I
Umum :

Access Route / Akses Jalan menuju site :

Type: Gravel (kerikil) Width /Lebar (m): 2.6 Distance / Panjang (m): 49

Locking System / Tipe Kunci

Type: Padlock (gembok) Status: Locked (terkunci)

Compound Size / Ukuran lahan :

Type: Stone Finish (batu) Width (m): Length (m):

Fencing Type / Tipe Pagar :

Type: BRC (BRC) Height (m): 2.5

Gate Size / Ukuran gerbang pagar :

Type: Pedestrian (pejalan kaki) Width (m): 1.6

Equipment Shelter Details (INDOSAT ONLY) / detail perangkat di dalam shelter ( khusus Indosat ) :

Item to Record Detailed Notes

Shelter Type / Tipe Shelter N/A
Shelter Size / Ukuran N/A
Equipment Units installed / Perangkat N/A
ID Number ( no ID ) N/A
Signage ( logo ) N/A

Equipment Housings (shelter & cabinets) / ( detail perangkat di site semua operator )

Pad Length /
Client Name / Nama Operator Type / Tipe Pad Width / Lebar Pad Comments / Keterangan
Panjang Pad
XL Outdoor Cab (perangkat outdoor) 1.700 3.720 RBS (0,60 x 0,48 x 0,98)m / RBS 2 (0,60 x 0,48 x 1,68)m / ACPDB cab (0,40 x 0,20 x 0,60)m

Total Equipment Housings 1

Air Conditioning Units: / Jumlah AC

Condition: No AirCon Qty: 0 Note if More than one AC user

Fibre Connection on Site:

Provider N/A Yes / No Type of Connection

Power Systems: / ( detail sumber listrik )

Type: Grid Power (PLN) Back Up:

Type (Tipe) Yes/No ( Ada/Tidak ) Size /Daya (dimension or kVa) Qty (Jumlah ) Description/Comments / Keterangan

Permanent Grid (PLN) Yes 13.2 1 ACPDB cab dimension (0,40 x 0,20 x 0,60)m

Generator (Genset) N/A

Solar ( Solar Panel ) N/A

Hybrid N/A

Batteries (CDC) N/A

Meter Box (KWH ) Yes (0,50 x 0,30 x 0,72)m / 6,6 2 KWH cab inner site dimension (0,50 x 0,30 x 0,72)m / KWH cab front site dimension (0,40

Fuel Tank ( Tanki Solar untuk Genset ) N/A

Power Systems: (Others) / ( Sistem Listrik Operator Lain ) Operator: H3I

Type Yes/No Size (dimension or kVa) Qty Description/Comments

ADCB Box (ACPDB ) Yes 13.2 1 ACPDB cab dimension (0,40 x 0,20 x 0,60)m

Generator (Genset) N/A

Meter Box (KWH) Yes (0,50 x 0,30 x 0,72)m / 6,6 2 KWH cab inner site dimension (0,50 x 0,30 x 0,72)m / ID PLN 514011029461 / KWH cab fr

Fuel Tank ( tanki solar untuk genset ) N/A

Power Systems: (Others) / ( Sistem Listrik Operator Lain ) Operator:

Type Yes/No Size (dimension or kVa) Qty Description/Comments

ADCB Box (ACPDB )

Generator (Genset)

Meter Box (KWH)

 Fuel Tank ( tanki solar untuk genset )

Power Systems: (Others) / ( Sistem Listrik Operator Lain ) Operator:

Type Yes/No Size (dimension or kVa) Qty Description/Comments

ADCB Box (ACPDB )

Generator (Genset)

Meter Box (KWH)

Fuel Tank ( tanki solar untuk genset )

Power Systems: (Others) / ( Sistem Listrik Operator Lain ) Operator:

Type Yes/No Size (dimension or kVa) Qty Description/Comments

ADCB Box (ACPDB )

Generator (Genset)

Meter Box (KWH)

Fuel Tank ( tanki solar untuk genset )

Power Systems: (Others) / ( Sistem Listrik Operator Lain ) Operator:

Type Yes/No Size (dimension or kVa) Qty Description/Comments

ADCB Box (ACPDB )

Generator (Genset)

Meter Box (KWH)

Fuel Tank ( tanki solar untuk genset )

Power Systems: (Others) / ( Sistem Listrik Operator Lain ) Operator:

Type Yes/No Size (dimension or kVa) Qty Description/Comments

ADCB Box (ACPDB )

Generator (Genset)

Meter Box (KWH)

Fuel Tank ( tanki solar untuk genset )

Power Systems: (Others) / ( Sistem Listrik Operator Lain ) Operator:

Type Yes/No Size (dimension or kVa) Qty Description/Comments

ADCB Box (ACPDB )

Generator (Genset)

Meter Box (KWH)

Fuel Tank ( tanki solar untuk genset )

Power Systems: (Others) / ( Sistem Listrik Operator Lain ) Operator:

Type Yes/No Size (dimension or kVa) Qty Description/Comments

ADCB Box (ACPDB )

Generator (Genset)

Meter Box (KWH)

Fuel Tank ( tanki solar untuk genset )

 Project ROMA Tower Equipment Audit Sheet_V3.1

Structure Type / Structure Height / Building Height /

Site ID Site Name Region Longitude Latitude Site Type Tipe Tower Tinggi Tower (m) Tinggi Gedung (m)

R3580076 MINGGIRAN (EJ) East Java 112.05140 -7.73304 Greenfield ( GFLattice

) Tower (menara kisi) 32 0 DO NOT TOUCH CALCULATIO

Height (m) (to RRU Installed

Manufacturer / Equipment centre) / Tinggi Azimuth Length (mm) / Width (mm) / Depth (mm) / Diameter (m) - If behind RF / RRU
Item Tenant / Operator Type / Tipe Model / Model Status / Status perangkat dari (Orientation) / Leg / Kaki terpasang di
Pabrikan Perangkat base plate ke as Arah antenna Panjang (mm) Lebar (mm) tebal (mm) MW belakang RF
perangkat (Yes/No)

1 H3I MW HUAWEI A11D06HS ACTIVE / Aktif 27.6 210 C 0.6 ###

2 H3I RF NDQ-182020DE-65P ACTIVE / Aktif 29.3 30 A 1980 320 55 ###
3 H3I RF NDQ-182020DE-65P ACTIVE / Aktif 29.4 240 B 1980 320 55 ###
4 H3I RF NDQ-182020DE-65P ACTIVE / Aktif 29.3 330 C 1980 320 55 ###
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Unique 1
 Project ROMA Defect Audit Sheet_V3.1

Structure Height Building Height

Site ID / ID Site Name/Nama Site Region Longitude Latitude Site Type / Type Structure Type /
Site Site Tipe Structure (m) / Tinggi (m) / Tinggi
Struktur ( m ) Gedung ( m )

R3580076 MINGGIRAN (EJ) East Java 112.05140 -7.73304 Greenfield ( GFLattice

) Tower (menara kisi) 32 0

Defect Summary Sheet:

GRADE / Tingkat Description / Keterangan

requires immediate rectification work – no permit access allowed until rectification work is completed (membutuhkan pekerjaan perbaikan
Immediate
segera – tidak ada akses yang diizinkan sampai pekerjaan perbaikan selesai )
broken ladder, 20% bolts are missing etc. can be fixed within 3 months / tangga rusak ( baut 20% hilang dll. bisa diperbaiki dalam waktu 3
Critical
bulan )

Major crack foundation but not affecting the tower structure, likely required in 6 to 12 months or at next routine inspection ( tipe kerusakan yang
tidak mempengaruhi struktur menara, kemungkinan diperlukan dalam 6 hingga 12 bulan atau pada pemeriksaan rutin berikutnya )

Minor defects covered under tower preventive maintenance ex. Painting, missing OBL ( Kerusakan kecil yang tercakup dalam pemeliharaan
Minor/Supervisory
preventif menara )

Area Grade / Tingkat Comment / Keterangan

Compound / Akses jalan depan pagar Critical Over grow with tree and plants
Foundations / Pondasi tower Major Cracking pad cabinets
Structure / Struktur tower
Paint & Galv / Cat dan galvanis tower
Verticality / Verticality gagal secara visual
Climb System / Tangga tower
Lightening Protection / Splizen & Grounding petir
AWL / OBL
Tower Equipment / Bagian bagian dari tower Minor/Supervisory Rusty bolt brecket antena mw
Wildlife and Insects / Sarang tawon atau sejenisnya Minor/Supervisory Wildlife nest at brecket antena RF
Rooftop Structure / Kondisi gedung rooftop
Guyed Masts / Kabel support guyed mast
Cabinets / Perangkat operator
Power Systems / Sistem kelistrikan
Air Conditioning /AC
Generators / Genset

Summary of Defects Required / Ringkasan Kerusakan di site

Position on Site
Description / Keterangan Type / Tipe Fix Required / Perbaikan yang dibutuhkan
Posisi di Site
1 Cracking pad cabinet Outdoor Cabinets ( kabinet outdoor ) Ground Repair concert pad cabinet
2 Rusty bolt brecket antena mw Tower Equipment (peralatan menara Leg C Rusty treatment
3 Wildlife nest at brecket antena RF Wildlife and Insects (satwa liar dan s Leg B Clean up
4
5
6
7
8
9
10
11
12
13
14
15
3
Summary of Environmental Issues Found / Ringkasan kerusakan di lingkungan site

Position on Site /
Description / Keterangan Type / Tipe Fix Required / Perbaikan yang dibutuhkan
Posisi di site
1 Over grow with tree and plants Overgrowth (pertumbuhan) Ground Clean up
2
3
4
5

Detailed Inspection Sheet:

Compound / Akses jalan depan site OK Not OK N/A Details & Comments / Keterangan

Surroundings, fence, grounds ( Keadaan sekitar, pagar, x Over grow with tree and plants
kondisi lahan )
Tower components (structural or non struct.) on to ground
x
( Bagian tower )
Other Observation
Tower base and Foundations / Base Plate, Pondasi OK Not OK N/A Details & Comments / Keterangan

Grout beneath base plate in good condition ( kondisi base

plate ) x

Weep holes present and clear of debris ( kondisi lubang

baseplate ) x

Evidence of stagnant water at base plate ( kondisi baseplate x

tidak miring )
Evidence of stagnant water at baseplate (bukti air x
tergenang di bagian baseplate)
Washers and double nuts on anchor bolts ( ada nut ganda x
dan ringwasher di angkur )
Anchor bolt are not loose, corroded or missing ( angkur x
tower tidak hilang dan tidak korosi )

Cracks, spalls, chips or other concrete defects ( kerusakan /

x Cracking pad cabinet
retak / gompal di pondasi tower (pedestal )

Soil settlement, movement, erosion (penurunan tanah) x

Other Observation ( Kerusakan lainnya )

Tower Structure ( Struktur Tower ) OK Not OK N/A Details & Comments / Keterangan
Missing members ( Ada member yang hilang ) x
Loose, dislodged, hanging members ( Ada member yang
x
lepas )
Rusted members ( Korosi ) x
Bent, bowed, twisted members ( member yang puntir / x
tekuk )
Missing bolts and nuts (give quantities) ( Baut hilang ,
x
disebutkan jumlahnya )

Loose bolts and nuts, gaps between connected members x

Rusted bolts, nuts, connection plates ( baut karat / plat x

kopel karat )
Oversized bolt holes, undersized bolts, bolt holes not
aligned ( baut tidak sesuai ) x

Bolts have at least one thread protruding from nut ( baut x

kurang panjang, minimal sisa 3 ulir )
Leg and brace bolts are Grade 8.8 ( Material sesuai spek ,
baut grade 8.8) x

Movement, slippage, cracks at connections ( Kondisi

x
sambungan apakah ada pergeseran / retak )
Drain holes in pipe members are clear and free of
obstructions ( kondisi pipa aman dari halangan untuk x
saluran air )
Other Observation ( Kerusakan lainnya )

Tower Painting and Galvanization ( Cat tower & Galvanis ) OK Not OK N/A Details & Comments

Condition of tower paint and galvanization ( kondisi cat

tower ) x
Build up of salt in coastal areas ( korosi ) x
Other Observation ( Kerusakan lainnya )

Vertical Alignment and Twist ( Kemiringan & Puntir OK Not OK N/A Details & Comments
Tower )
Pass visual check for verticality, twist ( visual kemiringan x
dan puntir tower )
Pass instrument check for verticality, twist ( visual x
kemiringan dan puntir perangkat )

Climbing and Safety Facilities ( Fasilitas Tower ) OK Not OK N/A Details & Comments

Ladder and cage complete, properly installed and in good

x
condition ( Kondisi tangga & pengamannya )
Fall arrest system properly installed and in good condition,
x
cable tensioned
Tower climbing path free from obstructions ( Area panjat
x
tower bebas dari halangan )
Platforms complete, secure and in good condition
x
( platform tower ada dan aman untuk digunakan )
Other Observation ( Kerusakan lainnya )

Grounding and Lightening Protection ( Grounding ) OK Not OK N/A Details & Comments

Lightning protection installed at highest point and x

connected to ground ( Grounding petir aman )
Tower, ladder, guy anchor head grounded ( semua bagian x
tower terkoneksi grounding )

Ground conductors, connections terminations in

satisfactory condition ( sistem grounding terkoneksi x
sempurna )
Anti-corrosion sealant applied at connections (e.g. Desno)
x
( ada sealant anti korosi di setiap sambungan )
 Earth resistance reading (Ohm) ( nilai tahanan grounding ) x

Other Observation ( Kerusakan lainnya )

Aircraft Warning Lights (AWL) and Remote Monitoring

OK Not OK N/A Details & Comments
System ( Lampu OBL )
AWL bulbs installed and functioning ( lampu OBL ada ) x
AWL controllers/photocells installed, in satisfactory
condition and functioning - confirm alarm from NOC x
( Kontrol OBL ada , terkoneksi ke NOC )
AWL frame properly installed, secure and in good condition x
( Support lampu OBL ada dan berfungsi )
Junction boxes weather tight and in satisfactory condition x
( Junction Box OBL terpasang dan kondisi OK)
Power armoured cable secured to tower and in satisfactory x
condition ( kabel power terpasang dan OK)
Mid-height AWL installed on towers 50m+ ( ada OBL di x
tengah tower untuk tower > 50m )
Functioning Remote monitoring system (Invendis) ( ada x
fungsi kontrol otomatis )
Other Observation ( Kerusakan lainnya )

Antennas, Mounts, Feedlines ( Antenna dan Mounting ) OK Not OK N/A Details & Comments

Antenna mounts properly secured to tower legs, in good

condition and free of rust ( antenna mounting kondisi OK dan x Rusty bolt brecket antena mw
tidak berkarat )
Antennas and accessories properly secured to mounts or x
tower legs ( mounting terpasang dengan baik )
Torn radomes or other physical damage to antennas, x
feedlines ( kondisi antenna )
Rusted feedline ladders ( kabel pengaman harness di tangga
x
tower )
Feedlines obstruct tower climbing ( halangan kabel
pengaman harness ) x

Other Observation ( Kerusakan lainnya )

Wildlife and Insects ( sarang tawon / sejenisnya ) OK Not OK N/A Details & Comments
Wildlife, insects on tower structure ( di tower ) x
Wildlife, insects on antennas ( di antenna ) x Wildlife nest

Rooftop Tower Supporting Building ( Kondisi Rooftop ) OK Not OK N/A Details & Comments

Tower securely anchored to building ( tower terangkur x

sempurna ke gedung )
Cracks, spalls, chips or other concrete defects in building x
(slab, columns, beams) / ( retak dak / balok )
Evidence of water leaking through roof slab ( jalur drainase x
dak )
Other Observation ( Kerusakan lainnya )

Guy Wires and Guy Anchors ( tower dengan kabel

support ) OK Not OK N/A Details & Comments

Wires in good condition, rust free, no kinks, no broken x

strands ( kabel dalam kondisi baik )
Guy wire accessories (preforms, wire clips (Crosby),
turnbuckles, thimbles, shackles, in good condition and x
properly installed ( aksesoris kabel terinstall )
No slippage at guy terminations ( tidak ada kabel yang lepas
x
)
Anchor head in good condition, free of rust ( kondisi angkur
OK dan tidak berkarat ) x

Wires tensioned (visual checks only) ( visual cek tegangan

kabel ) x

Shackle and turnbuckle pins, cotter pins in good condition

adequately locked ( kondisi turnbuckle dan shackle terkunci x
)

Torque arms in good condition, no missing components,

free of rust ( kondisi tower tidak puntir dan korosi ) x

Safety wires installed at anchors ( kabel pengaman x

terinstall di angkur )

Soil settlement, movement, erosion ( penurunan tanah ) x

Weeds, shrubs at foundations, guy anchors ( kondisi angkur x

dan pondasi tower OK )
Other Observation ( Kerusakan lainnya )

Stealth Towers ( tower kamuflase ) OK Not OK N/A Details & Comments

Tree Poles: Branches and leaves securely fastened and in

good condition ( Kamuflase pohon : bracket daun OK ) x
Lamp Posts: Lamp holders securely fastened and in good x
condition ( Kamuflase lampu : bracket lampu OK)
Sign Posts: Fabric cover securely fastened and in good x
condition ( kamuflase signage, kondisi OK)
Lamp/Sign Posts: Antenna housing (radome) secure, x
watertight and in good condition ( kamuflase OK)
Other Observation ( Kerusakan lainnya )

Equipment Shelter OK Not OK N/A Details & Comments

Condition: Leaking Roof, Water Stains on floor or walls x

( kondisi pad/shelter )
Floor: Check for Sagging and damage ( cek kondisi lantai / x
pad )

Cable Management: All secure and cables neatly arranged x

and labeled ( kabel terpasang dan ada labelnya )

Earthing: Check Earth Bar is installed and grounded

x
(grounding OK)
Lighting: Installed, Working and Tidy Secure. ( Penerangan
x
OK)

AC Power: Sockets installed and functional ( Input AC OK ) x

Exterior: Any signs of rust or corrosion on the body or doors

of the cabinet ( Korosi di body perangkat ) x

Door: Is the door secured and locked with out damage (not
lock type used) ( Kondisi kunci perangkat ) x

Fire System: Fire supression system installed and working

and fire extingushers ( sistem kebakaran OK ) x

Fixing: Is the cabinet bolted down and secure ( kondisi x

perangkat terangkur ke pondasi perangkat )

Cables: Are there correct entry ports and sealed against

water ( kabel terpasang ke port yang benar , dan tersealed ) x

Plinth: Is the plinth in good condition and no cracks or x

damage ( Kondisi lantai shelter apakah ada keretakan )
Other Observation ( Kerusakan lainnya )
 Project ROMA Photo List Sheet_V3.1

Structure Type / Structure Height / Building Height /

Site ID Site Name Region Longitude Latitude Site Type
Tipe Tower Tinggi Tower (m) Tinggi Gedung (m)

R3580076 MINGGIRAN (EJ) East Java 112.05140 -7.73304 Greenfield ( GFLattice

) Tower (menara kisi) 32 0

Minimum Requirements Photo List:

Confirm Image
Photo Description Required Folder
GPS Location Tool Photo ( Foto GPS ) Yes GROUND
Locking device ( sistem kunci ) Yes GROUND
Fencing / wall condition ( pagar ) Yes GROUND
General Compound Condition ( kondisi lahan ) Yes GROUND
Looking in Compound From Gate ( kondisi lahan dari depan pagar ) Yes GROUND
Looking at Compound from Road ( kondisi lahan dari jalan ) Yes GROUND
Tower Base and Stubs each leg ( Baseplate dan leg tower setiap leg ) Yes TOWER FOUNDATION
Foundation FULL VIEW ( pondasi tower ) Yes TOWER FOUNDATION
Foundation Individual Footing ( foto setiap leg ) Yes TOWER FOUNDATION
Picture ALL Equipment Housings ( foto semua equipment ) Yes GROUND
Main Elevation of Tower NORTH ( tampak tower dari utara ) Yes TOWER VIEW
Main Elevation of Tower EAST ( tampak tower dari timur ) Yes TOWER VIEW
Main Elevation of Tower SOUTH ( tampak tower dari selatan ) Yes TOWER VIEW
Main Elevation of Tower WEST ( tampak tower dari barat ) No
Power Cabinet Pictures ( Foto perangkat ) Yes KWH & PLN
Fibre Site Connection Picture ( Foto koneksi fibernisasi )
Feeder Gantry Runs ( foto feeder di tower ) Yes GROUND
Feeder Entry to Equipment Housings ( foto feeder menuju perangkat ) Yes GROUND
Lightening Protection Tower ( sistem grounding petir ) Yes MAIN BAR
Lightening Protection Gantry ( sistem grounding perimeter )
Lightening Protection Housings ( sistem grounding perangkat ) Yes MAIN BAR
Earth Pits and Rods [lift lids] ( Grounding pit )
Fall Arrest System & Tag ( Sistem pengamanan terhadap Jatuh )
Anti Climb System LADDER ( Sistem pengamanan anti panjat di tangga tower ) Yes TOWER FOUNDATION
Anti Climb System LEGS ( Sistem pengamanan anti panjat di kaki tower )
Paint Condition ( kondisi cat ) Yes GROUND
Security Hut Pictures ( Foto pos pengamanan )
Generator Location and Connection ( genset )
Fuel Level [if possible] ( penunjuk isi bahan bakar fuel tank )
Meter Readings each operator ( KWH tiap operator ) Yes PLN&KWH
Aircraft Warning Light & Cables (OBL) Yes OBL & TOP
North View from Top Tower ( Foto arah utara dari top tower ) Yes PANORAMIC
East View from Top Tower ( Foto arah timur dari top tower ) Yes PANORAMIC
South View from Top Tower ( Foto arah selatan dari top tower ) Yes PANORAMIC
West View from Top Tower ( Foto arah barat dari top tower ) Yes PANORAMIC
Overal Site Compound Aerial View ( Foto keseluruhan site ) Yes SITE VIEW
Rest Platforms ( lantai platform tower ) Yes VIEW FROM TOP
Working Platforms ( lantai kerja platform tower )
Ladder Position & Connections ( tangga tower ) Yes TOWER FOUNDATION
Feeder Support and Cables [lots] ( support feeder ) Yes GROUND
Face Frames for Equipment ( foto muka perangkat ) Yes GROUND
Each Piece of Antenna or Dish including label ( foto masing masing antenna di tower ) Yes ANTENNA
Defects ( kerusakan ) Yes DEFECT
Environmental concerns ( kondisi lahan dan lingkungan sekitar ) Yes GROUND
 Project ROMA Tower Site

Site ID Site Name Region Longitude

R3580076 MINGGIRAN (EJ) East Java 112.05140

ect ROMA Tower Site Database Sheet_V3.1

Structure Height Building Height

Latitude Site Type Structure Type
(m) (m)

Lattice Tower
-7.73304 Greenfield ( GF ) 32 0
(menara kisi)
 Compound Length Compound
No. of Equipment
Number of Legs Type of Legs / ukuran panjang Width / ukuran
Housings on site
site (m) lebar site (m)

3 Angle (siku) 1 0.000 0.000

Compound Area/ Generator Size
Power Type AirCon Status Fibre Site
luas site (m2) (kVa)

0.000 Grid Power (PLN) 0 No AirCon 0

 Total Items of
No. Operators No. Antennas (RF) No. Dishes (MW) No. Radios (RRU)
Equipment

1 3 1 0 4
Number of
Audit Date Audit Company QA Date Pass/Fail
Defects

3 08/02/2022 Ebeka 30/12/1899 0

Comments

0
 Project ROMA Tower Equi

Site ID Site Name Region Longitude

R3580076 MINGGIRAN (EJ) East Java 112.05140

Note: Do not insert any data

ect ROMA Tower Equipment Database Sheet_V3.1

Structure Height Building Height

Latitude Site Type Structure Type
(m) (m)

Lattice Tower
-7.73304 Greenfield ( GF ) 32 0
(menara kisi)
 INDOSAT XL

Operator Name No. Antennas (RF) No. Dishes (MW) No. Radios (RRU) Operator Name

INDOSAT 0 0 0 XL
 XL TELKOMSEL

No. Antennas (RF) No. Dishes (MW) No. Radios (RRU) Operator Name No. Antennas (RF)

0 0 0 TELKOMSEL 0
TELKOMSEL H3I

No. Dishes (MW) No. Radios (RRU) Operator Name No. Antennas (RF) No. Dishes (MW)

0 0 H3I 3 1
 SMART Fren

No. Radios (RRU) Operator Name No. Antennas (RF) No. Dishes (MW) No. Radios (RRU)

0 SMART Fren 0 0 0
 BBSC Berca

Operator Name No. Antennas (RF) No. Dishes (MW) No. Radios (RRU) Operator Name

BBSC 0 0 0 Berca
 Berca Daymitra

No. Antennas (RF) No. Dishes (MW) No. Radios (RRU) Operator Name No. Antennas (RF)

0 0 0 Daymitra 0
Daymitra IBS

No. Dishes (MW) No. Radios (RRU) Operator Name No. Antennas (RF) No. Dishes (MW)

0 0 IBS 0 0
 MSM

No. Radios (RRU) Operator Name No. Antennas (RF) No. Dishes (MW) No. Radios (RRU)

0 MSM 0 0 0
 PAB PGAS

Operator Name No. Antennas (RF) No. Dishes (MW) No. Radios (RRU) Operator Name

PAB 0 0 0 PGAS
 PGAS STI

No. Antennas (RF) No. Dishes (MW) No. Radios (RRU) Operator Name No. Antennas (RF)

0 0 0 STI 0
STI

No. Dishes (MW) No. Radios (RRU)

0 0
 Project ROMA Tower Defe

Site ID Site Name Region Longitude

R3580076 MINGGIRAN (EJ) East Java 112.05140

Note: Do not insert any data

ect ROMA Tower Defects Database Sheet_V3.1

Structure Height Building Height

Latitude Site Type Structure Type
(m) (m)

Lattice Tower
-7.73304 Greenfield ( GF ) 32 0
(menara kisi)
 Defect No.1

Type Description Position on Site

Outdoor Cabinets ( kabinet outdoor ) Cracking pad cabinet Ground

 Fix Required Type

Repair concert pad cabinet Tower Equipment (peralatan menara)

 Defect No.2

Description Position on Site

Rusty bolt brecket antena mw Leg C

 Fix Required Type

Rusty treatment Wildlife and Insects (satwa liar dan serangga)

 Defect No.3

Description Position on Site

Wildlife nest at brecket antena RF Leg B

Fix Required Type

Clean up 0
 Defect No.4

Description Position on Site

0 0
Fix Required Type

0 0
 Defect No.5

Description Position on Site

0 0
Fix Required Type

0 0
 Defect No.6

Description Position on Site

0 0
Fix Required Type

0 0
 Defect No.7

Description Position on Site

0 0
Fix Required Type

0 0
 Defect No.8

Description Position on Site

0 0
Fix Required Type

0 0
 Defect No.9

Description Position on Site

0 0
Fix Required Type

0 0
 Defect No.10

Description Position on Site

0 0
Fix Required Type

0 0
 Defect No.11

Description Position on Site

0 0
Fix Required Type

0 0
 Defect No.12

Description Position on Site

0 0
Fix Required Type

0 0
 Defect No.13

Description Position on Site

0 0
Fix Required Type

0 0
 Defect No.14

Description Position on Site

0 0
Fix Required Type

0 0
 Defect No.15

Description Position on Site

0 0
Fix Required