MECHANICAL ELECTRICAL

INSPECTION REPORT
DOCUMENT LIST

No. DESCRIPTION INDEX NO. REMARKS

1 Grounding Works Report A

2 M/E Installation Report B
3 PLN Connection Report C

Prepared by, Approved by,

Sub Contractor
PT. Perissos Andalan Abadi PT. Smart Telecom

Name : Ariansyah Name : ……………………

Title : Project Manager Title :……………………...
Date : ……………..…… Date : ……………..……
 Mechanical Electrical Works
Inspection Report
CME Regional

Inspection : Grounding System Date :

Site ID : NBTM_0079 Region : Sumbagut
Site Name : SUNGAI PANAS - BTS

1. Down Conductor
Using …….……... mm² continuous alluminum cable : OK NOT OK N/A

Connected directly to its copper plate / rod with bimetal connector : OK NOT OK N/A

Approved manufacture (big 4 manufacturer) : ……………………………………………

2. Air Terminal
Air Lightning Rod ………. mm² solid alluminum : OK NOT OK N/A

Installed with ………" galvanized pipe : OK NOT OK N/A

Length of Pipe ………………………………… : OK NOT OK N/A

Isolators are in place and in good condition : OK NOT OK N/A

3. Grounding Tower Legs / Pole Baseplate

Using type ………………. mm2 : OK Not OK N/A

Outdoor Flexible Pipe (Black Colour) : Yes No N/A

Every Tower Legs/Pole Baseplate : Yes No N/A

Connected to tower leg/pole baseplate with Scoen : Yes No N/A

4. Shelter Grounding
Ring plate Dimension 50 x 4 mm² : OK NOT OK N/A
Approved manufacture (big 4 manufacturer) : ……………………………………………

Connected Properly : OK NOT OK N/A

Main Grounding Bar to IGB : OK Not OK N/A

Connection to Grounding Perimeter :

OK Not OK N/A
Grounding Resistance : Ohm

5. Fence Grounding (for Greenfield only)

Using BC 50 mm² cable : OK NOT OK N/A

Outdoor Flexible Pipe, ………………………………………. : OK NOT OK N/A

…… points are grounded : OK NOT OK N/A

 Mechanical Electrical Works
Inspection Report
CME Regional

Inspection : Grounding System Date :

Site ID : NBTM_0079 Region : Sumbagut
Site Name : SUNGAI PANAS - BTS

6. Grounding Rod
Solid copper, dia. ……….. inch, ……. m length : OK NOT OK N/A

Quantity …………………………. Pcs : OK NOT OK N/A

Distance between each rod : …… m

7. Ring Perimeter
Using BC 50 mm² cable : OK NOT OK N/A

Buried at least 0.8 m depth from finished ground level : OK NOT OK N/A

Distance from tower foundation : …… mm

9. External Grounding Bar (EGB)

Grounding Bar (Galvanize steel bar)

…… mm x ……mm x …… mm : OK NOT OK N/A

Having …… holes, dia ………… mm : OK NOT OK N/A

Installed with Isolator and

Stainless Steel Bolts and Nuts : OK NOT OK N/A

-……… m Below Antenna Level (Upper) : OK NOT OK N/A

-……… m Below Antenna Level (Middle) : OK NOT OK N/A

-……… m Below Antenna Level (Lower) : OK NOT OK N/A

Galvanize EGB closed to Inlet (FEP) : OK NOT OK N/A

10.a Collection Bar (MGB) - For Greenfield

Collection Bar made of …… mm x …… mm x …… mm solid copper plate with

…… holes, dia ………… mm : OK NOT OK N/A

Using Stainless Steel Bolts & Nuts : OK NOT OK N/A

Connection from Cooper Rod with Cad Weld : OK NOT OK N/A

Other Connection with Scoen : OK NOT OK N/A

Every cable is labeled properly : OK NOT OK N/A

 Mechanical Electrical Works
Inspection Report
CME Regional

Inspection : Grounding System Date :

Site ID : NBTM_0079 Region : Sumbagut
Site Name : SUNGAI PANAS - BTS

10.b Collection Bar (MGB) - For Rooftop

Collection Bar made of …… mm x …… mm x …… mm solid copper plate with

…… holes, dia ………… mm : OK NOT OK N/A

Using Stainless Steel Bolts & Nuts : OK NOT OK N/A

Installed on Upper Control Box : OK NOT OK N/A

Installed on Lower Pit : OK NOT OK N/A

Every cable is labeled properly : OK NOT OK N/A

11. Grounding Pit

Dimension …… x …… x …… mm : OK NOT OK N/A

Cover & Position : OK NOT OK N/A

Padlock arrangement : OK NOT OK N/A

12. Grounding integration

All collecting bar integrated using stainless steel material : OK Not OK

Cad weld integration (…… points)

- …… points for driven rod : OK Not OK

- …… points at buried perimeter to tower grounding : OK Not OK

- …… point for bonding ground bar on inspection pit to perimeter : OK Not OK

- …… point for bonding driven rod of down conductor

to perimeter : OK Not OK

13. Grounding Measurement

Equipment Manufacturer (accredited manufacturer) : ……………………………………………………

Type : Analog Digital

Grounding Test and Position Lay-out : OK Not OK

Grounding Resistance ( < 1 Ohm ) : OK Not OK

14. Notes :

Prepared by, Reviewed & Supervised by, Approved by,

Sub Contractor Site Supervisor CME Manager
PT. Perissos Andalan Abadi PT. Smart Telecom PT. Smart Telecom

Name : Ariansyah Name : …………………… Name : ……………………

Title : Project Manager Title : ………………….. Title : …………………..
Date : ……………..…… Date : ……………..…… Date :……………………
 Mechanical Electrical Works
Inspection Report
CME Regional

Inspection : M/E Installation Date :

Site ID : NBTM_0079 Region : Sumbagut

Site Name : SUNGAI PANAS - BTS

1. Power Distribution Box (ACPDB)

Approved Manufacture : ………………………………………………
(based on DSS approved vendors)

- Panel Box Dimension : x x mm

- Bolt on Ground Connector

Inside Box : OK Not OK

- Typewritten Directory Label : OK Not OK

- Acrylic for Inside Cover : OK Not OK

- Arrange Busbar in Distributed Phase (R, S, T, N & G)

: OK Not OK

- Branch Circuit Wires Are Arranged in Each Duct Cable/Gutter

: OK Not OK

- Branch Circuit Wires Are Arranged with Tie Wrap

: OK Not OK

- Wiring Diagram Available Not available

2. Component are installed and working properly

- Circuit Breaker : OK Not OK

- Terminal Block : OK Not OK

- Indicator Lamp (R, S, T phase) : OK Not OK

- Cable (big 4 manufacturer) : OK Not OK

- Relay : OK Not OK

- Timer : OK Not OK

- Magnetic Contactor : OK Not OK

- Fuses : OK Not OK

- ELCB : OK Not OK

- Arrester : OK Not OK

- Cable Gland : OK Not OK

- Cable Duct : OK Not OK N/A

- Thermostat : OK Not OK N/A

 Mechanical Electrical Works
Inspection Report
CME Regional

Inspection : M/E Installation Date :

Site ID : NBTM_0079 Region : Sumbagut

Site Name : SUNGAI PANAS - BTS

- DC Fan : OK Not OK N/A

- Lighting Switch : OK Not OK

- AC Outlet : OK Not OK

- Indoor /Outdoor Lighting : OK Not OK

- Junction Box : OK Not OK

3. Circuit Breakers

Circuit Breakers …… A : pcs

Circuit Breakers …… A : pcs

Circuit Breakers …… A : pcs

Circuit Breakers …… A : pcs

4. Power Cable (For AC Power)

- Red Color For R Phase : OK Not OK

- Yellow Color For S Phase : OK Not OK

- Black Color For T Phase : OK Not OK

- Blue Color For Neutral : OK Not OK

- Green Yellow Color For Ground : OK Not OK

5. Power Cable (For DC Power)

- Red Color For Positive : OK Not OK

- Blue Color For Negative : OK Not OK

6. Cable Installation
- Cable Conduit : OK Not OK

- Cable Duct : OK Not OK N/A

7. Smoke Detector (if ordered by DSS)

- Manufacturer :

- Properly Working : OK Not OK N/A

8. Heat Detector (if ordered by DSS)

- Manufacture :

- Properly Working : OK Not OK N/A

 Mechanical Electrical Works
Inspection Report
CME Regional

Inspection : M/E Installation Date :

Site ID : NBTM_0079 Region : Sumbagut

Site Name : SUNGAI PANAS - BTS

9. Fire Extinguisher
Manufacture :

Media/Gas Content : N/A

Fire Extinguisher - Portable : OK Not OK N/A

Type :

Fire Extinguisher - Thermatic : OK Not OK N/A

Type :

Indicator Validity (green area) : OK Not OK N/A

10. Air Conditioning

- Manufacturer :

- Inverter type : OK Not OK N/A

- Model : Indoor - Outdoor -

- Serial Number Indoor Unit 1 :

- Serial Number Indoor Unit 2 :

- Serial Number Outdoor Unit 1 :

- Serial Number Outdoor Unit 2 :

- Manual Operation Book : OK Not OK N/A

- Remote Control : OK Not OK N/A

- Galvanized Steel Cage/Bracket For Outdoor Unit

: OK Not OK N/A

- Piping Are Covered With Isolation Tape

: OK Not OK N/A

- Drain Water using PVC Pipe : OK Not OK N/A

- Freon Pressure …… psi : OK Not OK N/A

- Current level …… A : OK Not OK N/A

- Installation : OK Not OK N/A

 Mechanical Electrical Works
Inspection Report
CME Regional

Inspection : M/E Installation Date :

Site ID : NBTM_0079 Region : Sumbagut

Site Name : SUNGAI PANAS - BTS

11 Lighting, 4 Pcs x 18 Watt : OK Not OK N/A

Lighting, 2 Pcs x 10 Watt : OK Not OK N/A

Lighting, 2 Pcs x 18 Watt : OK Not OK N/A

Emergency Lamp : OK Not OK N/A

Over Head/Bulk Lamp : OK Not OK N/A

Switch : OK Not OK N/A

12 Power Outlet Socket : OK Not OK N/A

13 DC Fan : OK Not OK N/A

Power ……x……… VDC : OK Not OK N/A

Relay Control : OK Not OK N/A

14 Air Intake (inlet) : OK Not OK N/A

Air Intake (inlet) Cage : OK Not OK N/A

15 Feeder Inlet - FEP : OK Not OK N/A

16 Notes

Prepared by, Reviewed & Supervised by, Approved by,

Sub Contractor Site Supervisor CME Manager
PT. Smart Telecom PT. Smart Telecom
PT. Perissos Andalan Abadi

Name : Ariansyah Name : …………………… Name : ……………………

Title : Project Manager Title : ………………….. Title : …………………..
Date : ……………..…… Date : ……………..…… Date :……………………
 Mechanical Electrical Works
Inspection Report
CME Regional

Inspection : Power Connection Date :

Site ID : NBTM_0079 Region : Sumbagut

Site Name : SUNGAI PANAS - BTS

1. KWH Pole Position : OK Not OK N/A

2. KWH Pole Foundation

Depth : OK Not OK N/A

Dimension,….… x…..…x……. mm : OK Not OK N/A

Concrete : OK Not OK N/A

3. KWH Pole Condition

Hot Dipped Galvanized : OK Not OK N/A

Dimension, Dia……… x L……… : OK Not OK N/A

Using pipe cup : OK Not OK N/A

4. KWH Panel

Approved Manufacture : ……………………………………………………………………

Panel Box Dimension : ………………..x………………….x………………….mm

Proper installed on pole : OK Not OK N/A

Wiring Diagram : OK Not OK N/A

Lock Operation/Key : OK Not OK N/A

KWH Meter Condition

(Subject to PLN Supply) : OK Not OK N/A

KWH Meter MCB Capacity……..A : Yes No N/A

MCB of OBL and Site Lamp : Yes No N/A

Arrester of OBL : Yes No N/A

Ground Connected to KWH Box : Yes No N/A

KWH Ground BC type …… mm2 : Yes No N/A

KWH Ground Flexible Pipe : Yes No N/A

Change Over Switch : OK Not OK N/A

Receptacle : OK Not OK N/A

5 Photo Cell

Manufacturer :

Current load capacity, ……….. A : Yes No N/A

Proper Installation : Yes No N/A

6 Grounding Measurement Value

 Mechanical Electrical Works
Inspection Report
CME Regional

Inspection : Power Connection Date :

Site ID : NBTM_0079 Region : Sumbagut

Site Name : SUNGAI PANAS - BTS

< 1 Ohm : Yes No

7 Cable Power

NYFGBY / NYY 4 x 16 mm2 : Yes No N/A

Brand of cable: …………………. : Yes No N/A

Connected to COS : Yes No N/A

Laid -……m underground (if any) : Yes No N/A

8 Bolts, Nuts and Clamp

Hot Dipped Galvanize : Yes No N/A

Power cable protector on KWH pole, ………………………………………………

: Yes No N/A

9 Notes

Prepared by, Reviewed & Supervised by, Approved by,

Sub Contractor Site Supervisor CME Manager
PT. Perissos Andalan Abadi PT. Smart Telecom PT. Smart Telecom

Name : Ariansyah Name : …………………… Name : ……………………

Title : Project Manager Title : ………………….. Title : …………………..
Date : ……………..…… Date : ……………..…… Date :……………………