Pipeline Route Patrol Log

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Introduction

• - Ensure written patrolling procedures are obtained

• - Ensure person undertaking patrol is appropriately trained in patrolling procedures

• - Ensure person undertaking patrol is familiar with extent of pipeline easement and location of pipeline

• - Ensure person undertaking patrol is equipped with means of communication to pumping station/control centre

• - All surveillance records are to be retained for the minimum period specified in the record management plan

Inlet station

• Is above ground section of pipeline in good condition and free of corrosion?

  Yes

  No

  N/A

• Is the area around the inlet station in a clean and safe condition?

  Yes

  No

  N/A

• Are markers and signs in good condition, visible and correct and are adequate to remain in situ until next inspection?

  Yes

  No

  N/A

• Are all pipe supports for above ground portion providing adequate support and free of corrosion?

  Yes

  No

  N/A

• Is anti-corrosion coating at ground interface in good condition and free of signs of damage or deterioration?

  Yes

  No

  N/A

Route surveillance

• Is surface in good condition and free of any evidence of variation to surface conditions? E.g. Erosion or earth movement along route.

  Yes

  No

  N/A

• Is route free of any indication of leaks? E.g. Dead vegetation

  Yes

  No

  N/A

• Is route unchanged? E.g. is there any evidence of construction activity or impending construction activity on or near the route?

  Yes

  No

  N/A

• Is rout accessible? E.g. Are there any impediments to access of the route, valve station, pressure regulator stations, compressor stations, pump stations, catholic protection sites, communication installations, and the like?

  Yes

  No

  N/A

• Are markers and signs in good condition, visible and correct and are adequate to remain in situ until next inspection?

  Yes

  No

  N/A

• Does route appear secure? E.g. Is there any evidence of unauthorized entry?

  Yes

  No

  N/A

• Is vegetation being adequately managed along route? (vegetation shall be restricted to allow free passage along the pipeline route and vegetation who's roots may damage the anti corrosion coating of the pipeline shall not be permitted in the vicinity of the pipeline.)

  Yes

  No

  N/A

Metering station

• Is area around the station clean and in safe condition?

  Yes

  No

  N/A

• Are fences and gate maintained in good condition to ensure the protection of the public?

  Yes

  No

  N/A

• Are markers and signs in good condition, visible and correct and are adequate to remain in situ until next inspection?

  Yes

  No

  N/A

Additional items

• Have all outstanding actions identified in previous inspections or assessments been closed out?

  Yes

  No

  N/A

• Is the risk assessment for the pipeline still valid? E.g. Are there any factors that may change the risk assessment for the pipeline such as urban encroachment or new developments?

  Yes

  No

  N/A

• Can pipeline be continued to be operated in a safe manner? E.g. Are there any other factors affecting the safe operation of the pipeline?

  Yes

  No

  N/A

- Corrective Actions -