HomeMy WebLinkAbout20210129_Optional Checklist for DeterminationFCC/LSGAC Local Official’s Guide to RF
APPENDIX A
Optional Checklist for Determination
Of Whether a Facility is Categorically Excluded
PA2021-014
FCC/LSGAC Local Official’s Guide to RF
Optional Checklist for Local Government
To Determine Whether a Facility is Categorically Excluded
continue
Purpose: The FCC has determined that many wireless facilities are unlikely to cause human
exposures in excess of RF exposure guidelines. Operators of those facilities are exempt from
routinely having to determine their compliance. These facilities are termed "categorically
excluded." Section 1.1307(b)(1) of the Commission's rules defines those categorically excluded
facilities. This checklist will assist state and local government agencies in identifying those
wireless facilities that are categorically excluded, and thus are highly unlikely to cause exposure
in excess of the FCC’s guidelines. Provision of the information identified on this checklist may
also assist FCC staff in evaluating any inquiry regarding a facility’s compliance with the RF
exposure guidelines.
BACKGROUND INFORMATION
1. Facility Operator’s Legal Name:
2. Facility Operator’s Mailing Address:
3. Facility Operator’s Contact Name/Title:
4. Facility Operator’s Office Telephone:
5. Facility Operator’s Fax:
6. Facility Name:
7. Facility Address:
8. Facility City/Community:
9. Facility State and Zip Code:
10. Latitude:
11. Longitude:
PA2021-014
►
FCC/LSGAC Local Official’s Guide to RF
Optional Local Government Checklist (page 2)
EVALUATION OF CATEGORICAL EXCLUSION
12. Licensed Radio Service (see attached Table 1):
13. Structure Type (free-standing or building/roof-mounted):
14. Antenna Type [omnidirectional or directional (includes sectored)]:
15. Height above ground of the lowest point of the antenna (in meters):
16. Check if all of the following are true:
(a) This facility will be operated in the Multipoint Distribution Service, Paging and
Radiotelephone Service, Cellular Radiotelephone Service, Narrowband or Broadband
Personal Communications Service, Private Land Mobile Radio Services Paging
Operations, Private Land Mobile Radio Service Specialized Mobile Radio, Local
Multipoint Distribution Service, or service regulated under Part 74, Subpart I (see
question 12).
(b) This facility will not be mounted on a building (see question 13).
(c) The lowest point of the antenna will be at least 10 meters above the ground (see question
15).
If box 16 is checked, this facility is categorically excluded and is unlikely to cause exposure in
excess of the FCC’s guidelines. The remainder of the checklist need not be completed. If box
16 is not checked, continue to question 17.
17. Enter the power threshold for categorical exclusion for this service from the attached Table 1
in watts ERP or EIRP∗ (note: EIRP = (1.64) X ERP):
18. Enter the total number of channels if this will be an omnidirectional antenna, or the
maximum number of channels in any sector if this will be a sectored antenna:
19. Enter the ERP or EIRP per channel (using the same units as in question 17):
20. Multiply answer 18 by answer 19:
21. Is the answer to question 20 less than or equal to the value from question 17 (yes or no)?
If the answer to question 21 is YES, this facility is categorically excluded. It is unlikely to cause
exposure in excess of the FCC’s guidelines.
If the answer to question 21 is NO, this facility is not categorically excluded. Further
investigation may be appropriate to verify whether the facility may cause exposure in excess of
the FCC’s guidelines.
∗"ERP" means "effective radiated power" and "EIRP" means "effective isotropic radiated power
PA2021-014
--fol
FCC/LSGAC Local Official’s Guide to RF
TABLE 1 (cont.)
SERVICE (TITLE 47 CFR RULE PART) EVALUATION REQUIRED IF:
Personal Communications Services
(part 24)
(1) Narrowband PCS (subpart D):
non-building-mounted antennas: height
above ground level to lowest point of antenna
< 10 m and total power of all channels > 1000
W ERP (1640 W EIRP)
building-mounted antennas:
total power of all channels > 1000 W ERP
(1640 W EIRP)
(2) Broadband PCS (subpart E):
non-building-mounted antennas: height
above ground level to lowest point of antenna
< 10 m and total power of all channels > 2000
W ERP (3280 W EIRP)
building-mounted antennas:
total power of all channels > 2000 W ERP
(3280 W EIRP)
Satellite Communications
(part 25)
all included
General Wireless Communications Service
(part 26)
total power of all channels > 1640 W EIRP
Wireless Communications Service
(part 27)
total power of all channels > 1640 W EIRP
Radio Broadcast Services
(part 73)
all included
PA2021-014