Pipeline Inspection Checklist Template Download as PDF Digitalize this paper form now
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Cut inspection time by 50% Uncover more issues and solve them 4x faster Select from over 4000 expert-proofed templates Pipeline Inspection Checklist Template Procedures Are corrosion control procedures established? Yes No N/A Is there a program in effect to address corrosion problems on service lines? Yes No N/A Are there procedures for design? Yes No N/A Are there procedures for installation? Yes No N/A Are there procedures for operation? Yes No N/A Are there procedures for maintenance? Yes No N/A Do we have procedures established for examining exposed cast iron pipe for evidence of graphitization? Yes No N/A Do we have procedures established for remedial measures on cast iron pipe if graphitization is discovered? Yes No N/A Are these procedures under the responsibility of a qualified person? Yes No N/A Corrosion Control Type of Pipeline Bare Copper Bare Temporary Aluminum Plastic Is the pipeline cathodically protected if a corrosive environment exists? Yes No N/A Has it been demonstrated that corrosion during the 5-year period will not be detrimental to public safety? Yes No N/A Is the natural pH of the environment Yes No N/A Has the operator conducted tests or have the experience to indicate the aluminum pipeline suitability with its environment? Yes No N/A Have we shown by test, investigation, or experience that adequate corrosion control is provided by the alloy composition? Yes No N/A Are metal alloy fittings designed to prevent leakage caused by localized corrosion pitting? Yes No N/A Are buried pipelines electrically isolated from other underground structures? Yes No N/A Are buried segments externally coated & cathodically protected? Yes No N/A Have we proved that a corrosive environment does not exist? Yes No N/A Have we conducted tests within 6-months to confirm a non-existent corrosive environment? Yes No N/A Is protection provided to the pipelines against damage due to fault currents? Yes No N/A When we have knowledge that any pipeline is exposed, is the exposed pipe examined for evidence of corrosion or coating deterioration? Yes No N/A Is external corrosion requiring remedial action found? No Yes N/A Is the pipeline investigated circumferentially and longitudinally beyond the exposed portion to determine whether additional corrosion requiring remedial action exists? Yes No N/A Atmospheric Corrosion Control Are insulating devices prohibited in areas where a combustible atmosphere is anticipated unless precautions are made to prevent arcing? Yes No N/A Have above ground facilities been cleaned and coated? Yes No N/A Is the coating material suitable for the prevention of atmospheric corrosion? Yes No N/A Do we inspect piping exposed to the atmosphere? Yes No N/A Do we give particular attention to the pipe at soil-to-air interfaces, under thermal insulation, under disbanded coating, at pipe supports, at deck penetrations, and in spans over water? Yes No N/A If atmospheric corrosion is found, does the operator provide protection against the corrosion? Yes No N/A Coating Is the coating on steel pipe applied on a properly prepared surface? Yes No N/A Does the coating on steel pipe have sufficient adhesion to resist underfilm migration of moisture? Yes No N/A Is the coating on steel pipe sufficiently ductile to resist cracking? Yes No N/A Does the coating on steel pipe have sufficient strength to resist damage due to handling and soil stress? Yes No N/A Is the coating on steel pipe compatible with supplemental cathodic protection? Yes No N/A Is the external coating electrically insulating? Yes No Does it have low moisture absorption and high electrical resistance? Yes No N/A Is the external coating inspected prior to lowering the pipe into the ditch and is any damage repaired? Yes No N/A Is external protective coating protected from damage resulting from adverse ditch conditions or damage from supporting blocks? Yes No N/A Cathodic Protection Is the amount of cathodic protection controlled to prevent damage to the protective coating or the pipe? Yes No N/A Has each pipeline that is cathodically protected been tested? Yes No N/A Has each cathodic protection rectifier been inspected? Yes No N/A Test Stations Are there sufficient test stations or test points? Yes No N/A Are test leads mechanically secure to the pipe and electrically conductive? Yes No N/A Are test leads attached to minimize stress concentration on the pipe? Yes No N/A Are each bared test lead wire and bared metallic area (at point of connection) coated with an electrically insulating material compatible with the pipe coating and insulation on the wire? Yes No N/A Remedial Measures For each segment of transmission line with localized pitting to a degree where leakage might result, is the section of pipeline replaced, repaired, or have the operating pressure reduced? Yes No N/A For distribution lines with a remaining wall thickness less than 30 percent of the nominal wall thickness, do we replace or repair the pipe? Yes No N/A For distribution lines, do we replace or repair pipe with localized corrosion pitting? Yes No N/A Is each segment of cast iron or ductile iron pipe on which general graphitization is found to a degree where a fracture or any leakage might result, replaced? Yes No N/A Is each segment of cast iron or ductile iron pipe on which localized graphitization is found to a degree where any leakage might result, replaced or repaired, or sealed by internal sealing methods? Yes No N/A Monitoring Do we check for the proper performance of each reverse current switch, diode, and interference bond whose failure would jeopardize structure protection? Yes No N/A Do we check for proper performance of other interference bonds? Yes No N/A Is prompt remedial action taken to correct any deficiencies indicated by the monitoring? Yes No N/A Are casing potentials monitored to detect the presence of shorts? Yes No N/A Do we investigate & take appropriate action when indications of casing shorts are found? Yes No N/A Do we monitor the system for stray currents and take appropriate steps to minimize detrimental effects? Yes No N/A Sign off Inspector Name & Signature
Please note that this checklist template is a hypothetical appuses-hero example and provides only standard information. The template does not aim to replace, among other things, workplace, health and safety advice, medical advice, diagnosis or treatment, or any other applicable law. You should seek your professional advice to determine whether the use of such a checklist is appropriate in your workplace or jurisdiction.