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