FIELD OPERARATION QUALITY ASSURANCE CHECKLIST

Summery of what was observed:

PPE OK?

OQ verified and appropriate for Task(s)?

Do they have valid 811 Ticket?

Are utilities marked?

Current OMC Manual available?

Picture ID card

First aid kit onsite?

Fire extinguisher available (as required)

Proper warning sign placement/work zone setup

Appropriate use of barricading, cones and excavation protection

Flaggers in use (as required)

Required flagging certificate available

Traffic Control Adequate

Required permits

Proper load securement

Material Handling Adequate

Non-qualified individuals properly directed

Property damaged observed

Appropriate removal of excess material/debris

Any additional follow-up required

All equipment calibration(s) verified up to date

Was proper equipment startup procedure followed

Any additional follow-up required

Locate marks are clear and accurate

Appropriate method was used to complete locate (.eg., direct, indirect, or measurement)

All FPU underground facilities marked in proposed work zone as shown on as-built

Excessive marking (e.g., on retaining walls aggregate driveways and decorative shrubs)

Was locate completed within required timeframe

Were appropriate follow-up and communication made

Any additional follow-up required

Proper stand-by procedures followed

Properly inspects exposed underground pipe

Appropriately repairs pipe coating

Any additional follow-up required

Parked vehicles in safe locations(s)

Conducted a thorough initial assessment

Started leakage instrument before entering scene

Eliminated ignition sources

Took readings at appropriate locations

Evacuated as appropriate

Communicated and coordinated fire department assistance

Set and maintained required perimeter based on readings

Continued to monitor gas readings

Communicated with customers/other parties

Provided event status updates to DISPATCH or SUPERVISOR as needed

Communicated with FPU resources as they arrived

Safe Zone Huddle conducted

Incident Commander identified

Emergency response documentation appropriately completed (duplicated with documentation)

Any additional follow-up required

Takes reading at appropriate locations

All required facilities surveyed

Properly surveys and classifies atmospheric corrosion

Survey completed by completed by compliance due date

Properly classifies leaks

Proper survey procedures followed

Any additional follow-up required

Accurate completion of as-builts, services cards and valve cards

Additional forms/reports completed accurately, as required

Accurate pressure test information documented

Pipe condition noted

Corrosion reading (as required)

Meter information accurately recorded

Proper brochures, stickers, tags or signs left as required

Emergency response documentation appropriately completed

Any additional follow-up required

Locates present or locate number (as required)

Locates maintained throughout job

Were proper methods used to expose utilities

Shoring in use (as required)

Appropriate backfill material used

Buffer zones maintained

Spotter in use (as needed)

Acceptable excavation restoration

Appropriate use of ladder(s)

Proper procedures followed

Any additional follow-up required

Visual pipe inspection for damage and corrosion

Holiday detector used on steel pipe

Approved mechanical pull head used on pullback

Proper sealing of casing

Test leads installed (as required)

Anode installed (as required)

Tracer wire appropriately installed

Appropriate wire connection methods used

Proper locate marks left on jobsite

Continuity of tracer wire verified with locator

Air test at appropriate pressure and duration

Proper support of pipe

EFV installed (as required)

Riser appropriately positioned

Appropriate materials used

Depth standards met

Separation standards met (e.g., other utilities)

Were appropriate steps taken to protect exposed pressurized pipe

Proper procedures followed

Operated valve verifying stops are in placd

Any additional follow-up required

Written procedures available and followed on job site (as required)

Pre-job procedure review completed

Feed check performed (as required)

Appropriate by-pass procedures followed (as required)

Proper stopping gas flow procedures followed

Appropriate static control methods used

Proper purging procedure followed

Proper procedures followed

All changed documented (as required)

Any additional follow-up required

Proper pipe preparation

Appropriate iron temperature

Acceptable configuration (line up)

Proper location of fittings in relation to other fittings

Appropriate cooling time observed

Acceptable visual appearance

Appropriate tapping procedures followed (as required)

Signature (fused connection)

Proper stencil and markings (e.g., stab depth, pipe preparation marks) present

Proper pipe restraint used

Soap test performed

No leakage found or appropriately addressed

Proper procedure followed

Any additional follow-up required

Proper pipe preparation

Proper tooling used (e.g., chamfer, stab depth or torque wrench)

Correct torque setting used

Appropriate tapping procedures followed (as required)

Appropriate pipe coating used

Holiday detector used on repaired/new coating

Soap test performed

No leakage found or appropriately addressed

Proper procedures followed

Any additional follow-up required

Proper pipe/fitting preparation

Acceptable visual appearance of weld

Appropriate tapping procedures followed ( as required)

Soap test performed

Appropriate pipe coating

Holiday detector used on new or repaired coating

No leakage found or appropriately addressed

Proper procedures followed

Any additional follow-up required

Proper handling/storage of meters observed

Design standards met

Meter properly supported

Acceptable meter location

Regulators set and functioning properly

Regulator properly vented

Appropriately painted (as required)

Access flow valve tag on meter set

FPU sticker on meter set

Leak test performed

No leakage found or appropriately addressed

Meter/meter components functioning properly

Relief set and functioning properly

Meter instrument functioning properly (e.g., corrector/ES3)

Meter removal procedure followed

Rotary meter installation procedures followed

Inlet valve operable

Filter/Strainer maintenance performed

By-pass locked as necessary

Sensing lines locked as necessary

Proper procedures followed

Any additional follow-up required

District Regulator Station

Throttle inlet valve to clear debris from line and purge

Pilot regulators correctly installed

Proper bypass procedure followed

Relief set and functioning properly

Relief sensing lines locked in open position

Regulators set and functioning properly

Sense lines returned to normal position

Soap test performed (Leak test performed)

Appropriately painted or referral made (as required)

Appropriately valves operated or referral made (as required)

No leakage found or appropriately addressed

Appropriate protection installed or referral made (e.g., bollard, guardrail, fence)

Regulator properly vented

Proper procedures followed

Any additional follow-up required?