PAT Form Template Approval Sheet

PHYSICAL CHECK ACCEPTANCE TEST RESULT

FOR PDH MICROWAVE EQUIPMENT

Vendor : PT. NEC Indonesia SoW : Swap Upgrade

Configuration : iPaso VR4/VR10; 23GHz; 2+0; 200 Frequency : 7 / 8 / 11 / 13 / 15 / 23 GHz
Mbps; 0.6m DP/ 0.6m DP; MOD ; CH
1.1; 16E1.16E1

Site name : RAWA_DOMBA Site ID : 01JKT099

Link Name : RAWA_DOMBA - Capacity : 200Mbps
RUKO_ALFA
ATP Date : 6 Nov 2017 (ATP Onsite) PIC :

PT Indosat Contractor

Print Name : Bambang H 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 : 01
Date : November 17, 2015

1
 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 12 & 13

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 : RAWA_DOMBA PT. INDOSAT Vendor

Sign. / Date Sign. / Date
Site ID : 01JKT099
Hop Name : RAWA_DOMBA - RUKO_ALFA 27-09-2017
p.2
 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

Site Name : RAWA_DOMBA PT. INDOSAT Vendor

Sign. / Date Sign. / Date
Site ID : 01JKT099
Hop Name : RAWA_DOMBA - RUKO_ALFA 27-09-2017
p.3
 ATP CHECK LIST FORM
Attachement 1. Transmission Bill of Quantity
Hop Name : RAWA_DOMBA - RUKO_ALFA
Configuration : iPaso VR4/VR10; 23GHz; 2+0; 200 Mbps; 0.6m DP/ 0.6m DP; MOD ; CH 1.1; 16E1.16E1
Scope : Swap Upgrade

No Description S/ N Qty Unit Remark

1 iPASOLINK VR4 50Mbps 2M 1PS (Expandable) 22786 1 set
2 IDU 1000 set
3 ODU 7GHz Ea
4 ODU 11GHz Ea
5 ODU 13GHz Ea
6 ODU 15GHz Ea
7 ODU 23GHz 51783;51782 2 Ea
8 16E1 Card Ea
9 Modem Card Ea
10 Main Card (MCSG) Ea
11 4xGBE Interface (4GBE-A) Ea
12 Term Card VR Ea
13 1000BASE-SX SFP Modul Ea
14 ANTENNA DP 7/8GHz 1.2m set
15 ANTENNA DP 7/8GHz 1.8m set
16 ANTENNA DP 13GHz 1.2m set
17 ANTENNA DP 23GHz 0.6m 17IN022038567 1 set
18 Bracket ODU (1+0) 8GHz Ea
19 Bracket ODU (1+1) 7GHz Ea
20 Bracket ODU 11GHz Ea
21 Bracket ODU 15GHz Ea
22 Bracket ODU 23GHz 1 Ea
23 Hybrid 7/8GHz Ea
24 Hybrid 11GHz Ea
25 Hybrid 23GHz 1 Ea
26 LOW LOSS 8GHz (1M) + Connector + Transducer set
27 LOW LOSS 7/8GHz (2M) + Connector set
28 FLEXIBLE WAVEGUIDE 11GHz Ea
29 FLEXIBLE WAVEGUIDE 13GHz Ea
30 FLEXIBLE WAVEGUIDE 15GHz Ea
31 FLEXIBLE WAVEGUIDE 23GHz 1 Ea
32 5D-FBCoaxial Cable + Connector (100m/Set) 2 set
33 MDR Cable 1 Set
34 Installation Material for New Link Lot
35 Installation Material for Swap IDU Lot
36 Installation Material for Swap ODU Lot
37 Installation Material for Swap Upgrade with Antenna 1 Lot
38 Installation Material for Swap Upgrade with SD System Lot
39 Installation Material for Paralel Link w/o Antenna Lot

Site Name : RAWA_DOMBA PT. INDOSAT Vendor

Sign. / Date Sign. / Date
Site ID : 01JKT099
Hop Name : RAWA_DOMBA - RUKO_ALFA 27-09-2017
p.4
 ATP CHECK LIST FORM
Attachement 2. Picture of Installation

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

3. Pemasangan ODU 2+0, label + barcode 4. Pemasangan ODU 2+0 , label + barcode

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

tower (mur 2 set)

Site Name : RAWA_DOMBA PT. INDOSAT Vendor

Sign. / Date Sign. / Date
Site ID : 01JKT099
Hop Name : RAWA_DOMBA - RUKO_ALFA 27-09-2017
p.5
 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

11. Pemasangan kabel ties pada sisi horisontal tray 12. Pemasangan grounding kit + label

Site Name : RAWA_DOMBA PT. INDOSAT Vendor

Sign. / Date Sign. / Date
Site ID : 01JKT099
Hop Name : RAWA_DOMBA - RUKO_ALFA 27-09-2017
p.6
 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

Site Name : RAWA_DOMBA PT. INDOSAT Vendor

Sign. / Date Sign. / Date
Site ID : 01JKT099
Hop Name : RAWA_DOMBA - RUKO_ALFA 27-09-2017
p.7
 ATP CHECK LIST FORM

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

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 : RAWA_DOMBA PT. INDOSAT Vendor

Sign. / Date Sign. / Date
Site ID : 01JKT099
Hop Name : RAWA_DOMBA - RUKO_ALFA 27-09-2017
p.8
 ATP CHECK LIST FORM

NA

25. Throughput Test Result

NA

26. Latency Test Result

NA

Site Name : RAWA_DOMBA PT. INDOSAT Vendor

Sign. / Date Sign. / Date
Site ID : 01JKT099
Hop Name : RAWA_DOMBA - RUKO_ALFA 27-09-2017
p.9
 ATP CHECK LIST FORM

27. Frame Loss Test Result

Punchlist Summary

Rectification
NO Punchlist Item Event Date Date Status Remarks
1 ATF 6 Nov 2017 Open ATF N/A (SOW: Swap Upgrade)
2 FATP 6 Nov 2017 Open FATP Not Sign Team Reviewer Isat

Site Name : RAWA_DOMBA PT. INDOSAT Vendor

Sign. / Date Sign. / Date
Site ID : 01JKT099
Hop Name : RAWA_DOMBA - RUKO_ALFA 27-09-2017
p.1
0
 ATP CHECK LIST FORM

PUNCHLIST and Rectification PHOTOS

BEFORE AFTER

ATF

Comment Comment

BEFORE AFTER

FATP

Comment Comment

BEFORE AFTER

Comment Comment

Site Name : RAWA_DOMBA PT. INDOSAT Vendor

Sign. / Date Sign. / Date
Site ID : 01JKT099
Hop Name : RAWA_DOMBA - RUKO_ALFA 27-09-2017
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 : RAWA_DOMBA PT. INDOSAT Vendor

Sign. / Date Sign. / Date
Site ID : 01JKT099
Hop Name : RAWA_DOMBA - RUKO_ALFA 27-09-2017
p.1
2