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Technology Operation
                                                                                               Work Permit Form (Version 1.8)
Request Form (Should be fill in by applicant/implementer)                                                      WP No:                                                                               Date: 16-May-12
                                                                                                                     180512-118_coll_atpmod_irm_as
    Requestor Name                                        : Dedi Setiawan                                                                                             Hand Phone No:                 089603000767
    Company                                               : PT Huawei
    E-mail                                                : dedi.setiawan@huawei.com
    Name of PIC for Planned Activity (Huawei) : Dedi Setiawan                                                                                                         Hand Phone No:                 089603000767


    PIC from Partner                                      : Heriyadi                                                                                                  Hand Phone No:                 0838?6300?0379
                                                              Hendy                                                                                                                                  0838?3891?0330
                                                              Rusli                                                                                                                                  0838?9790?2699
                                                              Sigit                                                                                                                                  0838?6255?8000
                                                              Karso                                                                                                                                  0838?4234?1494

    Company                                               : TGS
    Date                                                  :           From           : 21 Mei 2012             To   : 04 Juni 2012
    Time                                                  :           From           : 8:00                    To   : 17:00
    Regional                                              : Central Java


    WP Purpose                                            :                              CR Execution                  TOC Access                                     Site Access                                                          Other

    CR Number                                             :

    Detail of Activity                                    : ATP BTS MODERNIZATION

    TOC name                                              :

    TOC Areas                                             :                              Network Room                  Data Centre Room                               OMC Room                                                             Power Room

    Site Name                                             :

    Will traffic be affected?                                                            Yes                           No

     If yes, please mention the service                   :

    Date of Down Time Execution                           :

    Down time                                             :           Start          :                         End :                                           Total Duration :


    Type of Activity                                      :                              Core Network                  BSC/RNC                                        VAS/SPN                        IN/OCS/EVC/RBT
                                                                                         Transmission                  BTS/Node B/Site                                Others                         TOC/NOC Facility
                                                                                         IT Network                    IT Server/BSS/OSS/ESS                          PABX                           Site Facility


    Detail Information of Network Element                 :

    Core Network, IN/RBT, & SPN Related
    Any Call Feature Activation be affected?                                             Yes                           No

    If Yes, please mention                                :           ¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­

    CDR Impacted                                          :                              Yes                           No
    Call flow impacted                                    :                              Yes                           No
    Any service impacted                                  :                              Yes                           No
                                                          :
    Please discribe detail of activity and
    outage impacted
    ¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­..

    ¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­..
    Radio & Transmission Related
    BSC/RNC Name                                          :           ¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­.
    Detail of Site affected                               :                                                                         Total Site of affected :

                           Site Id / Name                                            Sector                            No. of Carrier Equipped                                                 No. Carriers Affected




    Microwave Links affected                              :                              Yes                           No
    Link Backbone affected                                :                              Yes                           No
                                                          :
    If yes, please put the detail of affected
    Links & Also all cell sites:
    ¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­..
    ¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­..

    TOC/NOC/ SITE Facility
                                                              Note:
    Please discribe detail of activity and
                                                          :   Please call NOC,MS Team/Helpdesk(083842225388/083842745692) before and after
    outage impacted (
        g     p      (mandatory) y)                           activity
    ¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­..
    ¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­..

    ¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­..


    Requested's by,                                       Requestor Manager                                    AXIS User                                       Axis MS                               AXIS Technology Operation
                                                                                                                              Digitally signed                              Digitally signed
                                                                                                                              by Irman                                      by Arif Hartono          Achmad          Digitally signed by Achmad Sholeh
                                                                                                                                                                                                                     DN: cn=Achmad Sholeh, c=ID, o=Network


                                                                                                                              Handiman                                      Date:                                    Operation - CJ & DIY, ou=Network Operation,
                                                                                                                                                                                                                     email=achmad.sholeh@axisworld.co.id



                                                                                                                              Date: 2012.05.16
                                                                                                                                                                            2012.05.18
                                                                                                                                                                            15:23:50
                                                                                                                                                                                                     Sholeh          Date: 2012.05.18 15:47:55 +07'00'




                                                                                                                              18:40:59 +07'00'                              +07'00'
    Name: Dedi Setiawan                                   Name: Rio Dwi Rusmawanto                             Name:                                           Name:                                 Name:
    16-May-12                                             Date: 16-May-12                                      Date:                                           Date:                                 Date:

      Note:
      * AXIS User will have responsibity to indicate whether the work carryout by MS is of a critical nature to be supervise fulltime or on a routine basis. Where 3rd party MS is not being supervised fulltime
        the MS must undertake full responsibility for carrying out the activities and taking full responsibility of his/her actions within approved work permit period.
      * Detail work instructon and process please refer business process
DETAIL?ACTIVITY?LIST
                                                                                                                    180512-118_coll_atpmod_irm_as
                               WP?No:

                                                                                      Date                              Time              Outage?Time                             PIC
   No         Site ID         Site?Name                   Detail?Activity                                                                                                                                  Detail?Site?Affected
                                                                               From              To                From      To    Date      Start      End                Name            HP
    1         JCTN004   Sumur?Panggang                                       21-May-12       4-Jun-12            8:00?AM 5:00?PM                                   Heriyadi        0838?6300?0379
    2         JCTN003   Debong                                               21-May-12       4-Jun-12            8:00?AM 5:00?PM                                   Hendy           0838?3891?0330
    3         JCKS031   Rri?Semarang
                        Rri Semarang                                         21-May-12       4-Jun-12            8:00?AM 5:00?PM
                                                                                                                 8:00 AM 5:00 PM                                   Rusli           0838?9790?2699
                                                                                                                                                                                   0838 9790 2699
    4         JCKS030   Peterongan                   ATP?BTS?MODERNIZATION   21-May-12       4-Jun-12            8:00?AM 5:00?PM                                   Sigit           0838?6255?8000
    5         JCBB004   Bulukamba                                            21-May-12       4-Jun-12            8:00?AM 5:00?PM                                   Karso           0838?4234?1494
    6         JCKS006   Kyai?Saleh?                                          21-May-12       4-Jun-12            8:00?AM 5:00?PM
    7         JCTE007   BSC?Tegal                                            21-May-12       4-Jun-12            8:00?AM 5:00?PM




Requested's by,                              Requestor Manager                           AXIS User                                        Axis MS                                                    AXIS?Technology?Operation
                                                                                                      Digitally signed
                                                                                                      by Irman
                                                                                                      Handiman
                                                                                                                                                        Digitally signed
                                                                                                                                                        by Arif Hartono
                                                                                                                                                                                                    Achmad        Digitally signed by Achmad Sholeh
                                                                                                                                                                                                                  DN: cn=Achmad Sholeh, c=ID,
                                                                                                                                                                                                                  o=Network Operation - CJ & DIY,
                                                                                                                                                                                                                  ou=Network Operation, email=achmad.
                                                                                                      Date:                                             Date:
                                                                                                      2012.05.16
                                                                                                      18:41:26
                                                                                                                                                        2012.05.17                                  Sholeh        sholeh@axisworld.co.id
                                                                                                                                                                                                                  Date: 2012.05.18 15:48:43 +07'00'



Name: Dedi Setiawan                          Name: Rio Rusmawanto                        Name:        +07'00'                             Name:         11:27:08                                     Name?:
                                                                                                                                                        +07'00'
16-May-12                                    16-May-12                                   Date:                                            Date:                                                      Date?:

                                          Note:
                                          Please call NOC,MS Team/Helpdesk(083842225388/083842745692) before and after activity
180512-118_coll_atpmod_irm_as




      180512-118_coll_atpmod_irm_as




180512-118_coll_atpmod_irm_as

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180512 118 coll-atpmod_irm_as(1)

  • 1. Technology Operation Work Permit Form (Version 1.8) Request Form (Should be fill in by applicant/implementer) WP No: Date: 16-May-12 180512-118_coll_atpmod_irm_as Requestor Name : Dedi Setiawan Hand Phone No: 089603000767 Company : PT Huawei E-mail : dedi.setiawan@huawei.com Name of PIC for Planned Activity (Huawei) : Dedi Setiawan Hand Phone No: 089603000767 PIC from Partner : Heriyadi Hand Phone No: 0838?6300?0379 Hendy 0838?3891?0330 Rusli 0838?9790?2699 Sigit 0838?6255?8000 Karso 0838?4234?1494 Company : TGS Date : From : 21 Mei 2012 To : 04 Juni 2012 Time : From : 8:00 To : 17:00 Regional : Central Java WP Purpose : CR Execution TOC Access Site Access Other CR Number : Detail of Activity : ATP BTS MODERNIZATION TOC name : TOC Areas : Network Room Data Centre Room OMC Room Power Room Site Name : Will traffic be affected? Yes No If yes, please mention the service : Date of Down Time Execution : Down time : Start : End : Total Duration : Type of Activity : Core Network BSC/RNC VAS/SPN IN/OCS/EVC/RBT Transmission BTS/Node B/Site Others TOC/NOC Facility IT Network IT Server/BSS/OSS/ESS PABX Site Facility Detail Information of Network Element : Core Network, IN/RBT, & SPN Related Any Call Feature Activation be affected? Yes No If Yes, please mention : ¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­ CDR Impacted : Yes No Call flow impacted : Yes No Any service impacted : Yes No : Please discribe detail of activity and outage impacted ¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­.. ¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­.. Radio & Transmission Related BSC/RNC Name : ¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­. Detail of Site affected : Total Site of affected : Site Id / Name Sector No. of Carrier Equipped No. Carriers Affected Microwave Links affected : Yes No Link Backbone affected : Yes No : If yes, please put the detail of affected Links & Also all cell sites: ¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­.. ¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­.. TOC/NOC/ SITE Facility Note: Please discribe detail of activity and : Please call NOC,MS Team/Helpdesk(083842225388/083842745692) before and after outage impacted ( g p (mandatory) y) activity ¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­.. ¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­.. ¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­.. Requested's by, Requestor Manager AXIS User Axis MS AXIS Technology Operation Digitally signed Digitally signed by Irman by Arif Hartono Achmad Digitally signed by Achmad Sholeh DN: cn=Achmad Sholeh, c=ID, o=Network Handiman Date: Operation - CJ & DIY, ou=Network Operation, email=achmad.sholeh@axisworld.co.id Date: 2012.05.16 2012.05.18 15:23:50 Sholeh Date: 2012.05.18 15:47:55 +07'00' 18:40:59 +07'00' +07'00' Name: Dedi Setiawan Name: Rio Dwi Rusmawanto Name: Name: Name: 16-May-12 Date: 16-May-12 Date: Date: Date: Note: * AXIS User will have responsibity to indicate whether the work carryout by MS is of a critical nature to be supervise fulltime or on a routine basis. Where 3rd party MS is not being supervised fulltime the MS must undertake full responsibility for carrying out the activities and taking full responsibility of his/her actions within approved work permit period. * Detail work instructon and process please refer business process
  • 2. DETAIL?ACTIVITY?LIST 180512-118_coll_atpmod_irm_as WP?No: Date Time Outage?Time PIC No Site ID Site?Name Detail?Activity Detail?Site?Affected From To From To Date Start End Name HP 1 JCTN004 Sumur?Panggang 21-May-12 4-Jun-12 8:00?AM 5:00?PM Heriyadi 0838?6300?0379 2 JCTN003 Debong 21-May-12 4-Jun-12 8:00?AM 5:00?PM Hendy 0838?3891?0330 3 JCKS031 Rri?Semarang Rri Semarang 21-May-12 4-Jun-12 8:00?AM 5:00?PM 8:00 AM 5:00 PM Rusli 0838?9790?2699 0838 9790 2699 4 JCKS030 Peterongan ATP?BTS?MODERNIZATION 21-May-12 4-Jun-12 8:00?AM 5:00?PM Sigit 0838?6255?8000 5 JCBB004 Bulukamba 21-May-12 4-Jun-12 8:00?AM 5:00?PM Karso 0838?4234?1494 6 JCKS006 Kyai?Saleh? 21-May-12 4-Jun-12 8:00?AM 5:00?PM 7 JCTE007 BSC?Tegal 21-May-12 4-Jun-12 8:00?AM 5:00?PM Requested's by, Requestor Manager AXIS User Axis MS AXIS?Technology?Operation Digitally signed by Irman Handiman Digitally signed by Arif Hartono Achmad Digitally signed by Achmad Sholeh DN: cn=Achmad Sholeh, c=ID, o=Network Operation - CJ & DIY, ou=Network Operation, email=achmad. Date: Date: 2012.05.16 18:41:26 2012.05.17 Sholeh sholeh@axisworld.co.id Date: 2012.05.18 15:48:43 +07'00' Name: Dedi Setiawan Name: Rio Rusmawanto Name: +07'00' Name: 11:27:08 Name?: +07'00' 16-May-12 16-May-12 Date: Date: Date?: Note: Please call NOC,MS Team/Helpdesk(083842225388/083842745692) before and after activity
  • 3. 180512-118_coll_atpmod_irm_as 180512-118_coll_atpmod_irm_as 180512-118_coll_atpmod_irm_as