Site ID :

Purpose of Work :
Date & Time :

No.
1
2
3
4
5
6
7
8
9
10
11
12
13
14

15
16
17
18
19
20
21
22

Note :- Here "OK" means, that GDC engineer has no issue to verified above points at the time of
 Risks involved
Access /egress to the work area
Slip & trip hazards or falling objects
Improper access ladder or Unprotected stairway
Unprotected edges
Structural damages to foundations or tower
Unavailability of proper work platforms /tower members
Presence of bees hives, bird nests, etc
Overhead High Tension lines in close proximity to work area
Extreme weather conditions
Lighting / visibility
Is the Lifting Plan & Method Statement present and referred at site. Capture a photo.
Are there insufficient/inadequate lifting equipment (rope, pulley & other lifting equipment )
Loosely coupled or unshackled material or tool
Untrained material handling team

Insufficient anchor points for man and material

Unsecured drop zone
Lifting / lowering of heavy equipments
Solitary / lone working
Other Height Risk (Mention in remark)
Active Vodafone antenna focussing to the work area
Other OpCo antenna focussing to the work area
Other RF activity happening in same place

Note :- Here "OK" means, that GDC engineer has no issue to verified above points at the time of Activity.
Location:
Engineer Name :
TI Partner Name :

Risk Level Remarks

L OK
L OK
L OK
L OK
L OK
L OK
L OK
L OK
L OK
L OK
L OK
L OK
L OK
L How we'll verified this or Which types of
Certificater/ Documents we would have to
check, to get this point..??

L OK
L OK
L OK
L OK
L OK
L what would I have to do, to get this point??
L OK
L OK
Site ID :
Purpose of Work :
Date & Time :

No.
1
2

3
4
5
6

9
10
11
12
13
14

15

16

Note :- (i). Here "OK" means, that GDC engineer has no issue to verified above points at the time of Activ
 Consideration
Is the person authorized/trained and competent to work at height?
Is the scope of work properly communicated to the permit receiver?

Is the Risk Assessment conducted at work location?

Is the area cordoned off/barricaded?
In case work is carried out in area which requires energy isolation- is energy isolation done?
Is the person received training on RF-EMF Safety?

Is the person not wearing an implanted medical device (pacemakers and defibrillators)?

Is the Supervisor aware of sector shutdown / power down procedures if temporary access is required in front lobe of
antenna?

In case of overexposure, is the person aware of the Incident reporting mechanism?

Are proper scaffold/Ladder/etc, used for height work? Is it secured against movement at top &base?
Is fully body safety harness with double lanyard provided to height workers?
Are safe anchoring points available for securing the safety harness?
Is safety helmet with chin strap provided?
Is the height worker physically fit to work?

Is the height worker told to discontinue work and return to base, if he feels or perceives any work condition as
unsafe?
Team Supervisor present at site(take a team selfie by supervisor so that team photo is captured)

). Here "OK" means, that GDC engineer has no issue to verified above points at the time of Activity.
Location:
Engineer Name :
TI Partner Name :

Answer(Yes/No/NA) Remarks GDC Remarks

Pass ok
Pass During work assignment ok
discussion
Pass ok
Pass ok
Pass How we'll veryfi it??
Pass In which part of FARM
training this training
Verified as part of FARM include??
Pass In which part of FARM
training this training
Verified as part of FARM include??
Pass How we can verifird it/
Would I make a call to
Supervisor to get this
point???
Pass ok
Pass ok
Pass ok
Pass ok
Pass ok
Pass Verified as part of Fitness ok
certiticate
Pass ok

Pass ok
Comments during meeting

Need confirmation from Raman

Accept if FARM training available

Medical certificate enough to check this point.

Verbal Confirmation will be taken to pass this point.

 S.No. Descriptions Status
PPECHECKLIST_01 Safety Helmet ( M )
PPECHECKLIST_02 Safety shoes ( M )
PPECHECKLIST_03 Cotton Hand Gloves with rubber dots ( M )
PPECHECKLIST_04 Electric Hand Gloves ( O )
PPECHECKLIST_05 Safety Harness
Safety Goggles
with ( M )waist belt (
integrated
PPECHECKLIST_06 M)
PPECHECKLIST_07 Energy Absorber ( M )
PPECHECKLIST_08 Fall Arrestor ( O )
PPECHECKLIST_09 6 pocket coverall suit ( O )
PPECHECKLIST_10 Spare Anchor Rope ( O )
PPECHECKLIST_11 Dust Mist Mask ( O )
PPECHECKLIST_12 Reflector Jacket ( M )
PPECHECKLIST_13 First Aid Kit ( M )
PPECHECKLIST_14 Gum boot ( O )
PPECHECKLIST_15 Trident Lamp ( O )
PPECHECKLIST_16
Rope with adjuster for LGR 506 WAIST BELT ( M )
PPECHECKLIST_17
Scaffold hooks with polymide double lanyard ( M )
PPECHECKLIST_18 Hearing Protection ( O )
 Toolkit_1 Screw driver set ( M )
Toolkit_2 Ball end hex key sets ( M )
Toolkit_3 Combination spanners ( M )
Toolkit_4 Side cutter ( M )
Toolkit_5 Utility Knife ( M )
Toolkit_6 Plastic/Wood/Iron Head hammer ( M )
Toolkit_7 Digital Multimeter ( M )
Toolkit_8 Measuring Tape ( M )
Toolkit_9 Crimping Tool ( M )
Toolkit_10 Torque Wrench for Feeder Connectors, Battery Terminals etc. ( M )
Toolkit_11 Compass ( M )
Toolkit_12 Tool Bag ( M )
Toolkit_13 Pulley Block ( M )
Toolkit_14 Rope ( M )
Toolkit_15 Plastic insulation tape ( M )
Toolkit_16 Krone Tool ( M )
Toolkit_17 ESD Wrist Strap ( M )
Toolkit_18 Monkey Wrench ( M )
Toolkit_19 Allen Key Set ( M )
Toolkit_20 Folding Knife ( M )
Toolkit_21 Flash light or torch ( M )
Toolkit_22 Marker Pen or Comparable tool ( M )
NI-SiSO/Post Installation /Ver 1.0 Field Force Quality Check List
Site Name-
Site ID-
Cluster Name-
TI Partner Name--
FM Name --
Completion Date -
SNO Work Description (Verification of installation completion & quality with pics) Status
1 Labeling of all Cables ( Power, Optical, Ethernet, Grouinding, Jumper etc) Pass
2 Cable ties trimming for all ties Pass
3 Tapping on Grounding cable Lugs with Yellow tape Pass
4 Antenna Installation with Spring Washer Pass
5 Antenna Swap Done for all Three Sectors Pass
6 Jumper Cable Installation Pass
7 Jumper Tightening at Antenna and RF Module End with 25nm Force Pass
8 Jumper Cable Weather Proofing at Antenna End Pass
9 Cable ties installed at Weather Proofing Pass
10 Jumper Cable termination at Antenna and RF Module Pass
11 RF feeder Grounding installation if Feeder Used Pass
12 RF Feeder Grounding termination Pass
13 RF(FXEF) Module Installation, PERHAPS IT WILL BE FXED Pass
14 RF Module Grounding Pass
15 Power Cable Termination at RF Module Pass
16 Confirm SFP Installation for RF Module (FXED) Pass
17 Optical Cable termination at RF Module Pass
18 Optical Cable Lasing inside Modules Pass
19 Optical Cable Installation for All FXEF PERHAPS IT WILL BE FXED Pass
20 RDSA Cable Installated and terminated between Both RF module for each sector Pass
21 OVP(FSEx) Installation Done for FSMF SM Modules Pass
22 OVP(FSEx) Installation Done for all FXEF ( RF )Modules Pass
23 Power Termination Cover Installation Pass
24 HW serial number of modules Pass
25 Alarm status check Pass
26 GPS Installtion with two Strips Pass
27 GPS cable Installation Pass
28 GPS cable termination at GPS End Pass
29 All RF(FXEF) Module Detected Pass
30 System Module (FSMF) Installation Pass
31 System Module Grounding Pass
32 Power Cable Termination at System Module Pass
33 Confirm SFP Installation for System Module (FSMF) Pass
34 Optical Cable termination at System Module Pass
35 Optical Cable Lasing inside Modules Pass
36 Ethernet Cable installation Pass
37 Cable Conduit Installation for Ethernet cable for Outdoor Sites Pass
38 Ethernet Cable Termination at SM End Pass
39 Ethernet termination at Tx end Pass
40 GPS Cable termination end System Module at Sync IN port Pass
41 Power Cable Termination at DCDB End Pass
42 External Alarm Box Installation NA
43 External Alarm Extended up to Infra DDF from Alarm Box NA
44 External Alarm Sequence mentioned at DDF End NA

Note :- (i). Here "OK" means, that GDC engineer has no issue to verified above points at the time of Activ
ality Check List

Remarks Category
All
All
All
Antenna
Antenna
Antenna
Site engineer to test & show `
Antenna
Antenna
Antenna / RF module
applicable for 2G Sites RF feeder
applicable for 2G Sites RF feeder
RF module
RF module
RF module
RF module
RF module
RF module
applicable for 2G Sites RF Module
applicable for 2G Sites RF Module
RF module
RF Module
RF Module / System Module
RF Module / System Module
RF Module / System Module
Tower top
Tower top
Tower top
Logical/ LED status System module
System module
System module
System module
System module
System module
System module
System module
System module
System module
System module
 System module
DCDB
Indoor only for SRAN sites
Indoor only for SRAN sites
Indoor only for SRAN sites

e points at the time of Activity.

 GDC Remarks

NA will there for not applicable cases.

This point is feasible in case of New GSM only

Confirmation will be done.

OVP may not be attach on, every RF module. (Confirmation required)

Mostly GPRS attached on tower through one strip (Confirmation required)

Confirmation will be done.