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
Take photo(s) of coating damage
Adequate cathodic protection of the system
Sufficient number of test leads properly installed
Take photo(s) of test stations
Inspector Name & Signature
Site Supervisor Name & Signature
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to
take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment;
or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is
permissible in your workplace or jurisdiction.
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