PIPELINE INTEGRITY INSPECTION CHECKLIST TEMPLATE

Created by ChecklistGuro (https://checklistguro.com)


--- PRE-INSPECTION PLANNING & PREPARATION ---
[ ] Inspection Date
[ ] Inspection Start Time
[ ] Inspection Type (Routine, Anomaly Follow-up, Regulatory)
[ ] Pipeline Segment ID
[ ] Review of Previous Inspection Reports
[ ] Inspection Plan Document
[ ] Weather Conditions (Clear, Cloudy, Rain, Snow, Fog)

--- RIGHT-OF-WAY AND VEGETATION MANAGEMENT ---
[ ] ROW Width (feet)
[ ] Vegetation Type Present (Trees, Shrubs, Brush, Ground Cover, Agricultural Crops)
[ ] Vegetation Encroachment Distance (inches)
[ ] Description of Vegetation Condition
[ ] Access Road Condition (Excellent, Good, Fair, Poor)
[ ] ROW Photos
[ ] GPS Location of Significant ROW Feature

--- PIPELINE EXTERNAL CONDITION ---
[ ] Pipeline Diameter (inches)
[ ] Pipeline Material (Carbon Steel, Stainless Steel, Other)
[ ] Description of Corrosion (if present)
[ ] Length of Dents (feet)
[ ] Description of Seam Defects (if present)
[ ] Severity of Damage (if present) (Minor, Moderate, Severe)
[ ] Attach Photos of External Condition

--- CATHODIC PROTECTION (CP) VERIFICATION ---
[ ] Near-Pipeline Potential (Volts)
[ ] Far-Field Potential (Volts)
[ ] Rectifier Output Current (Amps)
[ ] CP System Voltage (Volts)
[ ] Rectifier Status (Operating, Faulted, Standby)
[ ] Last Rectifier Maintenance Date
[ ] CP System Notes/Observations
[ ] CP System Condition (Satisfactory, Needs Adjustment, Unsatisfactory)

--- PIPELINE MARKING & SIGNAGE ---
[ ] Marker Post Condition Rating (1-5, 5=Excellent)
[ ] Marker Visibility - Daytime (Excellent, Good, Fair, Poor)
[ ] Marker Visibility - Nighttime (Excellent, Good, Fair, Poor)
[ ] Marker ID (e.g., 14S-30)
[ ] Marker Type(s) Present (International, State/Provincial, Local)
[ ] 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 ---
[ ] Last Calibration Date
[ ] Calibration Accuracy (%)
[ ] Serial Number of Device
[ ] Calibration Standard Used (NIST Traceable, Manufacturer Standard, Other (Specify))
[ ] Calibration Procedure Followed
[ ] Calibration Start Time
[ ] Calibration End Time
[ ] Calibration Certificate (Upload)

--- LEAK SURVEY & ANOMALY INVESTIGATION ---
[ ] Leak Survey Distance (Feet)
[ ] Background Noise Level (dB)
[ ] Leak Size Estimate (Gallons/Hour)
[ ] Leak Detection Method (Visual Inspection, Acoustic Survey, Pressure Monitoring, Other)
[ ] Detailed Description of Anomaly
[ ] Anomaly Severity (Low, Moderate, High, Critical)
[ ] Anomaly Photo/Video
[ ] Anomaly Discovery Date

--- POST-INSPECTION DOCUMENTATION & REPORTING ---
[ ] Inspection Completion Date
[ ] Inspection End Time
[ ] Detailed Findings & Observations
[ ] Total Distance Inspected (miles/km)
[ ] Anomalies Identified (Check all that apply) (Corrosion, Dents, Gouges, Seam Defects, Leaks, Other (Specify))
[ ] Description of 'Other' Anomaly (if selected)
[ ] Supporting Photos/Videos (Optional)
[ ] Inspector Signature
[ ] Overall Inspection Status (Pass, Fail, Conditional Pass)

--- REGULATORY COMPLIANCE & RECORD KEEPING ---
[ ] Inspection Date
[ ] API Standard Version Used
[ ] Regulatory Body Oversight (PHMSA, State Agency, Local Agency, None)
[ ] Summary of Findings & Regulatory Implications
[ ] Supporting Documentation
[ ] Report Submission Status (Not Submitted, Submitted, Approved)
[ ] Report Submission Date

--- END OF TEMPLATE ---
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