Maintenance Record / Atmospheric Corrosion Inspection

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Choose all that apply:

  Select Permanent Repair (A, B, E) Test Point Installation (A, B, E) Visual Pipe Inspection (A, B, E) Station (A, D) Valve (A, D) Exposure (A, C)

  • Permanent Repair (A, B, E)
  • Test Point Installation (A, B, E)
  • Visual Pipe Inspection (A, B, E)
  • Station (A, D)
  • Valve (A, D)
  • Exposure (A, C)

• DOT?

  Yes

  No

  N/A

• Date of Report:

  Date

• Date Completed:

  Date

• Line Name:

  Select Booker Borger Borger to Farnsworth CEI Coffeyville Hoxbar Matagorda Bay Mesquite Bay Mustang Island TexOk TexOk to Farnsworth Velma

  • Booker
  • Borger
  • Borger to Farnsworth
  • CEI
  • Coffeyville
  • Hoxbar
  • Matagorda Bay
  • Mesquite Bay
  • Mustang Island
  • TexOk
  • TexOk to Farnsworth
  • Velma

• Township / Legals:

• Latitude / Longitude:

• County and State:

• Type of Service:

  Carbon Dioxide

  Crude Oil

  Natural Gas

• Line Size:

• Line Depth:

Section A: Coating and Pipe Condition

• Condition of Coating:

  Bonded

  Generally Corroded

  Isolated Pitting

  No Corrosion

• Paint Condition:

  Good

  Needs Repair

• Pipe to Soil Transistion:

  Good

  Needs Repair

• Coating Applied?

  Yes

  No

  N/A

• Condition of Coating:

  Select Brittle Cracked Good Poor Soil Penetration Wrinkled

  • Brittle
  • Cracked
  • Good
  • Poor
  • Soil Penetration
  • Wrinkled

• If line was cut, what was the condition of the internal surface?

  Bonded

  Generally Corroded

  Isolated Pitting

  No Corrosion

• Length Exposed:

• Type of Existing Coating:

  Select ACM Asphalt Coal Tar Epoxy Plastic Tape None Other

  • ACM
  • Asphalt
  • Coal Tar
  • Epoxy
  • Plastic Tape
  • None
  • Other

• Type of Coating Applied:

  Select ACM Asphalt Coal Tar Epoxy Plastic Tape None Other

  • ACM
  • Asphalt
  • Coal Tar
  • Epoxy
  • Plastic Tape
  • None
  • Other

Section B: Corrosion

• SCC Inspection Performed?

  Yes

  No

  N/A

• Cathodic Protection:

  Anode

  Rectifier

  None

• Maximum Pit Depth:

• Length of Longest Pit:

• Longitudinal Axis Length:

• If internal corrosion, how much wall loss?

• Clock Position of Internal Corrosion (Looking in direction of flow):

• Damage to Company Pipeline:

• PO Number:

• Spill Report and Date:

• Hydro Test Report:

Section C: Washouts and Erosion

• Nature or Reason For Exposure:

• Length of Exposure:

• Is Pipe Suspended?

  Yes

  No

  N/A

• If Yes, Length of Suspension:

• Is Exposure Increasing?

  Yes

  No

  N/A

• Is Exposure in Waterway?

  Yes

  No

  N/A

• If Yes, Name of Waterway:

• Is Exposure in High Impact Area?

  Yes

  No

  N/A

• If Yes, Describe:

• Exposed Coating Condition

  Damaged

  Disbonded

  Good

  Other

Section D: Pipe Supports

• General Condition of Supports:

  Good

  Needs Repair

• Problem Location:

• Type of Support:

• Insulation:

  FRP

  None

• FRP Condition:

Section E: Soil Conditions

• Soil Type:

  Select Clay Loam Rock Sand Silt Other

  • Clay
  • Loam
  • Rock
  • Sand
  • Silt
  • Other

• Drainage:

  Good

  Fair

  Poor

• Land Use:

  Cultivated

  Pasture

  Wooded

  Other

• Backfill:

  Loose

  Setting

  Solid

  Other

• Topography:

  Select Level River Bottom Rolling Rough Swampy Other

  • Level
  • River Bottom
  • Rolling
  • Rough
  • Swampy
  • Other

• Tests:

  Dry

  Wet

• Pipe / CuSO4:

• Over Pipe:

• Under Pipe:

• Ground Level:

• Soil PH (At Pipe Level):

Remarks

• Additional Comments:

• Employee Name:

• Date

  Date