PUNCHLIST FOR ACCEPTANCE

Note: Major items on page 1, minor items on page 2

Site ID Number:…………………………………… Subcontractor Representative ……………………………………..

Site Name:………………………………………… Signature ……………………………………..
CME Supervisor ……………………………………..
Subcontractor……………...……………………… Signature ……………………………………..
Total Number of Defects Listed…………………. Managed Service Representative ……………………………………..
Date of Check…………………………………….. Signature ……………………………………..

1) MAJOR ITEMS - list all items ticked as major deficiency on checklist

Target Date C
Method of
Item Description Proposed Remedy To be filled within 24
Verification hours
Date

Revisit
1
Photo
Revisit
2
Photo
Revisit
3
Photo
Revisit
4
Photo
Revisit
5
Photo
Revisit
6
Photo
Revisit
7
Photo
Revisit
8
Photo
Revision number : 03 1
Date of issue : June 25, 2014 of
24
 Revisit
9
Photo
Revisit
10
Photo

Revision number : 03 2
Date of issue : June 25, 2014 of
24
2) MINOR ITEMS - list all items ticked on checklist as minor deficiency

Target Date C
Method of
Item Description Proposed Remedy To be filled within 24
Verification hours
Date

Revisit
1
Photo
Revisit
2
Photo

Revisit
3
Photo

Revisit
4
Photo

Revisit
5
Photo
Revisit
6
Photo
Revisit
7
Photo
Revisit
8
Photo
Revisit
9
Photo
Revisit
10
Photo

Revisit
11
Photo

Revisit
12
Photo

Revisit
13
Photo

Revisit
14
Photo

Revisit
15
Photo

Revision number : 03 3
Date of issue : June 25, 2014 of
24
 Revisit
16
Photo

Revisit
17
Photo

Revisit
18
Photo

Revisit
19
Photo

Revisit
20
Photo

Revision number : 03 4
Date of issue : June 25, 2014 of
24
 Clearance Confirmed
Date …………………

Managed Service
Representative
………………………

Clearance
Managed Service
Date
Representative

Revision number : 03 5
Date of issue : June 25, 2014 of
24
Revision number : 03 6
Date of issue : June 25, 2014 of
24
 Clearance
Date Managed Service

Revision number : 03 7
Date of issue : June 25, 2014 of
24
Revision number : 03 8
Date of issue : June 25, 2014 of
24
 SITE INSPECTION PUNCH LI
SITE ID :
SITE NAME :
TYPE OF SITE :
TOWER HEIGHT :
ACCEPTANCE DATE :

RESULTS
NO. INSPECTION ITEMS
ACC MAJOR
A VISUAL CHECK OF TOWER
I FOUNDATION
1 Dimensions

2 Concrete
3 Anchor
4 Finishing Works

5 Grouting

II STEEL STRUCTURE
1 Base Plate
2 Bordes Plate
3 Ladder & Bracket
4 Welding
5 Holes
6 Galvanizing Thickness
7 Nuts & Bolts
8 Spring & Flat Washer
9 Tower members
10 Painting (if any)
II ACCESSORIES
1 Lightning Protection

2 Obstruction Warning Light

3 Automatic Switch
4 Yard Lamp Functionality
5 Identity Plate

B BOLT TIGHTENING TORQUE

1 M24 (325 Nm)

Revision number : 03 9
Date of issue : June 25, 2014 of
24
 SITE INSPECTION PUNCH LI
SITE ID :
SITE NAME :
TYPE OF SITE :
TOWER HEIGHT :
ACCEPTANCE DATE :

RESULTS
NO. INSPECTION ITEMS
ACC MAJOR
2 M20 (200 Nm)

3 M16 (100 Nm)

4 M12 (40 Nm)

C VERTICALITY CHECK
1 Verticality

D FOUNDATION & BASE FRAME (Outdoor Equipment)

1 Type of Foundation 2G / 2G & 3G *
2 Base Frame Foundation
3 Cable Tray Under Base Frame
4 Base Frame (or concrete Beam)
5 Pole ACPDB
6 Cable Runway

E ALTERNATING CURRENT POWER DISTRUBTION BOARD (ACPDB)

I VISUAL CHECK
Panel Dimensions (if any unstandard size, the approved drawing should be
1
attached)
2 Painting
3 Panel Component
4 Wiring Diagram at the back of the Panel Door
5 Connections between cables and components, using Cable Shoes
6 Cable for RST alarm is provided to DDF

7 Cable for Arrester Failure Alarm is provided to DDF

8 Cable for AC Failure (Shelter/indoor site) is provided to DDF

Revision number : 03 10
Date of issue : June 25, 2014 of
24
 SITE INSPECTION PUNCH LI
SITE ID :
SITE NAME :
TYPE OF SITE :
TOWER HEIGHT :
ACCEPTANCE DATE :

RESULTS
NO. INSPECTION ITEMS
ACC MAJOR
II FUNCTIONAL CHECK
1 Voltages Measurements (RST) on MCB input
2 MCB Function
3 All Alarm connected is working properly (Checked by Ohm meter)

F VISUAL & FUNCTIONAL CHECK KWH METER

1 PLN Connection shall be permanent and direct from PLN

2 KWh Meter Availibility & Function

3 KWh Meter Pole

4 KWh Meter Panel
5 PLN Capacity
6 Number of Phase shall comform with regional availibility
7 kWh Meter is sealed by PLN Properly (inculed OKA Box & MCB/Fuse Box)

G VISUAL CHECK of TRAFO & ACCESSORIES

1 Trafo Capacity
2 Pole and Support for Trafo
3 Trafo Frame
4 Panel for 3 Phase Trafo
5 Isolator
6 Piping
7 Cabling & Connecting
8 Grounding Resistance
9 Accessories
10 Protection Assembly
11 Miscellaneous

H GROUNDING CHECK
1 Control Pit
2 Control Box
3 Grounding System Integration
4 Grounding System Arrangement
Grounding Resistance
5
R= Ohm
Revision number : 03 11
Date of issue : June 25, 2014 of
24
 SITE INSPECTION PUNCH LI
SITE ID :
SITE NAME :
TYPE OF SITE :
TOWER HEIGHT :
ACCEPTANCE DATE :

RESULTS
NO. INSPECTION ITEMS
ACC MAJOR

I VISUAL CHECK OF FENCE & LANDSCAPE

1 Fence and Gate
2 Landscape
3 Access Road
4 Cleanness and Tidiness

J FIRE ALARM AND SECURITY PROTECTION (Shelter/Indoor Site)

I VISUAL CHECK
1 Control Panel
2 Wiring Installation
3 Detectors
4 Bell/ Horn
5 Portable Extinguisher
6 Cabling and Labels
Cable for AC Outdoor Tamper alarm (indoor equipment) from AC cage to
7
Control panel and to DDF
8 Cable for Intruder detector to DDF
II FUNCTIONAL CHECK
1 Control Panel
2 Zone Detector

K KEYS FUNCTION
1 ACPDB
2 KWh Meter
3 Control Box
4 Fence/Gate

Revision number : 03 12
Date of issue : June 25, 2014 of
24
 SITE INSPECTION PUNCH LI
SITE ID :
SITE NAME :
TYPE OF SITE :
TOWER HEIGHT :
ACCEPTANCE DATE :

RESULTS
NO. INSPECTION ITEMS
ACC MAJOR
L POWER GENERATOR
I VISUAL CHECK
1 Genset Data
2 Capacity
3 Area Around The Generator Ventilated
4 Genset Installation
5 Exhaust Pipe (knalpot) System
6 Oil Level
7 Genset Body is Grounded
8 External Tank Leakage Check
9 Genset Leakage Check
10 Fuel Indicator
11 Doors of Generator Set
12 Main Fuel Tank Leakage Check
13 Grounding
14 Tag Labelling
15 Site Keys
16 Cleanness and Tidiness
17 Genset RUN sensor/ indicator and cabling to DDF
18 Genset FAIL sensor / indicator and cabling to DDF
19 LOW FUEL level indicator and cabling to DDF on external fuel tank
II FUNCTION TEST
1 MCB PLN
2 MCB Genset
3 Genset Functional Test - Manual Starting
4 Genset Measurement
5 AMF (Automatic Main Failure) - Automatic Genset Starting
6 Genset Shutdown System
7 Turn off the genset by using starter key
8 Genset Grounding Resistance
9 Simulation test of Genset RUN sensor
10 Simulation test of Genset FAIL sensor
11 Simulation test of LOW FUEL sensor

Revision number : 03 13
Date of issue : June 25, 2014 of
24
 SITE INSPECTION PUNCH LI
SITE ID :
SITE NAME :
TYPE OF SITE :
TOWER HEIGHT :
ACCEPTANCE DATE :

RESULTS
NO. INSPECTION ITEMS
ACC MAJOR
M SHELTER CHECKLIST (Shelter/Indoor Site)
1 Shelter Dimensions
2 Shelter Floor

3 Shelter Inner and Outer Wall

4 Shelter Plafond and Roof
5 Awning above The Shelter Door / Door's Canopy
6 Shelter Doors (Indoor and Outdoor)
7 Shelter Bonding
8 Shelter Painting
9 Shelter Illumination / Lighting
10 AC Power Outlets within Shelter (availibility & function)

11 Lamp Switches within Shelter

12 Cable Installation within Shelter
13 Shelter DC Exhaust Fan availibility & function

14 Shelter Thermostat availibility & function

15 All Environment Alarm as per requirement

N AIR CONDITIONER
I VISUAL CHECK
1 Placement
2 Appearance of Indoor Cabinet/Fins & Outdoor Unit
3a Technical Data Indoor Unit

3b Technical Data Outdoor Unit

4 Electricity and Piping Installation
5 Switches
6 Remote Control & Its Fitting

Revision number : 03 14
Date of issue : June 25, 2014 of
24
 SITE INSPECTION PUNCH LI
SITE ID :
SITE NAME :
TYPE OF SITE :
TOWER HEIGHT :
ACCEPTANCE DATE :

RESULTS
NO. INSPECTION ITEMS
ACC MAJOR
7 Refrigerant Pipes Insulation
8 Condensation-Water Drainage System

Revision number : 03 15
Date of issue : June 25, 2014 of
24
 SITE INSPECTION PUNCH LI
SITE ID :
SITE NAME :
TYPE OF SITE :
TOWER HEIGHT :
ACCEPTANCE DATE :

RESULTS
NO. INSPECTION ITEMS
ACC MAJOR
II TRIAL OPERATIONS TESTS
1 Air Flow Adjusting Button
2 Room Temperature Adjusting button
3 Input Voltage
4 Temperature
III FUNCTION TEST
1 On/Off Button
2 Auto Restart
3 Timer in ACPDB

RESULT OF INSPECTION
Site approved for Conditional Acceptance.
Major Deficiency = …………… items.
Minor Deficiency = …………… items.
Agreed Punch List is Attached.

SUBCONTRACTOR CME REPRESENTATIVE

REPRESENTATIVE

________________________ ________________________
NAME NAME
________________________ ________________________
DATE DATE

________________________ ________________________
SIGN SIGN

Revision number : 03 16
Date of issue : June 25, 2014 of
24
PUNCH LIST - GREENFIELD

RESULTS Deficiency for Conditional Acceptance

MINOR Major Minor

+/- 5 cm for length and wide side, +/- 2

cm for Thickness
If cube test fails the builded foundation
should be reviewed
If effect structural significance
If no structural significance

If no grouting after verticality & Material If grout not in accordance with

not accordance with specification specification

Normally Major
Normally Minor
Normally Major
Normally Major
Normally Major
Minor
if dimension and completeness are not If length is not sufficient and
in accordance with design rectification possible afterward
If rectification possible afterwards
If missing of any tower member (Tower Minor if it does not threaten safety or
Bracing, bolts, nuts etc) integrity
Minor

If providing suitable protection and

Normally major
rectification possible afterwards
If at least the top or singular OBL is
If all OBL not functional
functional
Minor
Minor
Minor

if less than 325Nm and bigger than

if less or equal than 300 Nm
300Nm

Revision number : 03 17
Date of issue : June 25, 2014 of
24
PUNCH LIST - GREENFIELD

RESULTS Deficiency for Conditional Acceptance

MINOR Major Minor
if less than 200Nm and bigger than
if less or equal than 150 Nm
150Nm
if less than 100Nm and bigger than
if less or equal than 75 Nm
75Nm
if less than 40Nm and bigger than
if less or equal than 20 Nm
20Nm

if bigger that h/400

if not usable If rectification possible afterwards

If structure not stable or if rectification Structure stable and rectification
not possible afterwards possible afterwards
If not available If not complete
If replacement of major element
If rectification possible afterwards
required
if not usable If rectification possible afterwards
if impossible to rectify afterwards if rectification possible afterwards

If not in accordance with approved

documentation
Minor
If not functional if fixable
Minor
If not functional if fixable
if not provided or if not connected to the
component (relay/alarm terminal)

if not provided or if not connected to the

component (Arrester/alarm terminal)

if not provided or if not connected to the

component (Contactor/alarm terminal)

Revision number : 03 18
Date of issue : June 25, 2014 of
24
PUNCH LIST - GREENFIELD

RESULTS Deficiency for Conditional Acceptance

MINOR Major Minor

Normally Major
Normally Major
If not functional

If officially temp. type of PLN

if not from PLN
connection (Multiguna etc)
If officially temp. type of PLN
Normally Major
connection (Multiguna etc)
If suitable rectification possible
if not usable
afterwards
Normally Major
If operation effected If operation not effected
Normally Major
Normally Major

If operation effected If operation not effected

Minor
Minor
If operation effected If operation not effected
If operation effected
Minor
If operation effected
If operation effected
Minor
If cannot be made secure If can be made secure
Minor

If required in accordance with design

If required in accordance with design
Normally Major
If not in accordance with design
If value bigger than 3 Ohm If 1 ohm ≤Value ≤ 3 ohm
Revision number : 03 19
Date of issue : June 25, 2014 of
24
PUNCH LIST - GREENFIELD

RESULTS Deficiency for Conditional Acceptance

MINOR Major Minor

If site can not be made secure if site can be made secure

If major settlement with possibility of
if minor isolated areas of settlement
structural damage
If BTS Installation effected If BTS Installation not effected
Normally Minor

If not provided or bad condition

If ugly aesthetically If rectification possible afterwards
If not provided or bad condition
If not provided or bad condition
If not provided or bad condition
Minor

if not provided

if not provided

If operation effected If operation not effected

If operation effected If operation not effected

Normally Major
Normally Major
Normally Major
Normally Major

Revision number : 03 20
Date of issue : June 25, 2014 of
24
PUNCH LIST - GREENFIELD

RESULTS Deficiency for Conditional Acceptance

MINOR Major Minor

Provisions document post-ATP

If not in accordance with requirement
Minor
If ugly aesthetically
Minor
Normally Major
Normally Major
If operation effected If rectification possible afterwards
If operation effected If rectification possible afterwards
If operation effected Minor
If not fit Minor
If rectification possible afterwards
If not connected properly to existing
grounding system
If rectification possible afterwards
Major
Minor
For Repeater/BSC/MGW/MSC sites
For Repeater/BSC/MGW/MSC sites
Major

Normally Major If fixable/replaceable

Normally Major If fixable/replaceable
Normally Major
If genset not functional
Normally Major
Normally Major
Normally Major
If not same with existing grounding
system
Minor
Minor
Major

Revision number : 03 21
Date of issue : June 25, 2014 of
24
PUNCH LIST - GREENFIELD

RESULTS Deficiency for Conditional Acceptance

MINOR Major Minor

If not fit for use

Major if not done or rectification If small defects can be rectified
impossible after equipment installed afterwards
If minor defects that can be rectified
If rectification not possible afterwards
afterwards
Minor
Minor
If door cannot be locked or unlocked If door can be locked and
properly replacement possible later
Major if water ingress likely Normally minor
Minor
Minor
Minor changes not effecting use or
If operation effected
stability
Minor changes not effecting use or
If operation effected
stability
If ugly aesthetically
Minor changes not effecting use or
If operation effected
stability
Minor changes not effecting use or
If operation effected
stability
If not functional

If minor defects that can be

If not functional
corrected later
If in bad condition
If capacity not in accordance with
Provisions document post-ATP
requirement
If capacity not in accordance with
Provisions document post-ATP
requirement
If deemed unsafe If functional
If not functional If compatible
If not functional If provision post-ATP

Revision number : 03 22
Date of issue : June 25, 2014 of
24
PUNCH LIST - GREENFIELD

RESULTS Deficiency for Conditional Acceptance

MINOR Major Minor
if effect AC function or leakage within
if not effect AC function
equipment room
If leakage within equipment room If drainage is effective

Revision number : 03 23
Date of issue : June 25, 2014 of
24
PUNCH LIST - GREENFIELD

RESULTS Deficiency for Conditional Acceptance

MINOR Major Minor

If not functional Compatible/replaceable

If not functional Compatible/replaceable
Minor changes not effecting use or
Major changes effecting use or stability
stability
If cannot achieve required condition

If minor defects that can be

If not functional
corrected later
Major
If not functional

NOTE
Accepted on condition:
1) No major deficiency items
2) No more than 20 minor deficiency items
3) Punch List Completed

MANAGED SERVICE
REPRESENTATIVE

________________________
NAME
________________________
DATE

________________________
SIGN

Revision number : 03 24
Date of issue : June 25, 2014 of
24