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Pipeline Corrosion Report Form

Corrosion Protection Requirements

Buried or submerged pipelines (constructed, relocated, replaced, or changed) externally coated

All external pipe coating inspected

Take photo(s) of external pipe coating

Repair any coating damage discovered

Coating Damage

Brief description

Take photo(s) of coating damage

Repairs needed/done

Adequate cathodic protection of the system

Sufficient number of test leads properly installed

Take photo(s) of test stations
Sign off

Additional Observations

Inspector
Inspector Name & Signature
Site Supervisor Name & Signature

Pipeline Corrosion Report Form Checklist

Created by: SafetyCulture Staff | Industry: General |

A pipeline corrosion report form is an assessment signed off by the site supervisor to demonstrate that pipelines meet corrosion protection requirements. This intuitive report form guides inspectors what details should be included when a criteria is satisfactory, unsatisfactory, or not applicable. When inspectors discover coating damage, they will be prompted to take photos of these potential corrosion-related problems and briefly describe the repairs needed or done.

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Pipeline Corrosion Report Form

Corrosion Protection Requirements

Buried or submerged pipelines (constructed, relocated, replaced, or changed) externally coated

All external pipe coating inspected

Take photo(s) of external pipe coating

Repair any coating damage discovered

Coating Damage

Brief description

Take photo(s) of coating damage

Repairs needed/done

Adequate cathodic protection of the system

Sufficient number of test leads properly installed

Take photo(s) of test stations
Sign off

Additional Observations

Inspector
Inspector Name & Signature
Site Supervisor Name & Signature