Pipeline Patrol Report

• Site conducted

  Select

1.1 Information

• Document No:

• Conducted On:

  Date

• Prepared By:

• Contact Number (auditor):

• Pipeline:

  Select Archer Rd - Wheeler St - Lic 103 (T28) Albury - Newprint Mill - Lic 502 (T68) Bangholme (MMBW) - Lic 85 (T48) Bittern - Dromana - Lic 137 (T72) Dandenong - Crib Point - Lic 11 (T13) Dandenong - Frankston - Lic 49 (T14) Dromana - Rye - Lic 167 (T90) Hastings (Lysaghts) - Lic 115 (T49) Hasting - Tyabb - Lic 61 (T51) Langwarrin - Frankston - Lic 139 (T69) Longford - Sale - Lic 43 (T27) Morwell - Tramway - Lic 215 (T5) North Melbourne - Fairfield - Lic 66 (T36) North Melbourne - West Melbourne - Lic 208 (T18) NSW/Vic Border - Albury - Lic 501 (T73) Sale - Maffra - Lic 44 (T27) Templestow - Keon Park - Lic 201 (T18) Tumut Valley Pipeline - NSW T01 Tyabb - Mornington - Lic 62 (T34) West Wodonga - Wodonga - Lic 102 (T31) Wodonga CG - NSW Border - Lic 219 (T73) Other

  • Archer Rd - Wheeler St - Lic 103 (T28)
  • Albury - Newprint Mill - Lic 502 (T68)
  • Bangholme (MMBW) - Lic 85 (T48)
  • Bittern - Dromana - Lic 137 (T72)
  • Dandenong - Crib Point - Lic 11 (T13)
  • Dandenong - Frankston - Lic 49 (T14)
  • Dromana - Rye - Lic 167 (T90)
  • Hastings (Lysaghts) - Lic 115 (T49)
  • Hasting - Tyabb - Lic 61 (T51)
  • Langwarrin - Frankston - Lic 139 (T69)
  • Longford - Sale - Lic 43 (T27)
  • Morwell - Tramway - Lic 215 (T5)
  • North Melbourne - Fairfield - Lic 66 (T36)
  • North Melbourne - West Melbourne - Lic 208 (T18)
  • NSW/Vic Border - Albury - Lic 501 (T73)
  • Sale - Maffra - Lic 44 (T27)
  • Templestow - Keon Park - Lic 201 (T18)
  • Tumut Valley Pipeline - NSW T01
  • Tyabb - Mornington - Lic 62 (T34)
  • West Wodonga - Wodonga - Lic 102 (T31)
  • Wodonga CG - NSW Border - Lic 219 (T73)
  • Other

• Pipeline Description

2.1 Pipeline Exposure

• Is the pipeline exposed?

  Yes

  No

  N/A
Incident

• Description of incident/issue

• Location
  Address

• Location description

• Photos of incident/issue

  Media

• Corrective actions required

3.1 Subsidence

• Is there any pipeline subsidence?

  Yes

  No

  N/A
Incident

• Description of incident/issue

• Location
  Address

• Location description

• Photos of incident/issue

  Media

• Corrective actions required

4.1 Potential Active Erosion

• Is there any potential active erosion near the pipeline?

  Yes

  No

  N/A
Incident

• Description of incident/issue

• Location
  Address

• Location description

• Photos of incident/issue

  Media

• Corrective actions required

5.1 Weed Infestations

• Are there any weed infestations within the 3m pipeline easement

  Yes

  No

  N/A
Incident

• Description of incident/issue

• Location
  Address

• Location description

• Photos of incident/issue

  Media

• Corrective actions required

6.1 Fences & Gates

• Are fences in good condition

  Yes

  No
Incident

• Description of incident/issue

• Location
  Address

• Location description

• Photos of incident/issue

  Media

• Corrective actions required

• Are gates accessible and in good working condition

  Yes

  No
Incident

• Description of incident/issue

• Location
  Address

• Location description

• Photos of incident/issue

  Media

• Corrective actions required

7.1 Flooding

• Are there signs of flooding near the pipeline?

  Yes

  No

  N/A
Incident

• Description of incident/issue

• Location
  Address

• Location description

• Photos of incident/issue

  Media

• Corrective actions required

8.1 Explosives

• Is there evidence of explosives being used in the area?

  Yes

  No

  N/A
Incident

• Description of incident/issue

• Location
  Address

• Location description

• Photos of incident/issue

  Media

• Corrective actions required

9.1 Signage & Markers

• Are there any damaged signs or markers? OR line of sight issues?

  Yes

  No

  N/A
Incident

• Description of incident/issue

• Location
  Address

• Location description

• Photos of incident/issue

  Media

• Corrective actions required

10.1 Vegetation & Re-Growth

• Is there any re-growth within 3m of the pipeline that requires attention?<br><br><br><br>

  Yes

  No

  N/A
Incident

• Description of incident/issue

• Location
  Address

• Location description

• Photos of incident/issue

  Media

• Corrective actions required

11.1 Gas Leakage

• Is there any evidence of gas leakage on the TP main?<br><br><br><br>

  Yes

  No

  N/A
Incident

• Description of incident/issue

• Location
  Address

• Location description

• Photos of incident/issue

  Media

• Corrective actions required

12.1 Feral Animal Sightings

• Has there been any sightings of feral animals near the TP main?<br><br><br><br>

  Yes

  No

  N/A
Incident

• Description of incident/issue

• Location
  Address

• Location description

• Photos of incident/issue

  Media

• Corrective actions required

13.1 Coating Damage

• Are there signs of coating damage on the pipeline?<br><br><br><br>

  Yes

  No

  N/A
Incident

• Description of incident/issue

• Location
  Address

• Location description

• Photos of incident/issue

  Media

• Corrective actions required

14.1 Other

• Are there other events to note regarding the pipeline<br><br><br><br>

  Yes

  No

  N/A
Incident

• Description of incident/issue

• Location
  Address

• Location description

• Photos of incident/issue

  Media

• Corrective actions required

15.1 New Third Party Activity Near Pipeline

• Is there any activity by third party contractors near the pipeline?<br><br><br><br>

  Yes

  No

  N/A
Incident

• Company Name

• Company Address

• Site Supervisors Name

• Contact Number

• Location
  Address

• Location description

• Photos of incident/issue

  Media

• Details of works in area

• Has the contractor been notified of the TP main in the area?<br><br><br>

  Yes

  No

  N/A

16.1 Construction

• Is there evidence of construction/encroachment in the easement?<br><br><br><br>

  Yes

  No

  N/A
Incident

• Description of incident/issue

• Location
  Address

• Location description

• Photos of incident/issue

  Media

• Corrective actions required

16.1 Third Party Violations Within 3m (or 30m for blasting)

• Is there any third party activity within 3m of the pipeline which constitutes a non-conformance?<br><br><br><br>

  Yes

  No

  N/A
Incident

16.1 Event Description:

• Description of event

• Location
  Address

• Location Description

16.2 Activities Performed Onsite

• Boring within 3m of TP Main:

• Select from range

• Blasting within 30m of TP Main:

• Select from range

• Excavating within 3m of TP Main:

• Select from range

• Road resurfacing within 3m of TP Main:

• Select from range

• Has heavy machinery been parked on TP Main:

• Vehicle class/weight

• Photos of vehicle in violation

  Media

• Other:

• Other - Description:

• Select from range

• Photos of People, Vehicles, Excavations:

  Media

• Photos of TP signage within the area:

  Media

16.3 Company Details

• Company Name:

• Company Address

• Vehicle Description (and Rego):

• Photo of Vehicle (and Rego):

  Media

• Operators Name:

• Operators Contact Number:

• Operators Email Address:

17.1 Special Zone Surveys

• Bridge Crossing

  Yes

  No

  N/A
Bridge
• Location
  Address

• Location Description

Photo

• Photos

  Media

• Description

• River Crossing

  Yes

  No

  N/A
River
• Location
  Address

• Location Description

Photo

• Photos

  Media

• Description

• Road Crossing

  Yes

  No

  N/A
Road
• Location
  Address

• Location Description

Photo

• Photos

  Media

• Description

• Other

  Yes

  No

  N/A
Other
• Location
  Address

• Location Description

Photo

• Photos

  Media

• Description

• Signature:

  Sign