ANNEX-A
FORMAT FOR CERTIFICATION OF BTS FOR COMPLIANCE OF THE EMF EXPOSURE LEVELS (CALCULATION OF EIRP/EIRPth) A-I : SITE DATA & TECHNICAL PARAMETERS Name of the BTS :
Date : Item
Units
SITE DATA
Site ID Name Date of Commissioning Address Lat / Long RTT / GBT Building Height AGL
(m)
Antenna Height AGL
(m)
TECHNICAL PARAMTERS
System Type (GSM/CDMA/UMTS) Base Channel Frequency
(MHz)
Carriers / Sector (Worst) Make and Model of Antenna Antenna Gain
(dBi)
Total Tilt
(Deg)
Vertical Beamwidth
(Deg)
Side Lobe Attenuation
(db)
Tx Power
(dBm)
Combiner Loss
(db)
Operator 1
Operator 2
Operator n
REMARKS
RF Cable Length
(m)
Unit Loss
(dB/100m)
EIRP (Base Channel)
(W)
DTX factor ATPC factor EIRP (TCH) incl DTX , ATPC
(W)
EIRP (Total)
(W)
Computation of of EIRP/EIRPth at adjacent buildings/ conspicuous locations within 20 meters radius.
A-II : EIRP/EIRPth CALCULATION Building 0 (B0)
EIRPth at the Building Roof Top Corners and other points on the periphery of exclusion zone
Long
Building Top Corners
Lat
C1
C2
C3
C4
Remarks
Operator 1 Operator 2 Operator 3 Overall EIRP/EIRPth NORMALLY COMPLIANT (YES/ NO) Building 1 (B1) Azimuth
EIRPth at various floors of the building
Distance from BTS I Operator 1 Operator 2 Operator 3
II
III
IV
Remarks
Overall EIRP/EIRPth NORMALLY COMPLIANT (YES/ NO) Building 2 (B2) Azimuth
Distance from BTS
Lat
Long
EIRPth at various floors of the building I
II
III
IV
Remarks
Operator 1 Operator 2 Operator 3
Computation of of EIRP/EIRPth at adjacent buildings/ conspicuous locations within 20 meters radius
Overall EIRP/EIRPth NORMALLY COMPLIANT (YES/ NO) Building 3 (B3) Azimuth
Distance from BTS
Lat
Long
EIRPth at various floors of the building I
II
III
IV
Remarks
Operator 1 Operator 2 Operator 3 Overall EIRP/EIRPth NORMALLY COMPLIANT (YES/ NO) Building 4 (B4) Azimuth
Distance from BTS
Lat
Long Operator 1 Operator 2
EIRPth at various floors of the building I
II
III
IV
Remarks
Operator 3 Overall EIRP/EIRPth NORMALLY COMPLIANT (YES/ NO) EIRPth on the ground Operator 1 Operator 2 Operator 3 Overall EIRP/EIRPth NORMALLY COMPLIANT (YES/ NO)
ANNEX-B
FORMAT FOR CERTIFICATION OF BTS FOR COMPLIANCE OF THE EMF EXPOSURE LEVELS (SOFTWARE SIMULATION) B-I : SITE DATA & TECHNICAL PARAMETERS Name of the BTS :
Date : Item
Units
Site ID SITE DATA
Name Date of Commissioning Address Lat / Long
TECHNICAL PARAMTERS
RTT / GBT Building Height AGL
(m)
Antenna Height AGL
(m)
System Type (GSM/CDMA/UMTS) Frequency of operation
(MHz)
Make and Model of Antenna Antenna Gain
(dBi)
Electrical Tilt
(Deg)
Mechanical Tilt
(Deg)
Tx Power
(dBm)
Operator 1
Operator 2
Operator n
B-II :ORTHOSLICE AT GROUND LEVEL POWER DENSITY AT 2 M ABOVE THE GROUND LEVEL
ORTHOSLICE AT GROUND LEVEL
B-III :ORTHOSLICE AT ROOF TOP LEVEL POWER DENSITY AT 2 M ABOVE THE ROOF TOP LEVEL
ORTHOSLICE AT ROOF TOP LEVEL
B-IV :EXCLUSION ZONES EXCLUSION ZONES AND SAFETY SIGNAGE AT ROOFTOP
EXCLUSION DISTANCES
ANNEX-C
FORMAT FOR CERTIFICATION OF BTS FOR COMPLIANCE OF THE EMF EXPOSURE LEVELS (BROADBAND MEASUREMENT) C-I : SITE DATA & TECHNICAL PARAMETERS Name of the BTS : Item
System Type: Units
Operator 1
Operator 2
Sec 1, Sec2, Sec 3
Sec 1, Sec2, Sec 3
Sec1, Sec 2, Sec 3
Sec1, Sec 2, Sec 3
Operator n
Site ID Name Date of Commissioning Address SITE DATA
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 Tx Power
(dBm)
Sec 1, Sec2, Sec 3 Sec1, Sec 2, Sec 3
REMARKS
C-II : BROADBAND MEASUREMENT OF POWER DENSITY (W/Sqm)
Measured value of Power Density (W/Sqm) at adjacent buildings/ conspicuous locations within 20 meters radius.
Building 0 (B0) Lat
Long
Own Building Top Corners and other points on the periphery of exclusion zone C1
C2
C3
C4
Remarks
Dis. From Tower Base (m) ICNIRP Limit (W/Sqm) * Measured Value (W/Sqm) Ratio (Measured / ICNIRP) COMPLIANT (YES/ NO) Building 1 (B1) Azimuth
Distance from BTS
Lat
Long
Measurement at various floors of the adjacent building I
II
III
IV
Remarks
ICNIRP Limit (W/Sqm) * Measured Value (W/Sqm) Ratio (Measured / ICNIRP) COMPLIANT (YES/ NO) Building 2 (B2) Azimuth
Distance from BTS
Lat
Long ICNIRP Limit (W/Sqm) *
Measurement at various floors of the adjacent building I
II
III
IV
Remarks
Measured Value (W/Sqm) Ratio (Measured / ICNIRP)
Building 3 (B3) Azimuth
Distance from BTS
Lat
Long
Measurement at various floors of the adjacent building I
II
III
IV
Remarks
Spot 4
Spot 5
ICNIRP Limit (W/Sqm) * Measured Value (W/Sqm) Ratio (Measured / ICNIRP) COMPLIANT (YES/ NO) OTHER CONSPICUOUS LOCATIONS ON THE GROUND
Measured value of Power Density (W/Sqm) at adjacent buildings/ conspicuous locations within 20 meters radius.
COMPLIANT (YES/ NO)
Spot 1 SPOT LANDMARK
Lat Long Azimuth Distance from BTS ICNIRP Limit (W/Sqm) * Measured Value (W/Sqm)
Spot 2
Spot 3
RESULT
Ratio (Measured / ICNIRP Limit)
COMPLIANT (YES/ NO) NOTE :* ICNIRP Limit will be for the worst case among all the bands present on the Site
ANNEX-D
FORMAT FOR CERTIFICATION OF BTS FOR COMPLIANCE OF THE EMF EXPOSURE LEVELS (FREQUENCY SELECTIVE MEASUREMENT) D-I : SITE DATA & TECHNICAL PARAMETERS Name of the BTS :
Item
Date:
Units
Operator 1
Operator 2
Operator n
Sec 1, Sec2, Sec 3 Sec1, Sec 2, Sec 3
Sec 1, Sec2, Sec 3 Sec1, Sec 2, Sec 3
Sec 1, Sec2, Sec 3 Sec1, Sec 2, Sec 3
Site ID Name Date of Commissioning
SITE DATA
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 Carriers / Sector
(MHz)
REMARKS
Tx Power
(dBm)
Building 0 (B0) Lat
Long
Op 1
EBCCH1 EBCCH2 EBCCH3
Op 2
EBCCH1 EBCCH2 EBCCH3 EBCCH1 Op 3
Measured Value
Measured value of Electric field (V/m) or Power Density (W/m2) at adjacent buildings/ conspicuous locations within 20 meters radius.
D-II : FREQUENCY SELECTIVE MEASUREMENT OF ELECTRIC FILED/ POWER DENSITY
EBCCH2 EBCCH3 Operator 1
Exposure Index
Operator 2 Operator 3
Aggregate of Exposure Index
Own Building Top Corners and other points on the periphery of exclusion zone C1
C2
C3
C4
Remarks
COMPLIANT (YES/ NO)
2) at adj
Azimuth
Distance from BTS
Lat
Long
Measurement at various floors of the adjacent building I
II
III
IV
Op 1
BCCH1 BCCH2 BCCH3
Op 2
BCCH1 BCCH2 BCCH3 BCCH1 Op 3
Measured Value
Measured value of Electric field (V/m) or Power Density (W/m2) at adjacent buildings/ conspicuous locations within 20 meters radius
Building 1 (B1)
BCCH2 BCCH3 Operator 1
Exposure Index
Operator 2 Operator 3
Aggregate of Exposure Index COMPLIANT (YES/ NO) Building 2 (B2)
Measurement at various floors of the adjacent building
Remarks
Azimuth
Distance from BTS
Lat
Long
I
II
III
IV
Remarks
Spot 1
Spot 2
Spot 3
Spot 4
Spot 5
BCCH2 BCCH3
Op 2
BCCH1 BCCH2 BCCH3 BCCH1 Op 3
Measured Value
Op 1
BCCH1
BCCH2 BCCH3 Operator 1
Exposure Index
Operator 2 Operator 3
Aggregate of Exposure Index
density (W/m2) at adjacent buildings/ OTHER LOCATIONS ON THE GROUND
COMPLIANT (YES/ NO)
SPOT LANDMARK
Azimuth Distance from BTS Lat Long
BCCH2 BCCH3
Op 2
BCCH1 BCCH2 BCCH3 BCCH1 Op 3
Measured Value
Op 1
BCCH1
BCCH2 BCCH3 Operator 1
Exposure Index
Operator 2 Operator 3
Aggregate of Exposure Index COMPLIANT (YES/ NO)
