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Pipeline Integrity Inspection Checklist Template

Ensure pipeline safety and regulatory compliance with our Pipeline Integrity Inspection Checklist Template. Streamline inspections, minimize risk, and optimize asset management for oil, gas, and refined products pipelines. Download now and safeguard your operations.

This Template was installed 4 times.

Pre-Inspection Planning & Preparation

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Review inspection plan, gather necessary documentation, and prepare equipment.

Inspection Date

Inspection Start Time

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Inspection Type

Pipeline Segment ID

Review of Previous Inspection Reports

Inspection Plan Document

Weather Conditions

Right-of-Way and Vegetation Management

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Assess condition of ROW, vegetation encroachment, and access points.

ROW Width (feet)

Vegetation Type Present

Vegetation Encroachment Distance (inches)

Description of Vegetation Condition

Access Road Condition

ROW Photos

GPS Location of Significant ROW Feature

Pipeline External Condition

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Inspect for corrosion, dents, gouges, seam defects, and other physical damage.

Pipeline Diameter (inches)

Pipeline Material

Description of Corrosion (if present)

Length of Dents (feet)

Description of Seam Defects (if present)

Severity of Damage (if present)

Attach Photos of External Condition

Cathodic Protection (CP) Verification

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Measure and verify CP system performance, including potential readings and rectifier operation.

Near-Pipeline Potential (Volts)

Far-Field Potential (Volts)

Rectifier Output Current (Amps)

CP System Voltage (Volts)

Rectifier Status

Last Rectifier Maintenance Date

CP System Notes/Observations

CP System Condition

Pipeline Marking & Signage

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Confirm accurate and visible pipeline markers are in place.

Marker Post Condition Rating (1-5, 5=Excellent)

Marker Visibility - Daytime

Marker Visibility - Nighttime

Marker ID (e.g., 14S-30)

Marker Type(s) Present

Description of any damaged or missing markers

Date of Last Marker Replacement/Repair

GPS Coordinates of Marker Location (if applicable)

Leak Detection Equipment Calibration & Operation

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Verify calibration and functionality of leak detection devices (e.g., ultrasonic detectors, pressure monitors).

Last Calibration Date

Calibration Accuracy (%)

Serial Number of Device

Calibration Standard Used

Calibration Procedure Followed

Calibration Start Time

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Calibration End Time

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Calibration Certificate (Upload)

Leak Survey & Anomaly Investigation

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Conduct leak survey, investigate any detected anomalies, and document findings.

Leak Survey Distance (Feet)

Background Noise Level (dB)

Leak Size Estimate (Gallons/Hour)

Leak Detection Method

Detailed Description of Anomaly

Anomaly Severity

Anomaly Photo/Video

Anomaly Discovery Date

Post-Inspection Documentation & Reporting

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Complete inspection reports, record anomalies, and create follow-up action items.

Inspection Completion Date

Inspection End Time

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Detailed Findings & Observations

Total Distance Inspected (miles/km)

Anomalies Identified (Check all that apply)

Description of 'Other' Anomaly (if selected)

Supporting Photos/Videos (Optional)

Inspector Signature

Overall Inspection Status

Regulatory Compliance & Record Keeping

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Ensure compliance with applicable regulations and maintain accurate records of inspections.

Inspection Date

API Standard Version Used

Regulatory Body Oversight

Summary of Findings & Regulatory Implications

Supporting Documentation

Report Submission Status

Report Submission Date

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