Annexure 1 fo3r Tsp to Be Filled

8/13/2019 Annexure 1 fo3r Tsp to Be Filled

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Name of the BTS :

Item Units

Site ID

Name

Date of Commissioning

Address

Lat / Long

RTT / GBT

Building Height AGL (m)

Antenna Height AGL (m)

Make and model of Antenna

System Type (GSM/CDMA/UMTS)

Base Channel Frequencies (MHz)

Carriers / Sector

BTS Power (dBm)

SYSTEM TYPE:

VODAFONE RELIANCE

S I T E D A T A

FORMAT FOR CERTIFICATION OF BTS FOR COMPLIANCE OF THE EMF EXPOSURE LEVELS(BROADBAND MEASUREMENT)

C-I : SITE DATA & TECHNICAL PARAMETERS


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Lat /Long

Azimuth Distance from BTS(m)

Lat Long

Azimuth Distance from BTS

Lat Long

SPOT LANDMARK ENTRY POINT Spot 2 Spot 3Lat LongAzimuth

Distance from BTS(m)ICNIRP Power Density Limit(W/Sqm)*

misible Limit under BB Measurement Method@10%

Measured Power DensityValue(W/Sqm)Power Density Ratio (Measured/ICNIRP )

RESULT

III

M e a s u r e

d v a

l u e o f

P o w e r

D e n s i

t y ( W / S q m

) & E l e c t r i c

F i e l

d S t r e n g t

h ( V / m ) a t a d

j a c e n t

b u i l d i n g s

/ c o n s p

i c u o u s

l o c a

t i o n s w

i t h i n 2 0 m e t e r s r a

d i u s .

Building 0 (B0)

Dis. From Tower Base (m)ICNIRP Power Density Limit(W/Sqm)*

Permisible Limit under BB Measurement Method@10%Measured Power DensityValue(W/Sqm)

Building 1 (B1)

Measured Power DensityValue(W/Sqm)Power Density Ratio (Measured/ICNIRP )

Building 2 (B2)

C-II : BROADBAND MEASUREMENT OF POWER DENSITY (W/Sqm)Own Building Top Corners and other points on the p

Permisible Limit under BB Measurement Method@10%

Measured Power DensityValue(W/Sqm)

Measurement at various floors of the

Power Density Ratio (Measured/ICNIRP ) COMPLIANT (YES/ NO)

Power Density Ratio (Measured/ICNIRP )

Measurement at various floors of the COMPLIANT (YES/ NO)

ICNIRP Power Density Limit(W/Sqm)*

ICNIRP Power Density Limit(W/Sqm)*Permisible Limit under BB Measurement Method@10%

I II

O T H E R

C O

N S P I C U O U S

L O C A T I O N S O N

T H E G R O U N D

COMPLIANT (YES/ NO)

I II III

COMPLIANT (YES/ NO)


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Ref. No. ..

Average ValuePeak Value

Govt. of lndiaMinistry of Communications & l

Department of TelecommunicatiO/o Deputy Director General, TE

DelhiPerforma for EMR Compliance Re

1 Name of Telecom Sevice Provider

2 Name of LSA

3 Date Of EMR Measurement Done by TERM cell

4 Name/Identity & address of BTS (As per TSP)

5Longitude & Latitude of BTS (Measured by

equipment provided by TSP)

6 Compliance Method adopted by TSP

7 Result indicated by TSP

8 Measurement Value by Term Cell Type of exposure

9 Signage status

10 Site Compliant/Non Compliant with Reasons


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Annexure I

Freq. RangeElectric field

Strength(V/M)

Tns

M

ult

Power Density(W/m2)


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Signature

Designation

Date

o:800-15/2010-VAS dated 8th April 2010


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Documents

Annexure 1 fo3r Tsp to Be Filled