![](media/image1.png){width="1.5625in" height="1.5520833333333333in"}

**Pipeline and Hazardous Materials Safety Administration**

**Office of Pipeline Safety**

**Gas Integrity Management**

**Inspection Manual**

**Inspection Protocols**

**with Results Forms**

**July 1, 2007**

# 

## Table of Contents

[**Explanation of Protocol Format**](#explanation-of-protocol-format)

[**Operator Contact and System Information**](#operator-information)

[**Protocol Area A. Identify HCAs**](#protocol-area-a.-identify-hcas)

[**Protocol Area B. Baseline Assessment
Plan**](#protocol-area-b.-baseline-assessment-plan)

[**Protocol Area C. Identify Threats, Data Integration, and Risk
Assessment**](#protocol-area-c.-identify-threats-data-integration-and-risk-assessment)

[**Protocol Area D. DA Plan**](#protocol-area-d.-da-plan)

[**Protocol Area E. Remediation**](#protocol-area-e.-remediation)

[**Protocol Area F. Continual Evaluation and
Assessment**](#protocol-area-f.-continual-evaluation-and-assessment)

[**Protocol Area G. Confirmatory
DA**](#protocol-area-g.-confirmatory-da)

[**Protocol Area H. Preventive and Mitigative
Measures**](#protocol-area-h.-preventive-and-mitigative-measures)

[**Protocol Area I. Performance
Measures**](#protocol-area-i.-performance-measures)

[**Protocol Area J. Record Keeping**](#protocol-area-j.-record-keeping)

[**Protocol Area K. Management of Change
(MOC)**](#protocol-area-k.-management-of-change-moc)

[**Protocol Area L. Quality
Assurance**](#protocol-area-l.-quality-assurance)

[**Protocol Area M. Communications
Plan**](#protocol-area-m.-communications-plan)

[**Protocol Area N. Submittal of Program
Documents**](#protocol-area-n.-submittal-of-program-documents)

[**Additional Notes**](#additional-notes)

## Explanation of Protocol Format

Each protocol element will have top-tier protocols that address the high
level requirements. The regulatory requirement upon which the protocol
is based is contained in brackets; e.g., \[§192.905(a)\]

Each top-tier protocol will have detailed \"sub-tier\" protocols which
collectively lead the inspector to draw overall conclusions about
compliance with the top-tier protocol. The regulatory requirement, upon
which each sub-tier protocol is based, is also contained in brackets.

Notes on protocols:

-   The typical sentence structure used in the protocols follows the
    form of \"Verify that \[describe the requirement\].\" The use and
    meaning of the term \"verify\" is expanded upon below.

-   OPS will \"verify\" an operator's compliance status with respect to
    each requirement. In order to perform this verification, OPS will
    inspect the operator's documented processes and procedures in order
    to determine if a program has been established that complies with
    rule requirements. In addition, OPS will inspect an operator's
    implementation records to determine if the operator is effectively
    implementing its programs and processes. The purpose of the OPS
    verification/inspection is not to perform a quality check of every
    integrity related activity. The OPS inspection is conducted in the
    form of an audit. As a result, the OPS inspection will typically
    perform an inspection of selected operator records sufficient in
    breadth and depth to give the inspection team adequate understanding
    regarding the degree of an operator\'s commitment to compliance with
    applicable requirements and/or the degree to which the operator\'s
    program has been effective with respect to achieving compliance. OPS
    may use any number of inspection or audit techniques to identify
    potential compliance issues. Program documents may be inspected to
    determine if adequate processes have been developed and documented
    to the degree necessary for competent professionals to understand
    and effectively implement the process with results that are
    consistent and repeatable. For example, one technique that might be
    used by the inspection team is a \"vertical slice\" in which a
    specific covered segment or pipeline system is selected to perform a
    detailed inspection of every aspect of integrity management, thus
    following a specific example through the entire process of integrity
    management. Based on those reviews, OPS will identify potential
    non-compliances with rule requirements. OPS can not and will not
    certify nor conclude that an operator is in full compliance with
    rule requirements, even if the inspection does not identify any
    areas of non-compliance. Operators are wholly responsible for
    compliance with regulations.

-   References to regulatory requirements may include references to
    specific rule sections/paragraphs and/or to industry standards that
    are invoked in the rule. As specified in §192.7, any requirement
    invoked by reference is a requirement of the rule as though it were
    set out in full in the regulation.

-   Protocols are subject to change without notice.

-   Protocols are an initial guide for use by OPS inspectors during
    Integrity Management inspections. Inspectors will develop additional
    questioning during the course of the inspection to investigate the
    specifics of an operator\'s program. Protocols are not to be
    construed as an exhaustive list of questions that may be presented
    to operators during an inspection.

-   Protocols are made publicly available as a courtesy to operators as
    they develop their Integrity Management program, as well as other
    stakeholders.

## Operator Contact and System Information

### Operator Information:

  ---------------------- ------------------------------------------------
  Name of Operator       
  (legal entity):        

  Headquarters Address:  

  Company Official:      

  Phone Number:          

  FAX Number:            

  OPS Operator ID:       
  ---------------------- ------------------------------------------------

### Persons Interviewed:

  ------------------------- ----------------- ---------- -----------------
  **Persons Interviewed\    **Title**         **Phone    **Email**
  ***(list primary contact                    Number**   
  first)*                                                

                                                         

                                                         

                                                         
  ------------------------- ----------------- ---------- -----------------

### OPS and State Representatives:

  ----------------------- ------------------------- -----------------------
  **Inspector Name**      **Office/Organization**   **Days Present**

                                                    

                                                    

                                                    
  ----------------------- ------------------------- -----------------------

### System Description:

  ---------- ------------------------------- -------- ------------- --------------
  Operator   System Name and Brief           States   InTRA/Inter   Fed. Insp.
  ID         Description                                            Jurisdiction

                                                                    

                                                                    

                                                                    

                                                                    

                                                                    

                                                                    

                                                                    

                                                                    

                                                                    

                                                                    
  ---------- ------------------------------- -------- ------------- --------------

***System Description Narrative:***

## Protocol Area A. Identify HCAs

-   [A.01](#a.01-program-requirements) Program Requirements

-   [A.02](#a.02-potential-impact-radius) Potential Impact Radius

-   [A.03](#a.03-identified-sites) Identified Sites

-   [A.04](#a.04-identification-using-class-locations-method-1) Identification
    Using Class Locations (Method 1)

-   [A.05](#a.05-identification-using-potential-impact-radius-method-2) Identification
    Using Potential Impact Radius (Method 2)

-   [A.06](#a.06-identification-and-evaluation-of-newly-identified-hcas-program-requirements) Identification
    and Evaluation of Newly Identified HCAs, Program Requirements

-   [Table of Contents](#table-of-contents)

### A.01 Program Requirements

Verify that the methods defined in §192.903 High Consequence Area (1)
and/or §192.903 High Consequence Area (2) are applied to each pipeline
for the identification of high consequence areas. \[§192.905(a)\]

**A.01.a.** Verify the operator's integrity management program includes
documented processes on how to implement methods (1) and (2) in order to
identify high consequence areas. \[§192.905(a)\]

  -----------------------------------------------------------------------------
  **A.01.a.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **A.01.a. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**A.01.b.** Verify that the operator's process requires that the method
used for each portion of the pipeline system be documented.
\[§192.905(a)\]

  -----------------------------------------------------------------------------
  **A.01.b.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **A.01.b. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**A.01.c.** Verify that the operator's integrity management program
includes system maps or other suitably detailed means documenting the
pipeline segment locations that are located in high consequence areas.
\[§192.905(a)\]

  -----------------------------------------------------------------------------
  **A.01.c.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **A.01.c. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**A.01.d.** Review HCA records to verify that the operator completed
identification of pipeline segments in high consequence areas by
December 17, 2004. \[§192.907 and §192.911(a)\]

  -----------------------------------------------------------------------------
  **A.01.d.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **A.01.d. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

  ---------------------------------------------------------------------------------
  **A.01 Documents                        
  Reviewed                                
     ***(Tab from                         
  bottom-right cell                       
  to add additional                       
  rows.)*                                 
  ------------------ --------- ---------- -----------------------------------------
  **Document         **Rev**   **Date**   **Document Title**
  Number**                                

                                          

                                          
  ---------------------------------------------------------------------------------

 

 

  -----------------------------------------------------------------------
  **A.01 Inspection Notes**
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

### A.02 Potential Impact Radius

Verify that the definition and use of potential impact radius for
establishment of high consequence areas meets the requirements of
§192.903. \[§192.905(a)\]

**A.02.a.** Verify that the operator's formula for calculation of the
potential impact radius is consistent with §192.903 requirements (r =
0.69\*(p\*d^2^)^0.5^) and that the pressure used in the formula is based
on maximum allowable operating pressure (MAOP).

i.  For gases other than natural gas, verify that the operator has
    documented processes for the use of ASME B31.8S-2004, Section 3.2 to
    calculate the impact radius formula \[§192.903 Potential Impact
    Radius, §192.905(a)\]

  -----------------------------------------------------------------------------
  **A.02.a.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **A.02.a. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**A.02.b.** In cases where potential impact circles are used to identify
high consequence areas, verify that the program requires that high
consequence areas include the area extending axially along the length of
the pipeline from the outermost edge of the first potential impact
circle to the outermost edge of the last contiguous potential impact
circle for those potential impact circles that contain either an
identified site or 20 or more buildings intended for human occupancy.
\[§192.903 High Consequence Area (3)\]

  -----------------------------------------------------------------------------
  **A.02.b.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **A.02.b. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

  ---------------------------------------------------------------------------------
  **A.02 Documents                        
  Reviewed                                
     ***(Tab from                         
  bottom-right cell                       
  to add additional                       
  rows.)*                                 
  ------------------ --------- ---------- -----------------------------------------
  **Document         **Rev**   **Date**   **Document Title**
  Number**                                

                                          

                                          
  ---------------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **A.02 Inspection Notes**
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

 

### A.03 Identified Sites

Verify that the operator's identification of identified sites includes
the sources listed in §192.905(b) for those buildings or outside areas
meeting the criteria specified by §192.903, and that the source of
information selected is documented. \[§192.903 Identified Sites,
§192.905(b) and §192 Appendix E, I(c)\]

**A.03.a.** Identified sites must include the following: \[§192.903
Identified Sites, §192.905(b)\]

i.  Outside areas or open structures occupied by 20 or more people on at
    least 50 days in any 12 month period (days need not be consecutive),

ii. Buildings occupied by 20 or more people on at least 5 days a week
    for 10 weeks in any 12 month period (days and weeks need not be
    consecutive), and

iii. Facilities occupied by persons who are confined, have impaired
     mobility, or would be difficult to evacuate.

  -----------------------------------------------------------------------------
  **A.03.a.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **A.03.a. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**A.03.b.** Identified sites must be identified using the following
sources of information: \[§192.905(b)\]

i.  Information from routine operation and maintenance activities and
    input from public officials with safety or emergency response or
    planning responsibilities

ii. In the absence of public official input, the operator must use one
    of the following in order to identify an identified site:

    1.  Visible markings such as signs, or

    2.  Facility licensing or registration data on file with Federal,
        State, or local government agencies, or

    3.  Lists or maps maintained by or available from a Federal, State,
        or local government agency and available to the general public.

  -----------------------------------------------------------------------------
  **A.03.b.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **A.03.b. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

  ---------------------------------------------------------------------------------
  **A.03 Documents                        
  Reviewed                                
     ***(Tab from                         
  bottom-right cell                       
  to add additional                       
  rows.)*                                 
  ------------------ --------- ---------- -----------------------------------------
  **Document         **Rev**   **Date**   **Document Title**
  Number**                                

                                          

                                          
  ---------------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **A.03 Inspection Notes**
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

 

### A.04 Identification Using Class Locations (Method 1)

If the operator's integrity management program relies on §192.903 High
Consequence Area definition (1) for identification of high consequence
areas, verify compliance with the following:

**A.04.a.** Verify the integrity management program includes Class 3 and
Class 4 piping locations as high consequence areas consistent with the
criteria of §192.5(b)(3), §192.5(b)(4), and §192.5(c). \[§192.903 High
Consequence Area (1)(i) and (ii)\]

  -----------------------------------------------------------------------------
  **A.04.a.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **A.04.a. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**A.04.b.** For Class 1 and Class 2 locations with the potential impact
radius greater than 660 feet, verify the integrity management program
includes piping locations as high consequence areas if the area within
the associated potential impact circle contains 20 or more buildings
intended for human occupancy.\[§192.903 High Consequence Area (1)(iii)\]

i.  As an option for PIRs greater than 660 feet, the definition of high
    consequence area may be based on a prorated building count for
    buildings intended for human occupancy within a distance of 660 feet
    (200 meters) from the centerline of the pipeline as calculated using
    the following formula: \[§192.903 High Consequence Area (4)\]

Building Count within 660 feet = 20 x \[660 (ft) /PIR (ft)\]^2^ or\
Building Count within 200 meters = 20 x \[200 (m) / PIR (m)\]^2^

1.  If the option for use of a prorated number of buildings has been
    used for identification of high consequence areas, verify that the
    program acknowledges that use of the prorated allowance is only
    available to operators until December 17, 2006. \[§192.903 High
    Consequence Area (4)\]

  -----------------------------------------------------------------------------
  **A.04.b.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **A.04.b. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**A.04.c.** Verify the program includes as a high consequence area, any
area in Class 1 and Class 2 piping locations where the potential impact
circle contains an identified site. \[§192.903 High Consequence Area
(1)(iv)\]

  -----------------------------------------------------------------------------
  **A.04.c.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **A.04.c. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

  ---------------------------------------------------------------------------------
  **A.04 Documents                        
  Reviewed                                
     ***(Tab from                         
  bottom-right cell                       
  to add additional                       
  rows.)*                                 
  ------------------ --------- ---------- -----------------------------------------
  **Document         **Rev**   **Date**   **Document Title**
  Number**                                

                                          

                                          
  ---------------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **A.04 Inspection Notes**
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

 

### A.05 Identification Using Potential Impact Radius (Method 2)

If the operator's integrity management program relies on §192.903 High
Consequence Area definition (2) for identification of high consequence
areas, verify compliance with the following:

**A.05.a.** Verify the integrity management program includes piping
locations as high consequence areas if the area within a potential
impact circle contains 20 or more buildings intended for human
occupancy: \[§192.903 High Consequence Area (2)(i)\]

i.  As an option for PIRs greater than 660 feet, the definition of high
    consequence area may be based on a prorated building count for
    buildings intended for human occupancy within a distance of 660 feet
    (200 meters) from the centerline of the pipeline as calculated using
    the following formula: \[§192.903 High Consequence Area (4)\]

Building Count within 660 feet = 20 x \[660 (ft) /PIR (ft)\]^2^ or\
Building Count within 200 meters = 20 x \[200 (m) / PIR (m)\]^2^

1.  If the option for use of a prorated number of buildings has been
    used for identification of high consequence areas, verify that the
    program acknowledges that use of the prorated allowance is only
    available to operators until December 17, 2006. \[§192.903 High
    Consequence Area (4)\]

  -----------------------------------------------------------------------------
  **A.05.a.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **A.05.a. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**A.05.b.** Verify the program includes piping locations as high
consequence areas if the area within the potential impact circle
contains an identified site. \[§192.903 High Consequence Area (2)(ii)\]

  -----------------------------------------------------------------------------
  **A.05.b.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **A.05.b. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

  ---------------------------------------------------------------------------------
  **A.05 Documents                        
  Reviewed                                
     ***(Tab from                         
  bottom-right cell                       
  to add additional                       
  rows.)*                                 
  ------------------ --------- ---------- -----------------------------------------
  **Document         **Rev**   **Date**   **Document Title**
  Number**                                

                                          

                                          
  ---------------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **A.05 Inspection Notes**
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

 

### A.06 Identification and Evaluation of Newly Identified HCAs, Program Requirements

Review the operator's integrity management program to verify processes
are in place for evaluation of new information that may show that a
pipeline segment impacts a high consequence area. \[§192.905(c)\]

**A.06.a.** Verify the operator's integrity management program includes
documented processes for how new information that shows a pipeline
segment impacts a high consequence area is identified and integrated
with the integrity management program. The program is to identify and
analyze changes for impacts on pipeline segments potentially affecting
high consequence areas. Issues the program must consider include but are
not limited to:\[§192.905(c)\]

i.  Changes in pipeline maximum allowable operating pressure (MAOP),

ii. Pipeline modifications affecting piping diameter,

iii. Changes in the commodity transported in the pipeline,

iv. Identification of new construction in the vicinity of the pipeline
    that results in additional buildings intended for human occupancy or
    additional identified sites,

v.  Change in the use of existing buildings (e.g., hotel or house
    converted to nursing home),

vi. Installation of new pipeline,

vii. Change in pipeline class location (e.g., class 2 to 3) or class
     location boundary,

viii. Pipeline reroutes

ix. Corrections to erroneous pipeline center line data.

  -----------------------------------------------------------------------------
  **A.06.a.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **A.06.a. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

  ---------------------------------------------------------------------------------
  **A.06 Documents                        
  Reviewed                                
     ***(Tab from                         
  bottom-right cell                       
  to add additional                       
  rows.)*                                 
  ------------------ --------- ---------- -----------------------------------------
  **Document         **Rev**   **Date**   **Document Title**
  Number**                                

                                          

                                          
  ---------------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **A.06 Inspection Notes**
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

 

## Protocol Area B. Baseline Assessment Plan

-   [B.01](#b.01-assessment-methods) Assessment Methods

-   [B.02](#b.02-prioritized-schedule) Prioritized Schedule

-   [B.03](#b.03-use-of-prior-assessments) Use of Prior Assessments

-   [B.04](#b.04-new-hcasnewly-installed-pipe) Newly Identified
    HCAs/Newly Installed Pipe

-   [B.05](#b.05-consideration-of-environmental-and-safety-risks) Consideration
    of Environmental and Safety Risks

-   [B.06](#b.06-changes) Changes

-   [Table of Contents](#table-of-contents)

### B.01 Assessment Methods

Verify that the operator's Baseline Assessment Plan (BAP) specifies an
assessment method(s) for each covered segment that is best suited for
identifying anomalies associated with specific threats identified for
the segment. \[§192.919(b), §192.921(a), §192.921(c), and §192.921(h)\]

**B.01.a.** Verify that the operator followed ASME B31.8S-2004, Section
6 and that the assessment methods selected for each covered segment
addresses all of the threats identified for the segment. More than one
assessment tool may be necessary to address all applicable threats to a
covered segment. \[§192.919(b), §192.921(a), §192.921(c), and
§192.921(h)\]

  -----------------------------------------------------------------------------
  **B.01.a.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **B.01.a. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

**B.01.b.** If internal inspection tools are selected, verify that the
operator followed ASME B31.8S-2004, Section 6.2 in selecting the
appropriate internal inspection tool for the covered segment.
\[§192.921(a)(1)\]

i.  Verify that the operator has evaluated the general reliability of
    any in-line assessment method selected by looking at factors
    including but not limited to: detection sensitivity; anomaly
    classification; sizing accuracy; location accuracy; requirements for
    direct examination; history of tool; ability to inspect full length
    and full circumference of the section; and ability to indicate the
    presence of multiple cause anomalies. Refer to ASME B31.8S-2004,
    Section 6.2.5. \[§192.921(a)(1)\]

  -----------------------------------------------------------------------------
  **B.01.b.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **B.01.b. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**B.01.c.** If a pressure test is specified, verify that the test is
required to be conducted in accordance with Part 192, Subpart J
requirements. Verify that the operator followed ASME B31.8S-2004,
Section 6.3 in selecting the pressure test as the appropriate assessment
method. \[§192.921(a)(2)\]

  -----------------------------------------------------------------------------
  **B.01c.      
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **B.01.c. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**B.01.d.** If the operator specifies the use of \"other technology,\"
verify that notification to OPS is required in accordance with Part
192.949, 180 days before conducting the assessment. Also, verify that
notification to a State or local pipeline safety authority is required
when either a covered segment is located in a State where OPS has an
interstate agent agreement, or an intrastate covered segment is
regulated by that State. \[§192.921(a)(4)\]

  -----------------------------------------------------------------------------
  **B.01.d.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **B.01.d. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**B.01.e.** If a covered pipeline segment contains low frequency
electric resistance welded pipe (ERW) or lap welded pipe that satisfies
the conditions specified in ASME B31.8S-2004, Appendix A4.3 and ASME
B31.8S-2004, Appendix A4.4, and any covered or non-covered segment in
the pipeline system with such pipe has experienced seam failure, or
operating pressure on the covered segment has increased over the maximum
operating pressure experienced during the preceding five years verify
that the selected assessment method(s) are proven to be capable of
assessing seam integrity and detecting seam corrosion anomalies.
\[§192.917(e)(4)\]

  -----------------------------------------------------------------------------
  **B.01.e.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **B.01.e. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**B.01.f.** If the threat analysis required in §192.917(d) on a plastic
transmission pipeline indicates that a covered segment is susceptible to
failure from causes other than third-party damage, verify that the
operator documents an acceptable justification for the use of an
alternative assessment method that will address the identified threats
to the covered segment. \[§192.921(h)\]

  -----------------------------------------------------------------------------
  **B.01.f.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **B.01.f. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

  ---------------------------------------------------------------------------------
  **B.01 Documents                        
  Reviewed                                
     ***(Tab from                         
  bottom-right cell                       
  to add additional                       
  rows.)*                                 
  ------------------ --------- ---------- -----------------------------------------
  **Document         **Rev**   **Date**   **Document Title**
  Number**                                

                                          

                                          
  ---------------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **B.01 Inspection Notes**
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

 

### B.02 Prioritized Schedule

Verify that the BAP contains a schedule for completing the assessment
activities for all covered segments; and that the BAP appropriately
considered the applicable risk factors in the prioritization of the
schedule. \[§192.917(c), §192.919(c) and §192.921\]

**B.02.a.** Verify that the BAP schedule includes all covered segments
not already assessed. \[§192.921(a)\]

  -----------------------------------------------------------------------------
  **B.02.a.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **B.02.a. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**B.02.b.** Verify that the BAP schedule prioritizes the covered
segments based on potential threats and applicable risk analysis, and
that the risk ranking is appropriate. \[§192.917(c) and §192.921(b)\]

  -----------------------------------------------------------------------------
  **B.02.b.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **B.02.b. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**B.02.c.** Verify that covered segments meeting the following
conditions are prioritized as high-risk segments.

i.  Segments that contain low frequency resistance welded (ERW) pipe or
    lap welded pipe that satisfy the conditions specified in ASME
    B31.8S-2004, Appendix A4.3 and ASME B31.8S-2004, Appendix A4.4, and
    any covered or non-covered segment in the pipeline system with such
    pipe has experienced seam failure, or operating pressure on the
    covered segment has increased over the maximum operating pressure
    experienced during the preceding five years. \[§192.917(e)(4)\]

ii. Covered segments that have manufacturing or construction defects
    (including seam defects) where any of the following changes occurred
    in the covered segment: operating pressure increases above the
    maximum operating pressure experienced during the preceding five
    years; MAOP increases; or the stresses leading to cyclic fatigue
    increase. \[§192.917(e)(3)\]

  -----------------------------------------------------------------------------
  **B.02.c.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **B.02.c. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**B.02.d.** Verify that the BAP schedule requires 50% of the covered
segments, beginning with the highest risk segments, to be assessed by
December 17, 2007; and that baseline assessments shall be completed for
all covered segments by December 17, 2012. \[§192.921(d)\]

  -----------------------------------------------------------------------------
  **B.02.d.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **B.02.d. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**B.02.e.** Review the operator's implementation progress to date and
verify that: \[§192.921\]

i.  Assessments scheduled for completion by the date of the inspection
    were in fact completed.

ii. Assessment methods used for completed assessments were as described
    in the plan.

iii. The date assessment field activities were completed is recorded
     \[so the operator understands the time frame allowable for
     compliance with the provisions of §192.933\].

  -----------------------------------------------------------------------------
  **B.02.e.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **B.02.e. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

  ---------------------------------------------------------------------------------
  **B.02 Documents                        
  Reviewed                                
     ***(Tab from                         
  bottom-right cell                       
  to add additional                       
  rows.)*                                 
  ------------------ --------- ---------- -----------------------------------------
  **Document         **Rev**   **Date**   **Document Title**
  Number**                                

                                          

                                          
  ---------------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **B.02 Inspection Notes**
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

### B.03 Use of Prior Assessments

If prior assessments are used in the BAP, verify that the assessment
methods used meet the requirements of §192.921(a) and that remedial
actions have been carried out to address conditions listed in §192.933.
Prior assessments are those that were completed prior to December 17,
2002. \[§192.921(e)\]

**B.03.a.** Verify that threats to these pipeline sections were
identified as required under §192.919(a).

  -----------------------------------------------------------------------------
  **B.03.a.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **B.03.a. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**B.03.b.** Verify that the methods used for these prior assessments
were appropriate for the threats per ANSI B31.8S-2004 as required under
§192.919(b) and §192.919(d).

  -----------------------------------------------------------------------------
  **B.03.b.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **B.03.b. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**B.03.c.** Verify that anomalies satisfying the requirements of
§192.933 were repaired.

  -----------------------------------------------------------------------------
  **B.03.c.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **B.03.c. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

  ---------------------------------------------------------------------------------
  **B.03 Documents                        
  Reviewed                                
     ***(Tab from                         
  bottom-right cell                       
  to add additional                       
  rows.)*                                 
  ------------------ --------- ---------- -----------------------------------------
  **Document         **Rev**   **Date**   **Document Title**
  Number**                                

                                          

                                          
  ---------------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **B.03 Inspection Notes**
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

 

### B.04 New HCAs/Newly Installed Pipe

Verify that the operator updates the baseline assessment plan for new
HCAs and newly installed pipe. \[§192.905(c), §192.921(f), §192.921(g)\]

**B.04.a.** If new HCAs have been identified or new pipe has been
installed that is covered by this subpart, verify that applicable
segment(s) have been incorporated into the operator's baseline
assessment plan within one year from the date the area or pipe is
identified and assessments have been appropriately scheduled and/or
completed. \[§192.905(c)\]

  -----------------------------------------------------------------------------
  **B.04.a.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **B.04.a. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**B.04.b.** For new HCAs, verify that the operator completes a baseline
assessment for the applicable segment(s) within ten (10) years from the
date the area is identified. \[§192.921(f)\]

  -----------------------------------------------------------------------------
  **B.04.b.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **B.04.b. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**B.04.c.** For newly installed pipe that is covered by this subpart and
impacts an HCA, verify that the operator completes a baseline assessment
within ten (10) years from the date the pipe is installed.
\[§192.921(g)\]

  -----------------------------------------------------------------------------
  **B.04.c.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **B.04.c. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**B.04.d.** Verify that threats to these pipeline sections were
identified as required under §192.919(a). \[§192.921(b)\]

  -----------------------------------------------------------------------------
  **B.04.d.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **B.04.d. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**B.04.e.** Verify that the assessment methods used were appropriate for
the threats per ASME B31.8S-2004 as required under §192.919(b) and
192.919(d).

  -----------------------------------------------------------------------------
  **B.04.e.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **B.04.e. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

  ---------------------------------------------------------------------------------
  **B.04 Documents                        
  Reviewed                                
     ***(Tab from                         
  bottom-right cell                       
  to add additional                       
  rows.)*                                 
  ------------------ --------- ---------- -----------------------------------------
  **Document         **Rev**   **Date**   **Document Title**
  Number**                                

                                          

                                          
  ---------------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **B.04 Inspection Notes**
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

 

### B.05 Consideration of Environmental and Safety Risks

Verify that the operator addresses requirements for conducting the
integrity assessments (baseline and reassessment) in a manner that
minimizes environmental and safety risks. \[§192.919(e) and
§192.911(o)\]

**B.05.a.** Verify that precautions were implemented to protect workers,
members of the public, and the environment from safety hazards (such as
an accidental release of gas) during assessments. \[§192.919(e) and
§192.911(o)\]

  -----------------------------------------------------------------------------
  **B.05.a.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **B.05.a. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

  ---------------------------------------------------------------------------------
  **B.05 Documents                        
  Reviewed                                
     ***(Tab from                         
  bottom-right cell                       
  to add additional                       
  rows.)*                                 
  ------------------ --------- ---------- -----------------------------------------
  **Document         **Rev**   **Date**   **Document Title**
  Number**                                

                                          

                                          
  ---------------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **B.05 Inspection Notes**
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

 

### B.06 Changes

Verify that the operator keeps the BAP up-to-date with respect to newly
arising information. Also refer to Protocol K. \[§192.911(k) and ASME
B31.8S-2004, Section 11\]

**B.06.a.** Verify that the operator's process has requirements to keep
the BAP up-to-date with respect to newly arising information, applicable
threats, and risks that may require changes to the segment
prioritization or assessment method. \[§192.911(k) & ASME B31.8S-2004,
Section 11\]

  -----------------------------------------------------------------------------
  **B.06.a.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **B.06.a. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**B.06.b.** Verify that required BAP changes have been made and that for
all changes, the following are documented: \[ASME B31.8S-2004, Section
11(a)\]

i.  Reason for change

ii. Authority for approving change

iii. Analysis of implications

iv. Communication of change to affected parties

  -----------------------------------------------------------------------------
  **B.06.b.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **B.06.b. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

  ---------------------------------------------------------------------------------
  **B.06 Documents                        
  Reviewed                                
     ***(Tab from                         
  bottom-right cell                       
  to add additional                       
  rows.)*                                 
  ------------------ --------- ---------- -----------------------------------------
  **Document         **Rev**   **Date**   **Document Title**
  Number**                                

                                          

                                          
  ---------------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **B.06 Inspection Notes**
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

 

## Protocol Area C. Identify Threats, Data Integration, and Risk Assessment

-   [C.01](#c.01-threat-identification) Threat Identification

-   [C.02](#c.02-data-gathering-and-integration) Data Gathering and
    Integration

-   [C.03](#c.03-risk-assessment) Risk Assessment

-   [C.04](#c.04-validation-of-the-risk-assessment) Validation of the
    Risk Assessment

-   [C.05](#c.05-plastic-transmission-pipeline) Plastic Transmission
    Pipeline

-   [Table of Contents](#table-of-contents)

### C.01 Threat Identification

Verify that the operator identifies and evaluates all potential threats
to each covered pipeline segment. \[§192.917(a)\]

**C.01.a.** If the operator is following the prescriptive or
performance-related approaches, verify that the following categories of
failure have been considered and evaluated: \[§192.917(a) and ASME
B31.8S-2004, Section 2.2\]

i.  external corrosion,

ii. internal corrosion,

iii. stress corrosion cracking;

iv. manufacturing-related defects, including the use of low frequency
    electric resistance welded (ERW) pipe, lap welded pipe, flash welded
    pipe, or other pipe potentially susceptible to manufacturing defects
    \[§192.917(e)(4) and ASME B31.8S-2004, Appendix A4.3\];

v.  welding- or fabrication-related defects,

vi. equipment failures;

vii. third party/mechanical damage \[§192.917(e)(1)\],

viii. incorrect operations (including human error),

ix. weather-related and outside force damage,

x.  cyclic fatigue or other loading condition \[§192.917(e)(2)\],

xi. all other potential threats.

  -----------------------------------------------------------------------------
  **C.01.a.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **C.01.a. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**C.01.b.** If the operator is following the performance-based approach,
verify that all 21 of the threats associated with the first nine failure
categories listed above have been considered. \[§192.917(a) and ASME
B31.8S-2004, Section 2.2\]

  -----------------------------------------------------------------------------
  **C.01.b.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **C.01.b. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**C.01.c.** Verify that the operator's threat identification has
considered interactive threats from different categories (e.g.,
manufacturing defects activated by pressure cycling, corrosion
accelerated by third party or outside force damage) \[ASME B31.8S-2004,
Section 2.2\].

  -----------------------------------------------------------------------------
  **C.01.c.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **C.01.c. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**C.01.d.** Verify that the approach incorporates appropriate criteria
for eliminating a specific threat for a particular pipeline segment.
\[ASME B31.8S-2004, Section 5.10\]

  -----------------------------------------------------------------------------
  **C.01.d.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **C.01.d. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

  ---------------------------------------------------------------------------------
  **C.01 Documents                        
  Reviewed                                
     ***(Tab from                         
  bottom-right cell                       
  to add additional                       
  rows.)*                                 
  ------------------ --------- ---------- -----------------------------------------
  **Document         **Rev**   **Date**   **Document Title**
  Number**                                

                                          

                                          
  ---------------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **C.01 Inspection Notes**
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

 

### C.02 Data Gathering and Integration

Verify that the operator gathers and integrates existing data and
information on the entire pipeline that could be relevant to covered
segments, and verify that the necessary pipeline data have been
assembled and integrated. \[§192.917(b)\]

**C.02.a.** Verify that the operator has in place a comprehensive plan
for collecting, reviewing, and analyzing the data. \[ASME B31.8S-2004,
Section 4.2 and ASME B31.8S-2004, Section 4.4\]

  -----------------------------------------------------------------------------
  **C.02.a.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **C.02.a. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**C.02.b.** Verify that the operator has assembled data sets for threat
identification and risk assessment according to the requirements in ASME
B31.8S-2004, Section 4.2, ASME B31.8S-2004, Section 4.3, and ASME
B31.8S-2004, Section 4.4. At a minimum, an operator must gather and
evaluate the set of data specified in ASME B31.8S-2004, Appendix A
(summarized in ASME B31.8S-2004, Table 1) and consider the following on
covered segments and similar non-covered segments \[§192.917(b)\]:

1.  Past incident history

2.  Corrosion control records

3.  Continuing surveillance records

4.  Patrolling records

5.  Maintenance history

6.  Internal inspection records

7.  All other conditions specific to each pipeline.

  -----------------------------------------------------------------------------
  **C.02.b.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **C.02.b. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**C.02.c.** Verify that the operator has utilized the data sources
listed in ASME B31.8S-2004, Table 2, for initiation of the integrity
management program. \[ASME B31.8S-2004, Section 4.3\]

  -----------------------------------------------------------------------------
  **C.02.c.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **C.02.c. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**C.02.d.** Verify that the operator has checked the data for accuracy.
If the operator lacks sufficient data or where data quality is suspect,
verify that the operator has followed the requirements in ASME
B31.8S-2004, Section 4.2.1, ASME B31.8S-2004, Section 4.4, and ASME
B31.8S-2004, Appendix A \[ASME B31.8S-2004, Section 4.1, ASME
B31.8S-2004, Section 4.2.1, ASME B31.8S-2004, Section 4.4, ASME
B31.8S-2004, Section 5.7(e), and ASME B31.8S-2004, Appendix A\]:

i.  Each threat covered by the missing or suspect data is assumed to
    apply to the segment being evaluated. The unavailability of
    identified data elements is not a justification for exclusion of a
    threat.

ii. Conservative assumptions are used in the risk assessment for that
    threat and segment or the segment is given higher priority.

iii. Records are maintained that identify how unsubstantiated data are
     used, so that the impact on the variability and accuracy of
     assessment results can be considered.

iv. Depending on the importance of the data, additional inspection
    actions or field data collection efforts may be required.

  -----------------------------------------------------------------------------
  **C.02.d.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **C.02.d. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**C.02.e.** Verify that the operator's program includes measures to
ensure that new information is incorporated in a timely and effective
manner, as addressed in Protocol K. \[§192.911(k), ASME B31.8S-2004,
Section 11(b) and ASME B31.8S-2004, Section 11(d)\]

  -----------------------------------------------------------------------------
  **C.02.e.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **C.02.e. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**C.02.f.** Verify that individual data elements are brought together
and analyzed in their context such that the integrated data can provide
improved confidence with respect to determining the relevance of
specific threats and can support an improved analysis of overall risk.
\[ASME B31.8S-2004, Section 4.5\]. Data integration includes:

i.  A common spatial reference system that allows association of data
    elements with accurate locations on the pipeline \[ASME B31.8S-2004,
    Section 4.5\];

ii. Integration of ILI or ECDA results with data on encroachments or
    foreign line crossings in the same segment to define locations of
    potential third party damage \[§192.917(e)(1)\].

  -----------------------------------------------------------------------------
  **C.02.f.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **C.02.f. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

  ---------------------------------------------------------------------------------
  **C.02 Documents                        
  Reviewed                                
     ***(Tab from                         
  bottom-right cell                       
  to add additional                       
  rows.)*                                 
  ------------------ --------- ---------- -----------------------------------------
  **Document         **Rev**   **Date**   **Document Title**
  Number**                                

                                          

                                          
  ---------------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **C.02 Inspection Notes**
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

 

### C.03 Risk Assessment

Verify that the operator has conducted a risk assessment that follows
ASME B31.8S-2004, Section 5, and that considers the identified threats
for each covered segment. \[§192.917(c)\] \[Note: Application of the
risk assessment to prioritize the covered segments for the baseline
assessment is covered in Protocol B, continual reassessments in Protocol
F, and additional preventive and mitigative measures in Protocol H.\]

**C.03.a.** Verify that the operator's risk assessment supports the
following objectives \[ASME B31.8S-2004, Section 5.3 and ASME
B31.8S-2004, Section 5.4\]:

i.  prioritization of pipelines/segments for scheduling integrity
    assessments and mitigating action

ii. assessment of the benefits derived from mitigating action

iii. determination of the most effective mitigation measures for the
     identified threats

iv. assessment of the integrity impact from modified inspection
    intervals

v.  assessment of the use of or need for alternative inspection
    methodologies

vi. more effective resource allocation

vii. facilitation of decisions to address risks along a pipeline or
     within a facility

  -----------------------------------------------------------------------------
  **C.03.a.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **C.03.a. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**C.03.b.** Verify that the operator utilizes one or more of the
following risk assessment approaches \[ASME B31.8S-2004, Section 5.5\]:

i.  Subject matter experts (SMEs),

ii. Relative assessment models,

iii. Scenario-based models, or

iv. Probabilistic models

  -----------------------------------------------------------------------------
  **C.03.b.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **C.03.b. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**C.03.c.** Verify that the risk assessment explicitly accounts for
factors that could affect the likelihood of a release and for factors
that could affect the consequences of potential releases, and that these
factors are combined in an appropriate manner to produce a risk value
for each pipeline segment. \[ASME B31.8S-2004, Section 3.1, ASME
B31.8S-2004, Section 3.3, ASME B31.8S-2004, Section 5.2, ASME
B31.8S-2004, Section 5.3 and ASME B31.8S-2004, Section 5.7(j)\] Verify
that the risk assessment approach includes the following
characteristics:

i.  The risk assessment approach contains a defined logic and is
    structured to provide a complete, accurate, and objective analysis
    of risk \[ASME B31.8S-2004, Section 5.7(a)\];

ii. The risk assessment considers the frequency and consequences of past
    events, using company and industry data \[ASME B31.8S-2004, Section
    5.7(c)\];

iii. The risk assessment approach integrates the results of pipeline
     inspections in the development of risk estimates \[ASME
     B31.8S-2004, Section 5.7(d)\];

iv. The risk assessment process includes a structured set of weighting
    factors to indicate the relative level of influence of each risk
    assessment component \[ASME B31.8S-2004, Section 5.7(i)\];

v.  The risk assessment process incorporates sufficient resolution of
    pipeline segment size to analyze data as it exists along the
    pipeline \[ASME B31.8S-2004, Section 5.7(k)\].

  -----------------------------------------------------------------------------
  **C.03.c.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **C.03.c. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**C.03.d.** Verify that the operator's process provides for revisions to
the risk assessment if new information is obtained or conditions change
on the pipeline segments. Verify that the provisions for change to the
risk assessment address the following areas:

i.  the risk assessment plan calls for recalculating the risk for each
    segment to reflect the results from an integrity assessment or to
    account for completed prevention and mitigation actions. \[ASME
    B31.8S-2004, Section 5.11, and ASME B31.8S-2004, Section 5.7(c)\]

ii. the operator integrates the risk assessment process into field
    reporting, engineering, facility mapping, and other processes as
    necessary to ensure regular updates. \[ASME B31.8S-2004, Section
    5.4\]

iii. the integrity management plan calls for revision to the risk
     assessment process if pipeline maintenance or other activities
     identify inaccuracies in the characterization of the risk for any
     segments. \[§192.917(c) and ASME B31.8S-2004, Section 5.12\]

iv. the operator uses a feedback mechanism to ensure that the risk model
    is subject to continuous validation and improvement. \[§192.917(c)
    and ASME B31.8S-2004, Section 5.7(f)\]

  -----------------------------------------------------------------------------
  **C.03.d.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **C.03.d. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**C.03.e.** Verify that adequate time and personnel have been allocated
to permit effective completion of the selected risk assessment approach.
\[ASME B31.8S-2004, Section 5.7(b)\]

  -----------------------------------------------------------------------------
  **C.03.e.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **C.03.e. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

  ---------------------------------------------------------------------------------
  **C.03 Documents                        
  Reviewed                                
     ***(Tab from                         
  bottom-right cell                       
  to add additional                       
  rows.)*                                 
  ------------------ --------- ---------- -----------------------------------------
  **Document         **Rev**   **Date**   **Document Title**
  Number**                                

                                          

                                          
  ---------------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **C.03 Inspection Notes**
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

 

### C.04 Validation of the Risk Assessment

Verify that the integrity management program identifies and documents a
process to validate the results of the risk assessments. \[§192.917(c)
and ASME B31.8S-2004, Section 5.12\]

**C.04.a.** Verify that the validation process includes a check that the
risk results are logical and consistent with the operator's and other
industry experience. \[§192.917(c) and ASME B31.8S-2004, Section 5.12\]

  -----------------------------------------------------------------------------
  **C.04.a.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **C.04.a. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

  ---------------------------------------------------------------------------------
  **C.04 Documents                        
  Reviewed                                
     ***(Tab from                         
  bottom-right cell                       
  to add additional                       
  rows.)*                                 
  ------------------ --------- ---------- -----------------------------------------
  **Document         **Rev**   **Date**   **Document Title**
  Number**                                

                                          

                                          
  ---------------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **C.04 Inspection Notes**
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

### C.05 Plastic Transmission Pipeline

If the operator has plastic transmission pipelines, verify that the
operator assesses applicable threats to each covered segment of plastic
line. \[§192.917(d)\]

**C.05.a.** If the operator has plastic transmission lines, verify that
the information in ASME B31.8S-2004, Section 4 and ASME B31.8S-2004,
Section 5, and any unique threats to the integrity of plastic pipe have
been considered when assessing the threats to each covered segment of
plastic pipeline. \[§192.917(d)\]

  -----------------------------------------------------------------------------
  **C.05.a.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **C.05.a. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

  ---------------------------------------------------------------------------------
  **C.05 Documents                        
  Reviewed                                
     ***(Tab from                         
  bottom-right cell                       
  to add additional                       
  rows.)*                                 
  ------------------ --------- ---------- -----------------------------------------
  **Document         **Rev**   **Date**   **Document Title**
  Number**                                

                                          

                                          
  ---------------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **C.05 Inspection Notes**
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

 

## Protocol Area D. DA Plan

-   [D.01](#d.01-ecda-programmatic-requirements) ECDA Programmatic
    Requirements

-   [D.02](#d.02-ecda-pre-assessment) ECDA Pre-Assessment

-   [D.03](#d.03-ecda-indirect-examination) ECDA Indirect Examination

-   [D.04](#d.04-ecda-direct-examination) ECDA Direct Examination

-   [D.05](#d.05-ecda-post-assessment) ECDA Post-Assessment

-   [D.06](#d.06-dry-gas-icda-programmatic-requirements) Dry Gas ICDA
    Programmatic Requirements

-   [D.07](#d.07-dry-gas-icda-pre-assessment-region-identification-use-of-model-indirect-inspection) Dry
    Gas ICDA Pre-Assessment, Region Identification, Use of Model &
    Indirect Inspection

-   [D.08](#d.08-dry-gas-icda-direct-examination) Dry Gas ICDA Direct
    Examination

-   [D.09](#d.09-dry-gas-icda-post-assessment) Dry Gas ICDA
    Post-Assessment

-   [D.10](#d.10-wet-gas-icda-programmatic-requirements) Wet Gas ICDA
    Programmatic Requirements --

-   [D.11](#d.11-sccda-data-gathering-evaluation) SCCDA Data Gathering &
    Evaluation

-   [D.12](#d.12-sccda-assessment-examination-threat-remediation) SCCDA
    Assessment, Examination, & Threat Remediation

-   [Table of Contents](#table-of-contents)

### D.01 ECDA Programmatic Requirements

If the operator elects to use ECDA, verify that the operator develops
and implements an ECDA plan in accordance with §192.925.

**D.01.a.** Verify that the operator developed a documented ECDA plan,
and developed procedures to implement the plan. \[§192.925(b)\]

  -----------------------------------------------------------------------------
  **D.01.a.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **D.01.a. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

 

  ---------------------------------------------------------------------------------
  **D.01 Documents                        
  Reviewed                                
     ***(Tab from                         
  bottom-right cell                       
  to add additional                       
  rows.)*                                 
  ------------------ --------- ---------- -----------------------------------------
  **Document         **Rev**   **Date**   **Document Title**
  Number**                                

                                          

                                          
  ---------------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **D.01 Inspection Notes**
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

 

### D.02 ECDA Pre-Assessment

Verify that the ECDA Pre-assessment process complies with ASME
B31.8S-2004, Section 6.4 and NACE RP0502-2002 to (1) determine if ECDA
is feasible for the pipeline to be evaluated, (2) identify ECDA regions
and (3) select Indirect Inspection Tools. \[§192.925(b)(1)\]

**D.02.a.** Verify that the operator **identifies and collects adequate
data** to support ECDA pre-assessment. \[NACE RP0502-2002, Section 3.2\]

  -----------------------------------------------------------------------------
  **D.02.a.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **D.02.a. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**D.02.b.** Verify that the operator conducts an ECDA **feasibility
assessment** by integrating and analyzing the data collected. \[NACE
RP0502-2002, Section 3.3\]

  -----------------------------------------------------------------------------
  **D.02.b.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **D.02.b. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**D.02.c.** Verify that the operator complies with all requirements for
appropriate indirect inspection **tools selection**: \[NACE RP0502-2002,
Section 3.4, NACE RP0502-2002, Table 2, and 192.925(b)(1)(ii)\]

i.  A minimum of 2 complementary tools must be selected such that the
    strengths of one tool compensate for the limitations of the other
    tool. (Note: The operator must consider whether more than two
    indirect inspection tools are needed to reliably detect corrosion
    activity.)

ii. Tools are able to assess and reliably detect corrosion activity
    and/or coating holidays.

iii. Verify that the operator documents the basis for its tool
     selection.

iv. If the operator utilizes an indirect inspection method not listed in
    NACE RP0502-2002, Appendix A, verify that the operator justifies and
    documents the method's applicability, validation basis, equipment
    used, application procedure, and utilization of data.
    \[§192.925(b)(1)(ii)\]

  -----------------------------------------------------------------------------
  **D.02.c.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **D.02.c. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**D.02.d.** Verify that the operator **identifies ECDA Regions** based
on the use of data integration results applied to specified criteria.
\[NACE RP0502-2002, Section 3.5\]

  -----------------------------------------------------------------------------
  **D.02.d.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **D.02.d. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 **D.02.e.** Verify that the operator applies more restrictive criteria
when conducting ECDA pre-assessment for the first time on a covered
segment. \[§192.925(b)(1)(i)\]

  -----------------------------------------------------------------------------
  **D.02.e.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **D.02.e. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

  ---------------------------------------------------------------------------------
  **D.02 Documents                        
  Reviewed                                
     ***(Tab from                         
  bottom-right cell                       
  to add additional                       
  rows.)*                                 
  ------------------ --------- ---------- -----------------------------------------
  **Document         **Rev**   **Date**   **Document Title**
  Number**                                

                                          

                                          
  ---------------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **D.02 Inspection Notes**
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

 

### D.03 ECDA Indirect Examination

Verify that the ECDA Indirect Examination process complies with ASME
B31.8S-2004, Section 6.4 and NACE RP0502-2002, Section 4 to identify and
characterize the severity of coating fault indications, other anomalies,
and areas at which corrosion activity may have occurred or may be
occurring, and establish priorities for excavation. \[§192.925(b)(2)\]

**D.03.a.** Verify that the operator **conducts indirect examination
measurements** in accordance with NACE RP0502-2002, Section 4.2.

i.  Verify that the operator identifies and clearly marks the boundaries
    of each ECDA region. \[NACE RP0502-2002, Section 4.2.1\]

ii. Verify that the operator performs indirect inspections over the
    entire lengths of each ECDA region and that the inspections conform
    to generally accepted industry practices. \[NACE RP0502-2002,
    Section 4.2.2\]

iii. Verify that the operator specifies and follows generally accepted
     industry practices for conducting ECDA indirect inspections and
     analyzing results. \[NACE RP0502-2002, Section 4.2.2\]

iv. Verify that the operator specifies the physical spacing of readings
    (and the practices for changing the spacing as needed) such that
    suspected corrosion activity on the segment can be detected and
    located. \[NACE RP0502-2002, Section 4.2.3\]

  -----------------------------------------------------------------------------
  **D.03.a.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **D.03.a. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**D.03.b.** Verify that the operator properly aligns indications and
compares the data from each indirect examination to characterize both
the severity of indications and urgency for direct examination in
accordance with NACE RP0502-2002, Section 4.3 and NACE RP0502-2002,
Section 5.2.

i.  Verify the operator specifies criteria for identifying and
    documenting those indications that must be considered for excavation
    and direct examination. Minimum criteria include

    1.  Known sensitivities of assessment tools

    2.  The procedures for using each tool

    3.  The approach to be used for decreasing the physical spacing of
        indirect assessment tool readings when the presence of a defect
        is suspected. \[§192.925(b)(2)(ii) and NACE RP0502-2002, Section
        4.3.1.1\]

ii. Verify that the operator specifies and applies criteria for
    classification of the severity of each indication. \[NACE
    RP0502-2002, Section 4.3.2\],

    1.  Verify that the operator considers the impact of spatial errors
        when aligning indirect examination results. \[NACE RP0502-2002,
        Section 4.3.1.2\]

    2.  Verify that the operator compares the results from the indirect
        inspections and determines the consistency of indirect
        inspections results to resolve conflicting or differing
        indications by the primary and secondary tools. \[NACE
        RP0502-2002, Section 4.3.3\]

    3.  Verify that the operator compares indirect inspection results
        with pre-assessment results to confirm or reassess ECDA
        feasibility and ECDA Region definitions. \[NACE RP0502-2002,
        Section 4.3.4\]

iii. Verify that the operator specified and applies criteria for
     defining the urgency level (i.e., immediate, scheduled, or
     monitored) with which excavation and direct examination of
     indications will be conducted based on the likelihood of current
     corrosion activity plus the extent and severity of prior corrosion.
     \[§192.925(b)(2)(iii) and (iv) and NACE RP0502-2002, Section 5.2\]

iv. Verify that the operator's ECDA procedures have a process to address
    pipeline coating indications. The procedures must provide for
    integrating ECDA data with encroachment and foreign line crossing
    data to evaluate the covered segment for the threat of third party
    damage, and to address this threat as required by §192.917(e)(1)
    (See Protocol C.02 and Protocol C.03). \[§192.917(b), §192.917(e)
    and §192.925(b)\]

  -----------------------------------------------------------------------------
  **D.03.b.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **D.03.b. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

**D.03.c.** Verify that the operator applies more restrictive criteria
when conducting ECDA indirect examinations for the first time on a
covered segment. \[§192.925(b)(2)(i)\]

  -----------------------------------------------------------------------------
  **D.03.c.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **D.03.c. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

  ---------------------------------------------------------------------------------
  **D.03 Documents                        
  Reviewed                                
     ***(Tab from                         
  bottom-right cell                       
  to add additional                       
  rows.)*                                 
  ------------------ --------- ---------- -----------------------------------------
  **Document         **Rev**   **Date**   **Document Title**
  Number**                                

                                          

                                          
  ---------------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **D.03 Inspection Notes**
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

### D.04 ECDA Direct Examination

Verify that the ECDA Direct Examination process complies with ASME
B31.8S-2004, Section 6.4 and NACE RP0502-2002, Section 5 to collect data
to assess corrosion activity and remediate defects discovered. \[NACE
RP0502-2002, Section 5.1.1 and §192.925(b)(3)\]

**D.04.a.** Verify that the operator performs excavations and data
collection in accordance with NACE RP0502-2002, Section 5.3, NACE
RP0502-2002, Section 5.4, NACE RP0502-2002, Section 5.10 and NACE
RP0502-2002, Section 6.4.2.

i.  Verify that the operator makes excavations based on priority
    categories described in NACE RP0502-2002, Section 5.2. \[NACE
    RP0502-2002, Section 5.3.1\]

ii. Verify that the operator identifies and implements minimum
    requirements for data collection, measurements, and recordkeeping,
    to evaluate coating condition and significant corrosion defects at
    each excavation location. \[NACE RP0502-2002, Section 5.3, NACE
    RP0502-2002, Section 5.4, NACE RP0502-2002, Appendix A, NACE
    RP0502-2002, Appendix B, and NACE RP0502-2002, Appendix C\]

iii. Verify that the number and location of direct examinations complies
     with NACE RP0502-2002, Section 5.10 and NACE RP0502-2002, Section
     6.4.2

  -----------------------------------------------------------------------------
  **D.04.a.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **D.04.a. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**D.04.b.** Verify that the operator determines the remaining strength
at locations where corrosion defects are found. Any corrosion defects
discovered during direct examinations must be remediated in accordance
with §192.933. \[§192.925(b)(3)(ii), §192.933, and NACE RP0502-2002,
Section 5.5\]

  -----------------------------------------------------------------------------
  **D.04.b.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **D.04.b. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**D.04.c.** Verify that the operator identifies the root cause of all
significant corrosion activity, \[NACE RP0502-2002, Section 5.6\] and
identifies and reevaluates all other indications that occur in the
pipeline segment where similar root-cause conditions exist. \[NACE
RP0502-2002, Section 5.9.3\]

i.  Verify that the operator considers alternative methods of assessing
    the integrity of the pipeline segment if the operator's root cause
    analysis uncovers problems for which ECDA is not well suited. \[NACE
    RP0502-2002, Section 5.6.2 and §192.925(b)(3)(ii)(b)\]

  -----------------------------------------------------------------------------
  **D.04.c.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **D.04.c. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**D.04.d.** Verify that the operator mitigates or precludes future
external corrosion resulting from significant root causes. \[NACE
RP0502-2002, Section 5.7\]

  -----------------------------------------------------------------------------
  **D.04.d.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **D.04.d. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**D.04.e.** Verify that the operator performs an evaluation of the
indirect inspection data, the results from the remaining strength
evaluation and root cause analysis to evaluate the criteria and
assumptions used to: \[NACE RP0502-2002, Section 5.7, NACE RP0502-2002,
Section 5.8 and §192.933\]

i.  Categorize the need for repairs

ii. Classify the severity of individual indications

  -----------------------------------------------------------------------------
  **D.04.e.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **D.04.e. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**D.04.f.** As appropriate, verify the basis upon which the operator may
reclassify and reprioritize indications in accordance with any of the
provisions that are specified in NACE RP0502-2002, Section 5.9.
\[§192.925(b)(3)(iv)\]

  -----------------------------------------------------------------------------
  **D.04.f.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **D.04.f. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**D.04.g.** Verify the operator establishes and implements criteria and
internal notification procedures for any changes in the ECDA Plan,
including changes that affect the severity classification, the priority
of direct examination, and the time frame for direct examination of
indications. \[§192.925(b)(3)(iii), §192.909, and §192.911(k)\]

  -----------------------------------------------------------------------------
  **D.04.g.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **D.04.g. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**D.04.h.** Verify that the operator has a process to consider the use
of assessment methods other than ECDA (i.e., ILI or Subpart J pressure
test) to assess the impact of defects other than external corrosion
(e.g., mechanical damage and stress corrosion cracking) discovered
during direct examination. \[NACE RP0502-2002, Section 5.1.5 and
§192.933\]

  -----------------------------------------------------------------------------
  **D.04.h.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **D.04.h. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

**D.04.i.** Verify that the operator applies more restrictive criteria
when conducting ECDA direct examination for the first time on a covered
segment. \[§192.925(b)(3)(i)\]

  -----------------------------------------------------------------------------
  **D.04.i.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **D.04.i. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

 

  ---------------------------------------------------------------------------------
  **D.04 Documents                        
  Reviewed                                
     ***(Tab from                         
  bottom-right cell                       
  to add additional                       
  rows.)*                                 
  ------------------ --------- ---------- -----------------------------------------
  **Document         **Rev**   **Date**   **Document Title**
  Number**                                

                                          

                                          
  ---------------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **D.04 Inspection Notes**
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

 

### D.05 ECDA Post-Assessment

Verify that the ECDA Post assessment process complies with ASME
B31.8S-2004, Section 6.4 and NACE RP0502-2002, Section 6, to (1) define
reassessment intervals and (2) assess the overall effectiveness of the
ECDA process. \[§192.925(b)(4) and §192.939\]

**D.05.a.** Verify that the operator determined **reassessment
intervals** in accordance with NACE RP0502-2002, Section 6.

i.  Verify the adequacy of the operators remaining life calculations.
    \[NACE RP0502-2002, Section 6.2\]

ii. Verify that the maximum re-assessment intervals for each region are
    one half the calculated remaining life. \[NACE RP0502-2002, Section
    6.1.3 and NACE RP0502-2002, Section 6.3\]

  -----------------------------------------------------------------------------
  **D.05.a.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **D.05.a. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**D.05.b.** Verify that the reassessment intervals are adjusted if
required in accordance with special provisions in Subpart O, as follows:

i.  Verify that reassessment intervals do not exceed the maximum
    intervals (refer to Protocol F) established in §192.939, as follows:

    1.  10 years for pipeline segments operating at SMYS levels greater
        than 50%

    2.  15 years for those segments operating between 30 and 50% SMYS

    3.  20 years for those segments operating below 30% SMYS

ii. Verify that the operator specifies and applies criteria for
    evaluating whether conditions discovered by direct examination of
    indications in each ECDA region indicate a need for reassessment of
    the covered segment at an interval less than that specified in
    §192.939. \[§192.925(b)(4)(ii)\]

  -----------------------------------------------------------------------------
  **D.05.b.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **D.05.b. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**D.05.c.** Verify that performance measures for ECDA effectiveness have
been defined and are monitored. \[§192.925, §192.945(b) and NACE
RP0502-2002, Section 6\]

i.  Verify that at least one additional, randomly selected anomaly
    location has been excavated for process validation. \[NACE
    RP0502-2002, Section 6.4.2\]

ii. Verify that additional criteria have been established and monitored
    to evaluate long-term program effectiveness such as those identified
    in NACE RP0502-2002, Section 6.4.3. \[§192.945(b) and NACE
    RP0502-2002, Section 6.4.3\]

  -----------------------------------------------------------------------------
  **D.05.c.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **D.05.c. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**D.05.d.** Verify the operator's process has incorporated feedback at
all appropriate opportunities throughout the ECDA process to demonstrate
feedback and continuous improvement. \[§192.907(a) and NACE RP0502-2002,
Section 6.5\]

  -----------------------------------------------------------------------------
  **D.05.d.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **D.05.d. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

  ---------------------------------------------------------------------------------
  **D.05 Documents                        
  Reviewed                                
     ***(Tab from                         
  bottom-right cell                       
  to add additional                       
  rows.)*                                 
  ------------------ --------- ---------- -----------------------------------------
  **Document         **Rev**   **Date**   **Document Title**
  Number**                                

                                          

                                          
  ---------------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **D.05 Inspection Notes**
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

 

### D.06 Dry Gas ICDA Programmatic Requirements

If the operator elects to use ICDA, verify that the operator develops
and implements an ICDA plan in accordance with §192.927.

**D.06.a.** Verify that the operator developed a documented ICDA plan
\[§192.927(c)\]

  -----------------------------------------------------------------------------
  **D.06.a.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **D.06.a. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**D.06.b.** Verify that the operator's plan contains provisions for
carrying out ICDA on the entire pipeline in which covered segments are
present, except that application of the remediation criteria of §192.933
may be limited to covered segments. \[§192.927(c)(5)(iii)\]

  -----------------------------------------------------------------------------
  **D.06.b.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **D.06.b. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**D.06.c.** Verify that the operator implements the ICDA plan.
\[§192.927(c)\]

  -----------------------------------------------------------------------------
  **D.06.c.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **D.06.c. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

  ---------------------------------------------------------------------------------
  **D.06 Documents                        
  Reviewed                                
     ***(Tab from                         
  bottom-right cell                       
  to add additional                       
  rows.)*                                 
  ------------------ --------- ---------- -----------------------------------------
  **Document         **Rev**   **Date**   **Document Title**
  Number**                                

                                          

                                          
  ---------------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **D.06 Inspection Notes**
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

 

### D.07 Dry Gas ICDA Pre-Assessment, Region Identification, Use of Model & Indirect Inspection

For dry gas systems, verify that the operator gathers, integrates and
analyzes data and information to accomplish pre-assessment objectives
and identify ICDA Regions. \[§192.927(c)(1), §192.927(c)(2), ASME
B31.8S-2004, Section 6.4.2, ASME B31.8S-2004, Appendix A2 and ASME
B31.8S-2004, Appendix B2\]

**D.07.a.** Verify that the operator's plan defines criteria to be
applied in making key decisions (e.g., region identification,
feasibility determinations) in implementing the pre-assessment stage of
the ICDA process. \[§192.927(c)(5)(i)\]

  -----------------------------------------------------------------------------
  **D.07.a.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **D.07.a. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**D.07.b.** Verify that the operator collects, as a minimum, the
following **data and information**:

i.  All data elements listed in ASME B31.8S-2004, Appendix A2
    \[§192.927(c)(1)(i)\]

ii. Information needed to support use of a model to identify areas where
    internal corrosion is most likely, including locations of all 1) gas
    input and withdrawal points, 2) low points such as sags, drips,
    inclines, valves, manifolds, dead-legs, and traps, 3) elevation
    profile in sufficient detail for angles of inclination to be
    calculated, and 4) the range of expected gas velocities within the
    pipeline; \[§192.927(c)(1)(ii)\]

iii. Operating experience data that would indicate historic upsets in
     gas conditions, locations where these upsets have occurred, and
     potential damage resulting from these upset conditions
     \[§192.927(c)(1)(iii)\]

iv. Information where cleaning pigs may not have been used or where
    cleaning pigs may deposit electrolytes. \[§192.927(c)(1)(iv)\]

  -----------------------------------------------------------------------------
  **D.07.b.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **D.07.b. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**D.07.c.** Verify that the operator integrates the data collected and
uses the integrated data analysis to evaluate and document the
following:

i.  Feasibility of performing ICDA on its pipe segments
    \[§192.927(c)(1)\]

ii. Identification of all ICDA Regions and the location of each region.
    \[§192.927(c)(1) & (2)\]

iii. Support use of a model to identify the locations along the pipe
     segment where electrolyte may accumulate \[§192.927(c)(1)\]

iv. Identify areas within the covered segment where liquids may be
    potentially entrained. \[§192.927(c)(1)\]

  -----------------------------------------------------------------------------
  **D.07.c.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **D.07.c. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**D.07.d.** Verify the operator's plan uses the model in GRI 02-0057
ICDA of Gas Transmission Pipelines- Methodology (or equivalent
acceptable model) to define critical pipe angle of inclination above
which water film cannot be transported by the gas, and that the model
considers, as a minimum: \[§192.927(c)(2)\]

i.  Changes in pipe diameter, \[§192.927(c)(2)\]

ii. Locations where gas enters a line, \[§192.927(c)(2)\]

iii. Locations down stream of gas draw-offs. \[§192.927(c)(2)\]

iv. Other conditions that may result in changes in gas velocity.
    \[§192.927(c)(2) and GRI 02-0057\]

  -----------------------------------------------------------------------------
  **D.07.d.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **D.07.d. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**D.07.e.** Verify that the operator's plan contains provisions for
applying more restrictive criteria for pre-assessment and region
identification when conducting ICDA for the first time on a covered
segment \[§192.927(c)(5)(ii)\]

  -----------------------------------------------------------------------------
  **D.07.e.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **D.07.e. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

  ---------------------------------------------------------------------------------
  **D.07 Documents                        
  Reviewed                                
     ***(Tab from                         
  bottom-right cell                       
  to add additional                       
  rows.)*                                 
  ------------------ --------- ---------- -----------------------------------------
  **Document         **Rev**   **Date**   **Document Title**
  Number**                                

                                          

                                          
  ---------------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **D.07 Inspection Notes**
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

 

### D.08 Dry Gas ICDA Direct Examination

For dry gas systems, verify that the operator (1) identifies locations
where internal corrosion is most likely in each ICDA region and (2)
performs direct examinations of those locations. \[§192.927(b),
192.927(c)(3), ASME B31.8S-2004, Section 6.4 and ASME B31.8S-2004,
Appendix B2\]

**D.08.a.** Verify that the operator's plan defines criteria to be
applied in making key decisions (e.g., identifying locations most likely
to have internal corrosion, selection of tools) in implementing the
direct assessment stage of the ICDA process. \[§192.927(c)(5)(i)\]

  -----------------------------------------------------------------------------
  **D.08.a.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **D.08.a. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**D.08.b.** Verify the operator has identified locations where internal
corrosion is most likely to exist in each ICDA region and where
electrolyte accumulation is predicted. \[§192.927(c)(3), ASME
B31.8S-2004, Section 6.4.2 and ASME B31.8S-2004, Appendix B2.3\]

  -----------------------------------------------------------------------------
  **D.08.b.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **D.08.b. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**D.08.c.** Verify the operator requires a direct examination for
internal corrosion using ultrasonic thickness measurements, radiography,
or other generally accepted measurement technique of those covered
segment locations where internal corrosion is most likely to exist, and
includes as a minimum, the following: \[§192.927(c)(3), ASME
B31.8S-2004, Section 6.4.2, ASME B31.8S-2004, Appendix B2.3 and ASME
B31.8S-2004, Appendix B2.4\]

i.  A minimum of two (2) locations within each ICDA region within a
    covered segment,

ii. At least one location must be the low point (e.g., sags, drips,
    valves, manifolds, deadlegs, traps) nearest the beginning of the
    ICDA region and

iii. The second location must be further downstream within a covered
     segment near the end of the ICDA Region (The end of the ICDA region
     is the farthest downstream location where the ICDA model predicts
     electrolytes could accumulate based on the critical angle of
     inclination above which water film cannot be transported by the
     gas). \[§192.927(c)(2) and ASME B31.8S-2004, Appendix B2.3\]

  -----------------------------------------------------------------------------
  **D.08.c.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **D.08.c. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**D.08.d.** If internal corrosion exists at any location directly
examined, verify that the operator: \[192.927(c)(3)\]

i.  Evaluates the severity of the defect and remediates the defect per
    §192.933 (see Protocol E) \[§192.927(c)(3)(i)\], and

ii. Either performs additional excavations or performs additional
    assessment using an allowed alternative assessment method
    \[§192.927(c)(3)(ii)\], and

iii. Evaluates the potential for internal corrosion in all pipeline
     segments (both covered and non-covered) in the operator's pipeline
     system with similar characteristics to the ICDA region containing
     the covered segment in which the corrosion was found and remediates
     the conditions per §192.933. \[§192.927(c)(3)(iii)\]

  -----------------------------------------------------------------------------
  **D.08.d.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **D.08.d. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**D.08.e.** Verify that the operator's plan contains provisions for
applying more restrictive criteria for the direct examination when
conducting ICDA for the first time on a covered segment
\[§192.927(c)(5)(ii)\]

  -----------------------------------------------------------------------------
  **D.08.e.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **D.08.e. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

  ---------------------------------------------------------------------------------
  **D.08 Documents                        
  Reviewed                                
     ***(Tab from                         
  bottom-right cell                       
  to add additional                       
  rows.)*                                 
  ------------------ --------- ---------- -----------------------------------------
  **Document         **Rev**   **Date**   **Document Title**
  Number**                                

                                          

                                          
  ---------------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **D.08 Inspection Notes**
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

 

### D.09 Dry Gas ICDA Post-Assessment

For dry gas systems, verify that the operator performs post-assessment
evaluation of ICDA effectiveness and continued monitoring of covered
segments where internal corrosion has been identified.
\[§192.927(c)(4)\]

**D.09.a.** Verify that the operator's plan defines criteria to be
applied in making key decisions (e.g., reassessment interval
determination, techniques for monitoring internal corrosion) in
implementing the post-assessment stage of the ICDA process.
\[§192.927(c)(5)(i)\]

  -----------------------------------------------------------------------------
  **D.09.a.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **D.09a Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**D.09.b.** Verify the operator has a process for **evaluating the
effectiveness** of ICDA as an assessment method and **determining
reassessment intervals**. \[§192.927(c)(4)(i) and ASME B31.8S-2004,
Appendix B2.4\]

i.  Verify that if corrosion is found in areas where the pipeline
    inclination is greater than the estimated critical inclination, that
    the operator re-evaluates the critical inclination angle and
    additional new areas are selected for direct examination. \[ASME
    B31.8S-2004, Appendix B2.4\]

ii. Verify the operator's process determines whether a segment must be
    reassessed at intervals more frequently than those specified in
    §192.939 using the largest defect most likely to remain in the
    covered segment as the largest defect discovered in the ICDA segment
    and estimating the reassessment interval as half the time required
    for the largest defect to grow to critical size. Verify that this
    evaluation is to be carried out within one year of completion of the
    assessment. \[§192.927(c)(4)(i) and §192.939(a)(3)\]

iii. Verify the operator's reassessment intervals comply with the
     following maximum allowed intervals in accordance with 192.939 (see
     Protocol F). \[§192.939(b)\]

     1.  10 years for segments operating at SMYS levels greater than 50%

     2.  15 years for segments operating between 30 and 50% SMYS

     3.  20 years for segments operating below 30% SMYS

  -----------------------------------------------------------------------------
  **D.09.b.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **D.09.b. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**D.09.c.** Verify the operator continually monitors each covered
segment where internal corrosion has been identified using techniques
such as coupons, UT sensors or electronic probes, periodically drawing
off liquids at low points and chemically analyzing them for corrosion
products. \[§192.927(c)(4)(ii)\]

i.  Verify the operator has a process to determine the frequency for
    monitoring and liquid analysis based on all integrity assessments
    results conducted in accordance with 192 Subpart O and risk factors
    specific to the covered segment. \[§192.927(c)(4)(ii) and ASME
    B31.8S-2004, Appendix A2.2\]

ii. Verify the operator's process requires that if any evidence of
    corrosion products is found in the covered segment, prompt action
    must be taken including, as a minimum: \[§192.927(c)(4)(ii)\]

    1.  Remediate the conditions the operator finds in accordance with
        §192.933, and

    2.  Implement one of the two following required actions: (1) Conduct
        excavations of covered segments at locations downstream from
        where the electrolyte might have entered the pipe, or (2) assess
        the covered segment using another integrity assessment method
        allowed by Subpart O.

  -----------------------------------------------------------------------------
  **D.09.c.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **D.09.c. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**D.09.d.** Verify that the operator's plan contains provisions for
applying more restrictive criteria for the post-assessment when
conducting ICDA for the first time on a covered segment
\[§192.927(c)(5)(ii)\]

  -----------------------------------------------------------------------------
  **D.09.d.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **D.09.d. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

  ---------------------------------------------------------------------------------
  **D.09 Documents                        
  Reviewed                                
     ***(Tab from                         
  bottom-right cell                       
  to add additional                       
  rows.)*                                 
  ------------------ --------- ---------- -----------------------------------------
  **Document         **Rev**   **Date**   **Document Title**
  Number**                                

                                          

                                          
  ---------------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **D.09 Inspection Notes**
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

 

### D.10 Wet Gas ICDA Programmatic Requirements --

If the operator elects to use ICDA to assess a covered segment operating
with electrolyte present in the gas stream (wet gas), verify that the
operator develops and implements an ICDA plan in accordance with
§192.927 which addresses the following. \[§192.927(b)\]

**D.10.a.** Verify that the operator developed a documented ICDA plan
which demonstrates how the operator will conduct ICDA on the entire
pipeline in which covered segments are present to effectively address
internal corrosion. \[§192.927(c)\]

  -----------------------------------------------------------------------------
  **D.10.a.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **D.10.a. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**D.10.b.** Verify the operator has provided notification to OPS, and
applicable state or local safety authorities, of an ICDA wet gas \"other
technology\" application in accordance with §192.921 (a) (4) or §192.937
(c) (4). \[§192.927(b)\]

  -----------------------------------------------------------------------------
  **D.10.b.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **D.10.b. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

  ---------------------------------------------------------------------------------
  **D.10 Documents                        
  Reviewed                                
     ***(Tab from                         
  bottom-right cell                       
  to add additional                       
  rows.)*                                 
  ------------------ --------- ---------- -----------------------------------------
  **Document         **Rev**   **Date**   **Document Title**
  Number**                                

                                          

                                          
  ---------------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **D.10 Inspection Notes**
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

 

### D.11 SCCDA Data Gathering & Evaluation

If the operator elects to use SCCDA, verify that the operator's SCCDA
evaluation process complies with ASME B31.8S-2004, Appendix A3 in order
to identify whether conditions for SCC of gas line pipe are present and
to prioritize the covered segments for assessment. \[§192.929(b)(1)\]

**D.11.a.** Verify that the operator has a process to **gather,
integrate, and evaluate data** for all covered segments to identify
whether the conditions for SCC are present and to prioritize the covered
segments for assessment. \[§192.929(b)(1)\]

i.  Verify that the operator's process gathers and evaluates data
    related to SCC at all sites it excavates during the conduct of its
    pipeline operations (not just covered segments) where the criteria
    indicate the potential for SCC. \[§192.929(b)(1) and ASME
    B31.8S-2004, Appendix A3.3\]

ii. Verify that the data includes, as a minimum, the data specified in
    ASME B31.8S-2004, Appendix A3.

iii. Verify that the operator addresses missing data by either using
     conservative assumptions or assigning a higher priority to the
     segments affected by the missing data, as required by ASME
     B31.8S-2004, Appendix A3.2.

  -----------------------------------------------------------------------------
  **D.11.a.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **D.11.a. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

  ---------------------------------------------------------------------------------
  **D.11 Documents                        
  Reviewed                                
     ***(Tab from                         
  bottom-right cell                       
  to add additional                       
  rows.)*                                 
  ------------------ --------- ---------- -----------------------------------------
  **Document         **Rev**   **Date**   **Document Title**
  Number**                                

                                          

                                          
  ---------------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **D.11 Inspection Notes**
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

 

### D.12 SCCDA Assessment, Examination, & Threat Remediation

Verify that covered segments (for which conditions for SCC are
identified) are assessed, examined, and the threat remediated.
\[§192.929(b)(2)\]

**D.12.a.** Verify that, if conditions for SCC are present, that the
operator **conducts an assessment** using one of the methods specified
in ASME B31.8S-2004, Appendix A3.

  -----------------------------------------------------------------------------
  **D.12.a.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **D.12.a. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**D.12.b.** Verify that the operator's plan specifies an acceptable
**inspection, examination, and evaluation plan** using either the Bell
Hole Examination and Evaluation Method (that complies with all
requirements of ASME B31.8S-2004, Appendix A3.4 (a)) or Hydrostatic
Testing (that complies with all requirements of ASME B31.8S-2004,
Appendix A3.4 (b)).

i.  Verify, that the operator's plan requires that for pipelines which
    have experienced an in-service leak or rupture attributable to SCC,
    that the particular segment(s) be subjected to a hydrostatic
    pressure test (that complies with ASME B31.8S-2004, Appendix A3.4
    (b)) within 12 months of the failure, using a documented hydrostatic
    retest program developed specifically for the affected segment(s),
    as required by ASME B31.8S-2004, Appendix A3.4.

  -----------------------------------------------------------------------------
  **D.12.b.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **D.12.b. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**D.12.c.** Verify that assessment results are used to determine
**reassessment intervals** in accordance with §192.939(a)(3); (see
Protocol F). \[§192.939(a)(3)\]

  -----------------------------------------------------------------------------
  **D.12.c.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **D.12.c. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

  ---------------------------------------------------------------------------------
  **D.12 Documents                        
  Reviewed                                
     ***(Tab from                         
  bottom-right cell                       
  to add additional                       
  rows.)*                                 
  ------------------ --------- ---------- -----------------------------------------
  **Document         **Rev**   **Date**   **Document Title**
  Number**                                

                                          

                                          
  ---------------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **D.12 Inspection Notes**
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

 

## Protocol Area E. Remediation

-   [E.01](#e.01-program-requirements-for-discovery-evaluation-and-remediation-scheduling) Program
    Requirements for Discovery, Evaluation and Remediation Scheduling

-   [E.02](#e.02-program-requirements-for-identifying-anomalies) Program
    Requirements for Identifying Anomalies

-   [E.03](#e.03-operator-response-when-timelines-for-evaluation-and-remediation-cannot-be-met) Operator
    Response when Timelines for Evaluation and Remediation Cannot be Met

-   [E.04](#e.04-record-review-for-discovery-repair-and-remediation-activities) Record
    Review for Discovery, Repair and Remediation Activities

-   [Table of Contents](#table-of-contents)

### E.01 Program Requirements for Discovery, Evaluation and Remediation Scheduling

Verify that provisions exist to discover and evaluate all anomalous
conditions resulting from integrity assessment and remediate those which
could reduce a pipeline's integrity. \[§192.933(a)\]

**E.01.a.** Verify a definition of discovery is provided.
\[§192.933(b)\]

  -----------------------------------------------------------------------------
  **E.01.a.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **E.01.a. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**E.01.b.** Verify a requirement exists to document the actual date of
discovery. \[§192.933(b)\]

  -----------------------------------------------------------------------------
  **E.01.b.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **E.01.b. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**E.01.c.** Verify a requirement exists to develop a schedule that
prioritizes evaluation and remediation of anomalous conditions.
\[§192.933(c)\]

  -----------------------------------------------------------------------------
  **E.01.c.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **E.01.c. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**E.01.d.** If the operator desires to deviate from the timelines for
remediation as provided in §192.933 by demonstrating exceptional
performance, verify that the requirements of §192.913(b) have been met
and the safety of the covered segment is not jeopardized.
\[§192.913(c)(2)\](See Protocol F.05)

  -----------------------------------------------------------------------------
  **E.01.d.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **E.01.d. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

  ---------------------------------------------------------------------------------
  **E.01 Documents                        
  Reviewed                                
     ***(Tab from                         
  bottom-right cell                       
  to add additional                       
  rows.)*                                 
  ------------------ --------- ---------- -----------------------------------------
  **Document         **Rev**   **Date**   **Document Title**
  Number**                                

                                          

                                          
  ---------------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **E.01 Inspection Notes**
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

 

### E.02 Program Requirements for Identifying Anomalies

Inspect the operator's program to verify that provisions exist for the
classification and remediation of anomalies that meet the criteria for:
(1) Immediate repair conditions; (2) One-year conditions; (3) Monitored
conditions; or (4) Other conditions as specified in ASME B31.8S-2004,
Section 7 . \[§192.933(c) and §192.933(d)\]

**E.02.a.** Verify the program requires a temporary pressure reduction
or the pipeline to be shut down upon discovery of all immediate repair
conditions. \[§192.933(d)(1)\]

  -----------------------------------------------------------------------------
  **E.02.a.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **E.02.a. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**E.02.b.** Verify provisions exist to classify and categorize anomalies
meeting the following criteria:

i.  Immediate Repair Conditions (Conditions requiring immediate
    remediation actions)

    1.  Calculated remaining strength indicates a failure pressure that
        is less than or equal to 1.1 times MAOP; \[§192.933(d)(1)\]

    2.  A dent having any indication of metal loss, cracking, or a
        stress riser; \[§192.933(d)(1)\]

    3.  An indication or anomaly that is judged by the person designated
        by the operator to evaluate assessment results as requiring
        immediate action. \[§192.933(d)(1)\]

    4.  Metal-loss indications affecting a detected longitudinal seam if
        that seam was formed by direct current or low-frequency electric
        resistance welding or by electric flash welding; \[ASME
        B31.8S-2004, Section 7.2.1\]

    5.  All indications of stress corrosion cracks; \[ASME B31.8S-2004,
        Section 7.2.2\]; or

    6.  Any indications that might be expected to cause immediate or
        near-term leaks or ruptures based on their known or perceived
        effects on the strength of the pipeline. \[ASME B31.8S-2004,
        Section 7.2.3\]

ii. One-Year Conditions (Conditions requiring remediation within one
    year of discovery).

    1.  A smooth dent located between the 8 and 4 o'clock positions
        (upper 2/3 of the pipe) with a depth greater than 6% of the
        pipeline diameter; \[§192.933(d)(2)\] or,

    2.  A dent with a depth greater than 2% of the pipeline's diameter,
        that affects pipe curvature at a girth weld or at a longitudinal
        seam weld. \[§192.933(d)(2)\]

iii. Monitored Conditions (Conditions which must be monitored until the
     next assessment).

     1.  A dent with a depth greater than 6% of the pipeline diameter
         located between the 4 and 8 o'clock position (lower 1/3) of the
         pipe; \[§192.933(d)(3)\]

     2.  A dent located between the 8 and 4 o'clock position (upper 2/3)
         of the pipe with a depth greater than 6% of the pipeline
         diameter, and engineering analysis to demonstrate critical
         strain levels are not exceeded; \[§192.933(d)(3)\]or,

     3.  A dent with a depth greater than 2% of the pipeline diameter,
         that affects pipe curvature at a girth weld or a longitudinal
         seam weld, and engineering analysis of the dent and girth or
         seam weld to demonstrate critical strain levels are not
         exceeded. \[§192.933(d)(3)\]

  -----------------------------------------------------------------------------
  **E.02.b.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **E.02.b. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**E.02.c.** Verify provisions exist to record and monitor anomalies that
are classified as \"monitored conditions\" during subsequent risk or
integrity assessments for any change in their status that would require
remediation. \[§192.933(d)(3)\]

  -----------------------------------------------------------------------------
  **E.02.c.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **E.02.c. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**E.02.d.** Verify that program requirements exist to meet the
provisions of ASME B31.8S-2004, Section 7, Figure 4 for scheduling and
remediating any other threat conditions that do not meet the
classification criteria of Protocol E.02.b, above. \[§192.933(c)\]

  -----------------------------------------------------------------------------
  **E.02.d.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **E.02.d. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

  ---------------------------------------------------------------------------------
  **E.02 Documents                        
  Reviewed                                
     ***(Tab from                         
  bottom-right cell                       
  to add additional                       
  rows.)*                                 
  ------------------ --------- ---------- -----------------------------------------
  **Document         **Rev**   **Date**   **Document Title**
  Number**                                

                                          

                                          
  ---------------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **E.02 Inspection Notes**
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

 

### E.03 Operator Response when Timelines for Evaluation and Remediation Cannot be Met

Verify that provisions exist to respond appropriately when the operator
is unable to meet time limits for evaluation and remediation.
\[§192.933(a)\].

**E.03.a.** Verify a requirement exists to take a temporary operating
pressure reduction or other action that ensures safety of the covered
segment in the event the operator is unable to respond within the
timeframes required by §192.933. \[§192.933(a)\]

i.  Verify a requirement exists to determine the appropriate pressure
    reduction using ASME B31G, or \"RSTRENG\", or reduce pressure to a
    level not exceeding 80% of the level at the time the condition was
    discovered. \[§192.933(a)\]

ii. Verify a requirement exists that when a pressure reduction is to
    exceed 365 days, a documented technical justification is developed
    that demonstrates continuation of the reduction will not jeopardize
    pipeline integrity. \[§192.933(a)\]

  -----------------------------------------------------------------------------
  **E.03.a.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **E.03.a. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**E.03.b.** Verify a requirement exists to document the justification,
when a remediation activity cannot be completed within established
timeframe requirements, that includes the reasons why the schedule
cannot be met and the basis for why the changed schedule will not
jeopardize public safety. \[§192.933(c)\]

  -----------------------------------------------------------------------------
  **E.03.b.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **E.03.b. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**E.03.c.** Verify a requirement exists to notify OPS in accordance with
§192.949 and the State or local pipeline safety authority, if
applicable, when the operator cannot meet the schedule and cannot
provide a temporary reduction in operating pressure or other action.
\[§192.933(c)\]

  -----------------------------------------------------------------------------
  **E.03.c.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **E.03.c. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

  ---------------------------------------------------------------------------------
  **E.03 Documents                        
  Reviewed                                
     ***(Tab from                         
  bottom-right cell                       
  to add additional                       
  rows.)*                                 
  ------------------ --------- ---------- -----------------------------------------
  **Document         **Rev**   **Date**   **Document Title**
  Number**                                

                                          

                                          
  ---------------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **E.03 Inspection Notes**
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

 

### E.04 Record Review for Discovery, Repair and Remediation Activities

Inspect operator repair and remediation records to verify that
remediation activities have been conducted in accordance with program
requirements. \[§192.933\]

**E.04.a.** Verify a prioritized schedule exists for evaluation and
remediation of anomalies identified during assessment or reassessment
activities. The prioritized schedule must document which of the criteria
specified in §192.933(d) and/or ASME B31.8S-2004 were used as the basis
for the schedule. \[§192.933(c) and §192.933(d)\]

  -----------------------------------------------------------------------------
  **E.04.a.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **E.04.a. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**E.04.b.** Verify anomaly discovery was documented within 180 days of
completion of the assessment or reassessment, or else that compliance
with the 180-day period was impracticable. \[§192.933(b)\]

  -----------------------------------------------------------------------------
  **E.04.b.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **E.04.b. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**E.04.c.** Verify any remediation activities taken are sufficient to
ensure that the anomaly is unlikely to threaten the integrity of the
pipeline before the next scheduled reassessment. \[§192.933(a)\]

  -----------------------------------------------------------------------------
  **E.04.c.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **E.04.c. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**E.04.d.** Verify, for any immediate repair anomalies, a temporary
pressure reduction is taken by the operator on the pipeline and the
reduced pressure is determined in accordance with ASME B31G, or
\"RSTRENG\", or that the reduced pressure does not exceed 80% of the
level at the time the condition was discovered. \[§192.933(a)\]

  -----------------------------------------------------------------------------
  **E.04.d.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **E.04.d. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**E.04.e.** Verify immediate repair conditions have been evaluated and
remediated on a\
schedule established in accordance with the provisions of ASME
B31.8S-2004, Section 7. \[§192.933(d)(1)\]

  -----------------------------------------------------------------------------
  **E.04.e.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **E.04.e. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**E.04.f.** Verify any pressure reduction taken has not exceeded 365
days from the date of discovery unless a technical justification has
been developed to demonstrate that continuation of the pressure
reduction will not jeopardize the integrity of the pipeline.
\[§192.933(a)\]

  -----------------------------------------------------------------------------
  **E.04.f.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **E.04.f. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**E.04.g.** Verify that remediation activities were completed in
accordance with scheduled timeframes. \[§192.933(c) and §192.933(d)\]

  -----------------------------------------------------------------------------
  **E.04.g.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **E.04.g. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**E.04.h.** Verify that anomalies meeting any of the criteria of
§192.933(d)(3) as \"monitored conditions\" are evaluated during
subsequent risk and integrity assessments to identify any change that
may require remediation and that any required remediation is scheduled
and implemented in accordance with the applicable requirements of
§192.933 and ASME B31.8S-2004. \[§192.933(d)\]

  -----------------------------------------------------------------------------
  **E.04.h.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **E.04.h. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**E.04.i.** Verify any remediation activities that have not been
completed in accordance with §192.933 timeframes, and the operator has
not provided safety through a temporary pressure reduction, have been
reported to OPS and appropriate State or local authorities in accordance
with the requirements of §192.933(c) of the rule. \[§192.933(c)\]

  -----------------------------------------------------------------------------
  **E.04.i.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **E.04.i. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

  ---------------------------------------------------------------------------------
  **E.04 Documents                        
  Reviewed                                
     ***(Tab from                         
  bottom-right cell                       
  to add additional                       
  rows.)*                                 
  ------------------ --------- ---------- -----------------------------------------
  **Document         **Rev**   **Date**   **Document Title**
  Number**                                

                                          

                                          
  ---------------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **E.04 Inspection Notes**
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

 

## Protocol Area F. Continual Evaluation and Assessment

-   [F.01](#f.01-periodic-evaluations) Periodic Evaluations

-   [F.02](#f.02-reassessment-methods) Reassessment Methods

-   [F.03](#f.03-low-stress-reassessment) Low Stress Reassessment

-   [F.04](#f.04-reassessment-intervals) Reassessment Intervals

-   [F.05](#f.05-deviation-from-reassessment-requirements) Deviation
    from Reassessment Requirements

-   [F.06](#f.06-waiver-from-reassessment-interval) Waiver from
    Reassessment Interval

-   [Table of Contents](#table-of-contents)

### F.01 Periodic Evaluations

Verify the operator conducts a periodic evaluation of pipeline integrity
based on data integration and risk assessment to identify the threats
specific to each covered segment and the risk represented by these
threats. \[§192.917 and §192.937(b)\]

**F.01.a.** Verify that periodic evaluations are conducted based on a
data integration and risk assessment of the entire pipeline as specified
in §192.917. The evaluation must consider the following: \[§192.937(b)
and 192.917\]

i.  Past and present assessment results

ii. Data integration and risk assessment information \[§192.917\]

iii. Decisions about remediation \[§192.933\]

iv. Additional preventive and mitigative actions \[§192.935\]

  -----------------------------------------------------------------------------
  **F.01.a.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **F.01.a. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**F.01.b.** Verify that periodic evaluations of data are thorough,
complete, and adequate for establishing reassessment methods and
schedules. \[§192.937(b)\]

  -----------------------------------------------------------------------------
  **F.01.b.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **F.01.b. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**F.01.c.** Verify that an appropriate interval is established for
performing required periodic evaluations of threats and pipeline
conditions following completion of the baseline assessment.
\[§192.937(b)\]

  -----------------------------------------------------------------------------
  **F.01.c.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **F.01.c. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**F.01.d.** Verify that the operator periodically reviews the evaluation
results to determine if the new information warrants changes to
reassessment intervals and/or methods, and makes changes as appropriate.
\[§192.937\]

  -----------------------------------------------------------------------------
  **F.01.d.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **F.01.d. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

  ---------------------------------------------------------------------------------
  **F.01 Documents                        
  Reviewed                                
     ***(Tab from                         
  bottom-right cell                       
  to add additional                       
  rows.)*                                 
  ------------------ --------- ---------- -----------------------------------------
  **Document         **Rev**   **Date**   **Document Title**
  Number**                                

                                          

                                          
  ---------------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **F.01 Inspection Notes**
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

 

### F.02 Reassessment Methods

Verify that the approach for establishing the reassessment method is
consistent with the requirements in §192.937(c). \[§192.937(c) and
§192.941\]

**F.02.a.** Verify that one or more of the following assessment methods
(depending on the applicable threats) are specified:

i.  An internal inspection tool(s) capable of detecting corrosion and
    any other threats that the operator intends to address using this
    tool(s). The process must follow ASME B31.8S-2004, Section 6.2, in
    selecting the appropriate inspection tool. \[§192.937(c)(1)\]

ii. A pressure test conducted in accordance with Subpart J. An operator
    must use the test pressures specified in ASME B31.8S-2004, Section
    5, Table 3, to justify an extended reassessment interval in
    accordance with §192.939. Pressure test is appropriate for threats
    as defined in ASME B31.8S-2004, Section 6.3. \[§192.937(c)(2)\]

iii. Direct assessment -- refer to Protocol D. \[§192.937(c)(3)\]

iv. Other technology that an operator demonstrates can provide an
    equivalent understanding of the condition of the pipe. If other
    technology is the method selected, the process should require that
    the operator notify OPS at least 180 days before conducting the
    assessment, in accordance with §192.949. Also, verify that
    notification to a State or local pipeline safety authority is
    required when either a covered segment is located in a State where
    OPS has an interstate agent agreement, or an intrastate covered
    segment is regulated by that State. \[§192.937(c)(4)\]

v.  Confirmatory direct assessment when used on a covered segment that
    is scheduled for a reassessment period longer than seven years.
    Refer to Protocol G. \[§192.937(c)(5)\]

vi. If the operator is using \"low stress reassessment\" method,
    evaluate the process using Protocol F.03.

  -----------------------------------------------------------------------------
  **F.02.a.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **F.02.a. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**F.02.b.** Review the methods selected for reassessments and verify
that they are appropriate for the identified threats.

  -----------------------------------------------------------------------------
  **F.02.b.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **F.02.b. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

  ---------------------------------------------------------------------------------
  **F.02 Documents                        
  Reviewed                                
     ***(Tab from                         
  bottom-right cell                       
  to add additional                       
  rows.)*                                 
  ------------------ --------- ---------- -----------------------------------------
  **Document         **Rev**   **Date**   **Document Title**
  Number**                                

                                          

                                          
  ---------------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **F.02 Inspection Notes**
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

 

### F.03 Low Stress Reassessment

For pipelines operating at \< 30% SMYS, the operator may choose to use a
\"low stress reassessment\" method to address threats of external and
internal corrosion. If this method is used, verify that the operator
addresses the following requirements \[§192.941\]:

**F.03.a.** Verify that the operator completes a baseline assessment on
the covered segment prior to implementing the \"low stress
reassessment\" method. \[§192.941(a)\]

  -----------------------------------------------------------------------------
  **F.03.a.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **F.03.a. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**F.03.b.** If used to address external corrosion, verify that the
operator has incorporated the following:

i.  If the pipe is cathodically protected, electrical surveys (i.e.,
    indirect examination tool/method) must be performed at least every 7
    years. The operator must use the results of each survey as part of
    an overall evaluation of the cathodic protection and corrosion
    threat for covered segments. This evaluation must consider, at a
    minimum, the leak repair and inspection records, corrosion
    monitoring records, exposed pipe records, and the pipeline
    environment. \[§192.941(b)(1)\]

ii. If the pipe is unprotected or cathodically protected where
    electrical surveys are impractical, the operator must require (1)
    the conduct of leakage surveys as required by §192.706, at 4-month
    intervals; and (2) the identification and remediation of areas of
    active corrosion every 18 months by evaluating leak repair and
    inspection records, corrosion monitoring records, exposed pipe
    records, and the pipeline environment. \[§192.941(b)(1)\]

  -----------------------------------------------------------------------------
  **F.03.b.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **F.03.b. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**F.03.c.** If used to address internal corrosion, verify that the
operator has incorporated all of the following:

i.  Gas analysis for corrosive agents must be performed at least once
    each calendar year. \[§192.941(c)(1)\]

ii. Periodic testing of fluids removed from the segment must be
    conducted. At least once each calendar year the operator must test
    the fluids removed from each storage field that may affect a covered
    segment. \[§192.941(c)(2)\]

iii. At least every seven (7) years, the operator must integrate data
     from the analysis and testing required by c.i and c.ii above with
     applicable internal corrosion leak records, incident reports, and
     test records, and define and implement appropriate remediation
     actions. \[§192.941(c)(3)\]

  -----------------------------------------------------------------------------
  **F.03.c.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **F.03.c. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

  ---------------------------------------------------------------------------------
  **F.03 Documents                        
  Reviewed                                
     ***(Tab from                         
  bottom-right cell                       
  to add additional                       
  rows.)*                                 
  ------------------ --------- ---------- -----------------------------------------
  **Document         **Rev**   **Date**   **Document Title**
  Number**                                

                                          

                                          
  ---------------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **F.03 Inspection Notes**
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

 

### F.04 Reassessment Intervals

Verify that the requirements for establishing the reassessment intervals
are consistent with section §192.939 and ASME B31.8S-2004.
\[§192.937(a), §192.939(a), §192.939(b), §192.913(c), and ASME
B31.8S-2004, Section 5, Table 3\]

**F.04.a.** Verify that the operator reassesses covered segments on
which a baseline assessment was conducted during the baseline period
specified in subpart 192.921(d) by no later than seven years after the
baseline assessment of that covered segment unless the reassessment
evaluation (refer to Protocol F.01) indicates an earlier reassessment.
\[§192.937(a)\]

  -----------------------------------------------------------------------------
  **F.04.a.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **F.04.a. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**F.04.b.** For pipelines operating at or above 30% SMYS, verify that
the operator meets the following requirements:

i.  If the operator establishes a reassessment interval greater than
    seven (7) years, a confirmatory direct assessment (refer to
    Protocol G) must be performed at intervals not to exceed seven (7)
    years followed by a reassessment at the interval established by the
    operator (refer below). \[§192.939(a)\]

ii. Unless a deviation is permitted under §192.913(c), the maximum
    reassessment interval shall not exceed the values listed in the
    §192.939(b) table. \[§192.937(a)\]

iii. If the reassessment method is a pressure test, ILI, or other
     equivalent technology, the interval must be based on either: (1)
     the identified threat(s) for the covered segment (see §192.917) and
     on the analyses of the results from the last integrity assessment,
     and a review of data integration and risk assessment; or (2) using
     the intervals specified for different stress levels of pipeline
     listed in ASME B31.8S-2004, Section 5, Table 3. An operator must
     use the test pressures specified in ASME B31.8S-2004, Section 5,
     Table 3, to justify an extended reassessment interval in accordance
     with §192.939. \[§192.939(a)(1)\]

iv. If the reassessment method is external corrosion direct assessment,
    internal corrosion direct assessment, or SCC direct assessment refer
    to Protocol D for evaluating the operator's interval determination.

  -----------------------------------------------------------------------------
  **F.04.b.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **F.04.b. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**F.04.c.** For pipelines operating \< 30% SMYS, verify that the
operator selects one of the following reassessment approaches:

i.  Reassessment by pressure test, internal inspection or other
    equivalent technology following the requirements in §192.939(a)(1)
    except that the stress level referenced in §192.939(a)(1)(ii) would
    be adjusted to reflect the lower operating stress level. However, if
    an established interval is more than seven (7) years, the operator
    must conduct at seven (7) year intervals either a confirmatory
    direct assessment in accordance with §192.931, or a low stress
    reassessment in accordance with §192.941. An operator must use the
    test pressures specified in ASME B31.8S-2004, Section 5, Table 3, to
    justify an extended reassessment interval in accordance with
    §192.939.\[§192.939(b)(1)\]

ii. Reassessment by external corrosion direct assessment, internal
    corrosion direct assessment, or SCC direct assessment. Refer to
    Protocol D for evaluating the operator's interval determination.
    \[§192.939(b)(2), §192.939(b)(3) and §192.939(b)(4)\]

iii. Reassessment by confirmatory direct assessment at seven year
     intervals in accordance with subpart 192.931, with reassessment by
     one of the methods listed in §192.939(b)(1) -- §192.939(b)(3) by
     year 20 of the interval. \[§192.939(b)(4)\]

iv. Reassessment by the \"low stress method\" at 7-year intervals in
    accordance with §192.941 with reassessment by one of the methods
    listed in §192.939(b)(1) through §192.939(b)(3) by year 20 of the
    interval. \[§192.939(b)(5)\]

  -----------------------------------------------------------------------------
  **F.04.c.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **F.04.c. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**F.04.d.** Verify that a covered segment on which a prior assessment
was credited as a baseline assessment under subpart §192.921(e) is
required to be reassessed by no later than December 17, 2009.
\[§192.937(a)\]

  -----------------------------------------------------------------------------
  **F.04.d.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **F.04.d. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**F.04.e.** Verify that reassessment intervals are appropriate and that
adequate documentation and technical bases support the intervals
selected.

  -----------------------------------------------------------------------------
  **F.04.e.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **F.04.e. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

  ---------------------------------------------------------------------------------
  **F.04 Documents                        
  Reviewed                                
     ***(Tab from                         
  bottom-right cell                       
  to add additional                       
  rows.)*                                 
  ------------------ --------- ---------- -----------------------------------------
  **Document         **Rev**   **Date**   **Document Title**
  Number**                                

                                          

                                          
  ---------------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **F.04 Inspection Notes**
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

 

### F.05 Deviation from Reassessment Requirements

If the operator elects to deviate from certain requirements listed in
§192.913(c), verify that the operator uses a performance based approach
that satisfies the requirements for exceptional performance as follows:
\[§192.913 and ASME B31.8S-2004\]

**F.05.a.** Verify that the operator has a performance based integrity
management program that meets or exceeds the performance-based
requirements of ASME B31.8S-2004 and includes, at a minimum, the
following elements: \[§192.913(a)\]

i.  A comprehensive process for risk analysis;

ii. All risk factor data used to support the program;

iii. A comprehensive data integration process;

iv. A procedure for applying lessons learned from assessment of covered
    pipeline segments to pipeline segments not covered by this subpart;

v.  A procedure for evaluating every incident, including its cause,
    within the operator\'s sector of the pipeline industry for
    implications both to the operator\'s pipeline system and to the
    operator\'s integrity management program;

vi. A performance matrix that demonstrates the program has been
    effective in ensuring the integrity of the covered segments by
    controlling the identified threats to the covered segments (Refer to
    Protocol I);

vii. Semi-annual performance measures beyond those required in §192.943
     that are part of the operator\'s performance plan. \[See
     §192.911(i)\] Refer to Protocol I.

viii. An analysis that supports the desired integrity reassessment
      interval and the remediation methods to be used for all covered
      segments.

  -----------------------------------------------------------------------------
  **F.05.a.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **F.05.a. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**F.05.b.** Verify that the operator has completed at least two
integrity assessments on each covered pipeline segment the operator is
including under the performance-based approach and is able to
demonstrate that each assessment effectively addressed the identified
threats on the covered segments. \[§192.913(b)(2)(i)\]

  -----------------------------------------------------------------------------
  **F.05.b.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **F.05.b. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**F.05.c.** Verify the operator has remediated anomalies identified in
the more recent assessment per the requirements of §192.933.
\[§192.913(b)(2)(ii)\]

  -----------------------------------------------------------------------------
  **F.05.c.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **F.05.c. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**F.05.d.** Verify the operator has incorporated the results and lessons
learned from the more recent assessment into the operator's data
integration and risk assessment. \[§192.913(b)(2)(ii)\]

  -----------------------------------------------------------------------------
  **F.05.d.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **F.05.d. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**F.05.e.** Verify that deviations are allowed only for the timeframe
for reassessment as provided in §192.939 except that reassessment by
some method allowed by Subpart O (e.g., confirmatory direct assessment)
must be completed at intervals not to exceed seven (7) years.
\[§192.913(c)(1)\]

  -----------------------------------------------------------------------------
  **F.05.e.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **F.05.e. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

  ---------------------------------------------------------------------------------
  **F.05 Documents                        
  Reviewed                                
     ***(Tab from                         
  bottom-right cell                       
  to add additional                       
  rows.)*                                 
  ------------------ --------- ---------- -----------------------------------------
  **Document         **Rev**   **Date**   **Document Title**
  Number**                                

                                          

                                          
  ---------------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **F.05 Inspection Notes**
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

 

###  F.06 Waiver from Reassessment Interval

Verify that the operator's program requires that it apply for a waiver,
should it become necessary, from the required reassessment interval. The
waiver request must demonstrate that the waiver is justified as
specified in the rule. Such a waiver request may only be made in the
following limited situations: \[§192.943\]

**F.06.a.** Lack of internal inspection tools. \[§192.943(a)(1)\]

  -----------------------------------------------------------------------------
  **F.06.a.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **F.06.a. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**F.06.b.** Cannot maintain local product supply. \[§192.943(a)(2)\]

  -----------------------------------------------------------------------------
  **F.06.b.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **F.06.b. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**F.06.c.** Application must be made at least 180 days before the end of
the required reassessment interval. (Exception: If local product supply
issues make the 180 day submittal impractical, an operator must apply
for the waiver as soon as the need for waiver becomes known).
\[§192.943(b)\]

  -----------------------------------------------------------------------------
  **F.06.c.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **F.06.c. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

  ---------------------------------------------------------------------------------
  **F.06 Documents                        
  Reviewed                                
     ***(Tab from                         
  bottom-right cell                       
  to add additional                       
  rows.)*                                 
  ------------------ --------- ---------- -----------------------------------------
  **Document         **Rev**   **Date**   **Document Title**
  Number**                                

                                          

                                          
  ---------------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **F.06 Inspection Notes**
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

## Protocol Area G. Confirmatory DA

-   [G.01](#g.01-confirmatory-direct-assessment-cda) Confirmatory Direct
    Assessment, CDA

-   [Table of Contents](#table-of-contents)

### G.01 Confirmatory Direct Assessment, CDA

If using confirmatory direct assessment (CDA) as allowed in §192.937,
verify that the operator's integrity management plan meets the
requirements of §192.931, §192.925 (ECDA) and §192.927 (ICDA).
\[§192.931\]

 

**G.01.a.** Verify that the operator's CDA plan for external corrosion
complies with all of the requirements contained in §192.925 (See
Protocol D.01 \~ Protocol D.05) with the following exceptions,
\[§192.931(b) and §192.925\]

i.  The procedures for indirect examination may allow use of only one
    indirect examination tool suitable for the application

ii. The procedures for direct examination and remediation must provide
    that all immediate action indications and at least one scheduled
    action indication are excavated for each ECDA region.

  -----------------------------------------------------------------------------
  **G.01.a.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **G.01.a. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**G.01.b.** Verify that the operator's CDA plan for internal corrosion
complies with all of the requirements contained in §192.927 (See
Protocols D.6 \~ D.9) except that procedures for identifying locations
for excavation may require excavation of only one high risk location in
each ICDA region.\[§192.931(c) and §192.925\]

  -----------------------------------------------------------------------------
  **G.01.b.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **G.01.b. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**G.01.c.** When using CDA carried out under §192.931(b) or (c), if an
operator discovers any defect requiring remediation prior to the next
scheduled assessment, verify that the operator evaluates the need to
accelerate the schedule for the next assessment. If the schedule is
accelerated, verify that the new assessment scheduled is determined
using the methodology documented in NACE RP0502-2002, Section 6.2 and
NACE RP0502-2002, Section 6.3. \[§192.931(d)\]

i.  If the defect requires immediate remediation, verify the operator
    reduces pressure consistent with §192.933 (See Protocol E) until the
    operator has completed reassessment using one of the assessment
    techniques allowed in §192.937 (See Protocol F). \[§192.931(d)\]

  -----------------------------------------------------------------------------
  **G.01.c.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **G.01.c. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

  ---------------------------------------------------------------------------------
  **G.01 Documents                        
  Reviewed                                
     ***(Tab from                         
  bottom-right cell                       
  to add additional                       
  rows.)*                                 
  ------------------ --------- ---------- -----------------------------------------
  **Document         **Rev**   **Date**   **Document Title**
  Number**                                

                                          

                                          
  ---------------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **G.01 Inspection Notes**
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

 

## Protocol Area H. Preventive and Mitigative Measures

-   [H.01](#h.01-general-requirements-identification-of-additional-measures) General
    Requirements (Identification of Additional Measures)

-   [H.02](#h.02-third-party-damage) Third Party Damage

-   [H.03](#h.03-pipelines-operating-below-30-smys) Pipelines Operating
    Below 30% SMYS

-   [H.04](#h.04-plastic-transmission-pipeline) Plastic Transmission
    Pipeline

-   [H.05](#h.05-outside-force-damage) Outside Force Damage

-   [H.06](#h.06-corrosion) Corrosion

-   [H.07](#h.07-automatic-shut-off-valves-or-remote-control-valves) Automatic
    Shut-Off Valves or Remote Control Valves

-   [H.08](#h.08-general-requirements-implementation-of-additional-measures) General
    Requirements (Implementation of Additional Measures)

-   [Table of Contents](#table-of-contents)

### H.01 General Requirements (Identification of Additional Measures)

Verify that a process is in place to identify additional measures to
prevent a pipeline failure and to mitigate the consequences of a
pipeline failure in a high consequence area. \[§192.935(a)\]

**H.01.a.** Verify that the process for identifying additional measures
is based on identified threats to each pipeline segment and the risk
analysis required by §192.917. \[Note: Protocol H.08 addresses the
implementation decision process for additional preventive and mitigative
measures.\] \[§192.935(a)\]

  -----------------------------------------------------------------------------
  **H.01.a.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **H.01.a. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**H.01.b.** Verify that additional measures evaluated by the operator
cover a spectrum of alternatives such as, but not limited to, installing
Automatic Shut-off Valves or Remote Control Valves, installing
computerized monitoring and leak detection systems, replacing pipe
segments with pipe of heavier wall thickness, providing additional
training to personnel on response procedures, conducting drills with
local emergency responders and implementing additional inspection and
maintenance programs. \[§192.935(a)\]

  -----------------------------------------------------------------------------
  **H.01.b.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **H.01.b. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

  ---------------------------------------------------------------------------------
  **H.01 Documents                        
  Reviewed                                
     ***(Tab from                         
  bottom-right cell                       
  to add additional                       
  rows.)*                                 
  ------------------ --------- ---------- -----------------------------------------
  **Document         **Rev**   **Date**   **Document Title**
  Number**                                

                                          

                                          
  ---------------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **H.01 Inspection Notes**
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

 

### H.02 Third Party Damage

Verify that the following preventive and mitigative requirements
regarding threats due to third party damage have been addressed:
\[§192.935(b)(1) and §192.935(e)\]

**H.02.a.** Verify implementation of enhancements to the
§192.614-required Damage Prevention Program with respect to covered
segments to prevent and minimize the consequences of a release, and that
the enhanced measures include, at a minimum: \[Note: As noted in
Protocol H.03 and Protocol H.04, a subset of these enhancements are
required for pipelines operating below 30% SMYS and for plastic
transmission pipelines.\] \[§192.935(b)(1)\]

i.  Using qualified personnel (see Protocol L.02 - §192.915(c)) for work
    an operator is conducting that could adversely affect the integrity
    of a covered segment, such as marking, locating, and direct
    supervision of known excavation work. \[§192.935(b)(1)(i)\]

ii. Collecting, in a central database, location-specific information on
    excavation damage that occurs in covered and non covered segments in
    the transmission system and the root cause analysis to support
    identification of targeted additional preventative and mitigative
    measures in the high consequence areas. This information must
    include recognized damage that is not required to be reported as an
    incident under Part 191. \[§192.935(b)(1)(ii)\]

iii. Participating in one-call systems in locations where covered
     segments are present. \[§192.935(b)(1)(iii)\]

iv. Monitoring of excavations conducted on covered pipeline segments by
    pipeline personnel. \[§192.935(b)(1)(iv)\]

    1.  When there is physical evidence of encroachment involving
        excavation that the operator did not monitor near a covered
        segment, verify that the area near the encroachment must be
        excavated or that an above ground survey using methods defined
        in NACE RP0502-2002 must be conducted. \[§192.935(b)(1)(iv)\]

        A.  If an above ground survey is conducted, verify that any
            indication of coating holidays or discontinuities warranting
            direct examination must be excavated and remediated in
            accordance with ASME B31.8S-2004, Section 7.5 and §192.933.
            \[§192.935(b)(1)(iv)\]

  -----------------------------------------------------------------------------
  **H.02.a.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **H.02.a. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**H.02.b.** If the threat of third party damage is identified by results
of the §192.917(b) (Protocol C.02) and ASME B31.8S-2004, Appendix A7
data integration processes, verify that comprehensive additional
preventive measures are implemented. \[§192.917(e)(1)\]

  -----------------------------------------------------------------------------
  **H.02.b.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **H.02.b. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

  ---------------------------------------------------------------------------------
  **H.02 Documents                        
  Reviewed                                
     ***(Tab from                         
  bottom-right cell                       
  to add additional                       
  rows.)*                                 
  ------------------ --------- ---------- -----------------------------------------
  **Document         **Rev**   **Date**   **Document Title**
  Number**                                

                                          

                                          
  ---------------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **H.02 Inspection Notes**
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

 

### H.03 Pipelines Operating Below 30% SMYS

Verify that the following preventive and mitigative requirements for
pipelines operating below 30% SMYS have been addressed: \[§192.935(d)\]

**H.03.a.** For pipelines operating below 30% SMYS located in a high
consequence area:

i.  Verify that the operator\'s processes for damage prevention program
    enhancements include requirements for the use of qualified personnel
    (see Protocol L.02 - §192.915(c)) for work an operator is conducting
    that could adversely affect the integrity of a covered segment, such
    as marking, locating, and direct supervision of known excavation
    work. \[§192.935(d) and §192.935(d)(1)\] \[Note: This requirement is
    also contained in Protocol H.02.a.i for pipelines operating above
    30% SMYS.\]

ii. Verify that the operator\'s processes for damage prevention program
    enhancements include participating in one-call systems in locations
    where covered segments are present. \[§192.935(d) and
    §192.935(d)(1)\] \[Note: This requirement is also contained in
    Protocol H.02.a.iii for pipelines operating above 30% SMYS.\]

iii. Verify that excavations near the pipeline are monitored, or patrols
     are conducted of the pipeline at bi-monthly intervals as required
     by §192.705. \[§192.935(d) and §192.935(d)(2)\]

     1.  If indications of unreported construction activity are found,
         verify that required follow up investigations are conducted to
         determine if mechanical damage has occurred. \[§192.935(d)(2)\]

  -----------------------------------------------------------------------------
  **H.03.a.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **H.03.a. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**H.03.b.** For pipelines operating below 30% SMYS located in a class 3
or 4 area but not in a high consequence area:

i.  Verify that the operator\'s processes for damage prevention program
    enhancements include requirements for the use of qualified personnel
    (see Protocol L.02 - §192.915(c)) for work an operator is conducting
    that could adversely affect the integrity of a covered segment, such
    as marking, locating, and direct supervision of known excavation
    work. \[§192.935(d), §192.935(d)(1) and §192 Table E.II.1\] \[Note:
    This requirement is also contained in Protocol H.02.a.i for
    pipelines operating above 30% SMYS.\]

ii. Verify that the operator\'s processes for damage prevention program
    enhancements include participating in one-call systems in locations
    where covered segments are present. \[§192.935(d), §192.935(d)(1)
    and §192 Table E.II.1\] \[Note: This requirement is also contained
    in Protocol H.02.a.iii for pipelines operating above 30% SMYS.\]

iii. Verify that excavations near the pipeline are monitored, or patrols
     are conducted of the pipeline at bi-monthly intervals as required
     by §192.705. \[§192.935(d), §192.935(d)(2) and §192 Table E.II.1\]

     1.  If indications of unreported construction activity are found,
         verify that required follow up investigations are conducted to
         determine if mechanical damage has occurred. \[§192.935(d)(2)
         and §192 Table E.II.1\]

iv. Verify that the operator performs semi-annual leak surveys
    (quarterly for unprotected pipelines or cathodically protected pipe
    where electrical surveys are impractical). \[§192.935(d)(3)and §192
    Table E.II.1\]

  -----------------------------------------------------------------------------
  **H.03.b.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **H.03.b. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

  ---------------------------------------------------------------------------------
  **H.03 Documents                        
  Reviewed                                
     ***(Tab from                         
  bottom-right cell                       
  to add additional                       
  rows.)*                                 
  ------------------ --------- ---------- -----------------------------------------
  **Document         **Rev**   **Date**   **Document Title**
  Number**                                

                                          

                                          
  ---------------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **H.03 Inspection Notes**
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

 

### H.04 Plastic Transmission Pipeline

For plastic transmission pipelines, verify that applicable third party
damage requirements have been applied to covered segments of the
pipeline. \[§192.935(e)\]

**H.04.a.** Verify that the operator's processes for damage prevention
program enhancements include requirements for the use of qualified
personnel (see Protocol L.02 - §192.915(c)) for work an operator is
conducting that could adversely affect the integrity of a covered
segment, such as marking, locating, and direct supervision of known
excavation work. \[§192.935(e)\] \[Note: This requirement is also
contained in previous Protocol H.02.a.i for non-plastic pipelines
operating above 30% SMYS.\]

  -----------------------------------------------------------------------------
  **H.04.a.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **H.04.a. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**H.04.b.** Verify that the operator\'s processes for damage prevention
program enhancements include participating in one-call systems in
locations where covered segments are present. \[§192.935(e)\] \[Note:
This requirement is also contained in Protocol H.02.a.iii for
non-plastic pipelines operating above 30% SMYS.\]

  -----------------------------------------------------------------------------
  **H.04.b.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **H.04.b. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**H.04.c.** Verify that the excavations on covered segments are
monitored by pipeline personnel. \[§192.935(e)\] \[Note: This
requirement is also contained in Protocol H.02.a.iv for non-plastic
pipelines operating above 30% SMYS.\]

i.  When there is physical evidence of encroachment involving excavation
    that the operator did not monitor near a covered segment, verify
    that the area near the encroachment must be excavated or that an
    above ground survey using methods defined in NACE RP0502-2002 must
    be conducted. \[§192.935(e)\] \[Note: This requirement is also
    contained in Protocol H.02.a.iv for non-plastic pipelines operating
    above 30% SMYS.\]

    1.  If an above ground survey is conducted, verify that any
        indication of coating holidays or discontinuities warranting
        direct examination must be excavated and remediated in
        accordance with ASME B31.8S-2004, Section 7.5 and §192.933.
        \[§192.935(e)\] \[Note: This requirement is also contained in
        Protocol H.02.a.iv for non-plastic pipelines operating above 30%
        SMYS.\]

  -----------------------------------------------------------------------------
  **H.04.c.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **H.04.c. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

  ---------------------------------------------------------------------------------
  **H.04 Documents                        
  Reviewed                                
     ***(Tab from                         
  bottom-right cell                       
  to add additional                       
  rows.)*                                 
  ------------------ --------- ---------- -----------------------------------------
  **Document         **Rev**   **Date**   **Document Title**
  Number**                                

                                          

                                          
  ---------------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **H.04 Inspection Notes**
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

### H.05 Outside Force Damage

Verify that the operator adequately addresses threats due to outside
force (e.g., earth movement, floods, unstable suspension bridge).
\[§192.935(b)(2)\]

**H.05.a.** If the operator makes a determination that outside force
(e.g., earth movement, floods, unstable suspension bridge) is a threat
to the integrity of a covered segment (e.g., via Protocol C.01
activities), verify that measures have been taken to minimize the
consequences to the covered segment. These measures include, but are not
limited to, increasing the frequency of aerial, foot or other methods of
patrols, adding external protection, reducing external stress, and
relocating the line. \[§192.935(b)(2)\]

  -----------------------------------------------------------------------------
  **H.05.a.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **H.05.a. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

  ---------------------------------------------------------------------------------
  **H.05 Documents                        
  Reviewed                                
     ***(Tab from                         
  bottom-right cell                       
  to add additional                       
  rows.)*                                 
  ------------------ --------- ---------- -----------------------------------------
  **Document         **Rev**   **Date**   **Document Title**
  Number**                                

                                          

                                          
  ---------------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **H.05 Inspection Notes**
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

 

### H.06 Corrosion

Verify that the operator takes required actions to address corrosion
threats. \[§192.917(e)(5)\]

**H.06.a.** Verify that the operator makes a determination of whether or
not corrosion exists on a covered pipeline segment that could adversely
affect the integrity of the line (conditions specified in §192.933).
\[§192.917(e)(5)\]

i.  If such corrosion is identified, then verify that:

    1.  The corrosion is evaluated and remediated, as necessary, for all
        pipeline segments (both covered and noncovered) with similar
        material coating and environmental characteristics.
        \[§192.917(e)(5)\]

    2.  A schedule is established for evaluating and remediating, as
        necessary, the similar segments consistent with the operator's
        established operating and maintenance procedures under Part 192
        for testing and repair. \[§192.917(e)(5)\]

  -----------------------------------------------------------------------------
  **H.06.a.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **H.06.a. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

  ---------------------------------------------------------------------------------
  **H.06 Documents                        
  Reviewed                                
     ***(Tab from                         
  bottom-right cell                       
  to add additional                       
  rows.)*                                 
  ------------------ --------- ---------- -----------------------------------------
  **Document         **Rev**   **Date**   **Document Title**
  Number**                                

                                          

                                          
  ---------------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **H.06 Inspection Notes**
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

 

### H.07 Automatic Shut-Off Valves or Remote Control Valves

Verify that the operator has a process to decide if automatic shut-off
valves or remote control valves represent an efficient means of adding
protection to potentially affected high consequence areas.
\[§192.935(c)\]

**H.07.a.** Verify that an adequate risk analysis-based process is used
to determine if an automatic shut-off valve or remote control valve
should be added. \[§192.935(c)\]

i.  Verify that, as a minimum, the following factors were considered:
    \[§192.935(c)\]

    1.  swiftness of leak detection and pipe shutdown capabilities

    2.  the type of gas being transported

    3.  operating pressure

    4.  the rate of potential release

    5.  pipeline profile

    6.  the potential for ignition

    7.  location of nearest response personnel

  -----------------------------------------------------------------------------
  **H.07.a.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **H.07.a. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

  ---------------------------------------------------------------------------------
  **H.07 Documents                        
  Reviewed                                
     ***(Tab from                         
  bottom-right cell                       
  to add additional                       
  rows.)*                                 
  ------------------ --------- ---------- -----------------------------------------
  **Document         **Rev**   **Date**   **Document Title**
  Number**                                

                                          

                                          
  ---------------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **H.07 Inspection Notes**
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

 

### H.08 General Requirements (Implementation of Additional Measures)

Verify that the operator has identified and implemented (or scheduled)
additional measures beyond those already required by Part 192 to prevent
a pipeline failure and to mitigate the consequences of a pipeline
failure in a high consequence area: \[§192.935(a)\]

**H.08.a.** Verify that a systematic, documented decision-making process
is in place to decide which measures are to be implemented, involving
input from relevant parts of the organization such as operations,
maintenance, engineering, and corrosion control. \[§192.935(a)\]

  -----------------------------------------------------------------------------
  **H.08.a.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **H.08.a. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**H.08.b.** Verify that the decision-making process considers both the
likelihood and consequences of pipeline failures. \[§192.935(a)\]

  -----------------------------------------------------------------------------
  **H.08.b.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **H.08.b. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**H.08.c.** Verify that additional measures are identified and
documented and have actually been implemented, or scheduled for
implementation. \[§192.935(a)\]

  -----------------------------------------------------------------------------
  **H.08.c.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **H.08.c. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

  ---------------------------------------------------------------------------------
  **H.08 Documents                        
  Reviewed                                
     ***(Tab from                         
  bottom-right cell                       
  to add additional                       
  rows.)*                                 
  ------------------ --------- ---------- -----------------------------------------
  **Document         **Rev**   **Date**   **Document Title**
  Number**                                

                                          

                                          
  ---------------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **H.08 Inspection Notes**
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

 

## Protocol Area I. Performance Measures

-   [I.01](#i.01-general-performance-measures) General Performance
    Measures

-   [I.02](#i.02-performance-measures-records-verification) Performance
    Measures Records Verification

-   [I.03](#i.03-exceptional-performance-measurements) Exceptional
    Performance Measurements

-   [Table of Contents](#table-of-contents)

### I.01 General Performance Measures

Inspect the operator's program to verify that, as a minimum, provisions
exist for measuring integrity management program effectiveness in
accordance with the four elements of ASME B31.8S-2004, Section 9.4 and
each identified threat in ASME B31.8S-2004, Appendix A. \[§192.945(a)
and ASME B31.8S-2004, Section 12(b)(5)\]

**I.01.a.** Verify that performance is measured semi-annually (completed
through June 30th and December 31st of each year) for each of the
following: \[ASME B31.8S-2004, Section 9.4\]

-   Number of miles of pipeline inspected versus program requirements

-   Number of immediate repairs completed as a result of the integrity
    management inspection program

-   Number of scheduled repairs completed as a result of the integrity
    management program

-   Number of leaks, failures and incidents (classified by cause).

  -----------------------------------------------------------------------------
  **I.01.a.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **I.01.a. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**I.01.b.** Verify that performance is measured semi-annually in
accordance with the threat-specific metrics of ASME B31.8S-2004,
Appendix A (See ASME B31.8S-2004, Table 9 for a summary listing).

  -----------------------------------------------------------------------------
  **I.01.b.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **I.01.b. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

  ---------------------------------------------------------------------------------
  **I.01 Documents                        
  Reviewed                                
     ***(Tab from                         
  bottom-right cell                       
  to add additional                       
  rows.)*                                 
  ------------------ --------- ---------- -----------------------------------------
  **Document         **Rev**   **Date**   **Document Title**
  Number**                                

                                          

                                          
  ---------------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **I.01 Inspection Notes**
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

### I.02 Performance Measures Records Verification

Inspect operator records to verify: \[§192.945(a)\]

**I.02.a** The four overall performance measures of ASME B31.8S-2004,
Section 9.4 have been submitted to OPS on a semi-annual basis in
accordance with §192.951. Note: Initial report by August 31, 2004,
semi-annual reports by February 28th (or 29th) and August 31st of each
year thereafter. \[§192.945(a)\]

  -----------------------------------------------------------------------------
  **I.02.a      
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **I.02.a Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

  ---------------------------------------------------------------------------------
  **I.02 Documents                        
  Reviewed                                
     ***(Tab from                         
  bottom-right cell                       
  to add additional                       
  rows.)*                                 
  ------------------ --------- ---------- -----------------------------------------
  **Document         **Rev**   **Date**   **Document Title**
  Number**                                

                                          

                                          
  ---------------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **I.02 Inspection Notes**
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

### I.03 Exceptional Performance Measurements

For operators that choose to demonstrate exceptional performance in
order to deviate from certain requirements of the rule, verify the
following.

**I.03.a.** Additional performance measures beyond those required in
§192.945 (see Protocol I.01) are part of the operator's performance
plan. \[§192.913(b)(vii)\]

  -----------------------------------------------------------------------------
  **I.03.a.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **I.03.a. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**I.03.b.** All performance measures (all measures required by §192.945
and the additional performance measures) are submitted to OPS on a
semi-annual frequency in accordance with §192.951. \[§192.913(b)(vii)\]

  -----------------------------------------------------------------------------
  **I.03.b.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **I.03.b. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

  ---------------------------------------------------------------------------------
  **I.03 Documents                        
  Reviewed                                
     ***(Tab from                         
  bottom-right cell                       
  to add additional                       
  rows.)*                                 
  ------------------ --------- ---------- -----------------------------------------
  **Document         **Rev**   **Date**   **Document Title**
  Number**                                

                                          

                                          
  ---------------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **I.03 Inspection Notes**
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

 

## Protocol Area J. Record Keeping

-   [J.01](#j.01-records-to-be-maintained-by-the-operator) Records to be
    Maintained by the Operator

-   [Table of Contents](#table-of-contents)

### J.01 Records to be Maintained by the Operator

Verify that the following records, as a minimum, are maintained for the
useful life of the pipeline: \[§192.947, ASME B31.8S-2004, Section 12.1
and ASME B31.8S-2004, Section 12.2(b)(1)\]

**J.01.a.**  i. A written integrity management program \[§192.947(a)\]

ii\.  Threat identification and risk assessment documentation per
§192.917 \[§192.947(b)\]

iii\.  A written baseline assessment plan per §192.919 \[§192.947(c)\]

iv\.  Documents to support any decision, analysis, and process developed
and used to implement and evaluate each element of the baseline
assessment plan and integrity management program. Documents include
those developed and used in support of any identification, calculation,
amendment, modification, justification, deviation and determination
made, and any action taken to implement and evaluate any of the program
elements \[§192.947(d)\]

v\.  Training program documentation and training records per §192.915
\[§192.947(e)\]

vi\.  Remediation schedule and technical basis documentation per
§192.933 \[§192.947(f)\]

vii\.  Direct assessment plan documentation per §192.923 through
§192.929 \[§192.947(g)\]

viii\.  Confirmatory assessment documentation per §192.931
\[§192.947(h)\]

ix\.  Documentation of Notifications to OPS or State/Local Regulatory
Agencies. \[§192.947(i)\]

  -----------------------------------------------------------------------------
  **J.01.a.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **J.01.a. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

  ---------------------------------------------------------------------------------
  **J.01 Documents                        
  Reviewed                                
     ***(Tab from                         
  bottom-right cell                       
  to add additional                       
  rows.)*                                 
  ------------------ --------- ---------- -----------------------------------------
  **Document         **Rev**   **Date**   **Document Title**
  Number**                                

                                          

                                          
  ---------------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **J.01 Inspection Notes**
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

 

## Protocol Area K. Management of Change (MOC)

-   [K.01](#k.01-documentation-and-notification-of-changes-to-the-integrity-management-program) Documentation
    and Notification of Changes to the Integrity Management Program

-   [K.02](#k.02-attributes-of-the-change-process) Attributes of the
    Change Process

-   [Table of Contents](#table-of-contents)

### K.01 Documentation and Notification of Changes to the Integrity Management Program

Verify that changes to the integrity management program have been
handled in accordance with §192.909 of the rule.

**K.01.a.** Verify that the reasons for program changes have been
documented prior to implementation of the change(s). \[§192.909(a)\]

  -----------------------------------------------------------------------------
  **K.01.a.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **K.01.a. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**K.01.b.** Verify, that for significant changes to the program, program
implementation, or schedules, OPS or the State or local pipeline safety
authority, if applicable, has been notified within 30 days after the
operator has adopted the change. \[§192.909(b)\]

  -----------------------------------------------------------------------------
  **K.01.b.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **K.01.b. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

  ---------------------------------------------------------------------------------
  **K.01 Documents                        
  Reviewed                                
     ***(Tab from                         
  bottom-right cell                       
  to add additional                       
  rows.)*                                 
  ------------------ --------- ---------- -----------------------------------------
  **Document         **Rev**   **Date**   **Document Title**
  Number**                                

                                          

                                          
  ---------------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **K.01 Inspection Notes**
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

 

### K.02 Attributes of the Change Process

Verify that the integrity management program meets the requirements of
ASME B31.8S-2004, Section 11 for a management of change process.
\[§192.911(k)\]

**K.02.a.** Verify the existence of procedures that consider impacts of
changes to pipeline systems and their integrity. \[ASME B31.8S-2004,
Section 11(a)\]

  -----------------------------------------------------------------------------
  **K.02.a.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **K.02.a. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**K.02.b.** Verify change procedures address technical, physical,
procedural, and organizational changes. \[ASME B31.8S-2004, Section
11(a)\]

  -----------------------------------------------------------------------------
  **K.02.b.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **K.02.b. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**K.02.c.** Verify the following are provided for by the change
procedures: \[ASME B31.8S-2004, Section 11(a)\]

i.  Reason for change

ii. Authority for approving changes

iii. Analysis of implications

iv. Acquisition of required work permits

v.  Documentation

vi. Communication of the change to affected parties

vii. Time limitations

viii. Qualification of staff

  -----------------------------------------------------------------------------
  **K.02.c.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **K.02.c. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**K.02.d.** Verify that integrity management system changes are properly
reflected in the pipeline system and that pipeline system changes are
properly reflected in the integrity management program. \[ASME
B31.8S-2004, Section 11(b)\]

  -----------------------------------------------------------------------------
  **K.02.d.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **K.02.d. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**K.02.e.** Verify that equipment or system changes have been identified
and reviewed before implementation. \[ASME B31.8S-2004, Section 11(d)\]

  -----------------------------------------------------------------------------
  **K.02.e.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **K.02.e. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

 

  ---------------------------------------------------------------------------------
  **K.02 Documents                        
  Reviewed                                
     ***(Tab from                         
  bottom-right cell                       
  to add additional                       
  rows.)*                                 
  ------------------ --------- ---------- -----------------------------------------
  **Document         **Rev**   **Date**   **Document Title**
  Number**                                

                                          

                                          
  ---------------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **K.02 Inspection Notes**
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

 

## Protocol Area L. Quality Assurance

-   [L.01](#l.01-program-requirements-for-the-quality-assurance-process) Program
    Requirements for the Quality Assurance Process

-   [L.02](#l.02-personnel-qualification-and-training-requirements) Personnel
    Qualification and Training Requirements

-   [L.03](#l.03-invoking-non-mandatory-statements-in-standards) Invoking
    Non-Mandatory Statements in Standards

-   [Table of Contents](#table-of-contents)

### L.01 Program Requirements for the Quality Assurance Process

Verify that a quality assurance process exists that meets the
requirements of ASME B31.8S-2004, Section 12. \[§192.911(l)\]

**L.01.a.** Verify that responsibilities and authorities for the
integrity management program have been formally defined. \[ASME
B31.8S-2004, Section 12.2(b)(2)\]

  -----------------------------------------------------------------------------
  **L.01.a.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **L.01.a. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**L.01.b.** Verify that reviews of the integrity management program and
the quality assurance program have been specified to be performed on
regular intervals, making recommendations for improvement. \[ASME
B31.8S-2004, Section 12.2(b)(3)\]

  -----------------------------------------------------------------------------
  **L.01.b.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **L.01.b. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**L.01.c.** Verify that corrective actions to improve the integrity
management program and the quality assurance process have been
documented and are monitored for effectiveness. \[ASME B31.8S-2004,
Section 12.2(b)(7)\]

  -----------------------------------------------------------------------------
  **L.01.c.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **L.01.c. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**L.01.d.** Verify that when an operator chooses to use outside
resources to conduct any process that affects the quality of the
integrity management program, the operator ensures the quality of such
processes and documents them within the quality program. \[ASME
B31.8S-2004, Section 12.2(c)\]

  -----------------------------------------------------------------------------
  **L.01.d.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **L.01.d. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

  ---------------------------------------------------------------------------------
  **L.01 Documents                        
  Reviewed                                
     ***(Tab from                         
  bottom-right cell                       
  to add additional                       
  rows.)*                                 
  ------------------ --------- ---------- -----------------------------------------
  **Document         **Rev**   **Date**   **Document Title**
  Number**                                

                                          

                                          
  ---------------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **L.01 Inspection Notes**
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

 

### L.02 Personnel Qualification and Training Requirements

Verify that personnel involved in the integrity management program are
qualified for their assigned responsibilities. \[§192.911(l), §192.915
and ASME B31.8S-2004, Section 12(b)(4)\]

**L.02.a.** Verify that the Integrity Management Program requires
supervisory personnel to have the appropriate training or experience for
their assigned responsibilities. \[§192.915(a)\]

  -----------------------------------------------------------------------------
  **L.02.a.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **L.02.a. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**L.02.b.** Verify the qualification of personnel that carry out
assessments and who evaluate assessment results. \[§192.915(b)\]

  -----------------------------------------------------------------------------
  **L.02.b.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **L.02.b. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**L.02.c.** Verify the qualification of personnel who participate in
implementing preventive and mitigative measures including:
\[§192.915(c)\]

i.  Personnel who mark and locate buried structures.

ii. Personnel who directly supervise excavation work.

iii. Other personnel who participate in implementing preventive and
     mitigative measures as appropriate. \[ASME B31.8S-2004, Section
     12.2(b)(4)\]

  -----------------------------------------------------------------------------
  **L.02.c.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **L.02.c. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**L.02.d.** Verify that the personnel who execute the activities within
the integrity management program are competent and properly trained in
accordance with the quality control plan. \[ASME B31.8S-2004, Section
11(a)(8) and ASME B31.8S-2004, Section 12.2(b)(4)\]

  -----------------------------------------------------------------------------
  **L.02.d.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **L.02.d. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

  ---------------------------------------------------------------------------------
  **L.02 Documents                        
  Reviewed                                
     ***(Tab from                         
  bottom-right cell                       
  to add additional                       
  rows.)*                                 
  ------------------ --------- ---------- -----------------------------------------
  **Document         **Rev**   **Date**   **Document Title**
  Number**                                

                                          

                                          
  ---------------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **L.02 Inspection Notes**
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

 

### L.03 Invoking Non-Mandatory Statements in Standards

Verify that non-mandatory requirements (e.g., \"should\" statements)
from industry standards or other documents invoked by Subpart O (e.g.,
ASME B31.8S-2004 and NACE RP0502-2002) are addressed by one of the
following approaches: \[§192.7(a)\]

**L.03.a.** Incorporated into the operator's plan and implemented as
recommended in the standard; or

  -----------------------------------------------------------------------------
  **L.03.a.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **L.03.a. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**L.03.b.** An equivalent alternative method for accomplishing the same
objective is justified and implemented; or

  -----------------------------------------------------------------------------
  **L.03.b.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **L.03.b. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**L.03.c.** A documented justification is included in the plan that
demonstrates the technical basis for not implementing recommendations
from standards or other documents invoked by Subpart O.

  -----------------------------------------------------------------------------
  **L.03.c.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **L.03.c. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

  ---------------------------------------------------------------------------------
  **L.03 Documents                        
  Reviewed                                
     ***(Tab from                         
  bottom-right cell                       
  to add additional                       
  rows.)*                                 
  ------------------ --------- ---------- -----------------------------------------
  **Document         **Rev**   **Date**   **Document Title**
  Number**                                

                                          

                                          
  ---------------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **L.03 Inspection Notes**
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

 

## Protocol Area M. Communications Plan

-   [M.01](#m.01-external-and-internal-communication-requirements) External
    and Internal Communication Requirements

-   [M.02](#m.02-addressing-safety-concerns) Addressing Safety Concerns

-   [Table of Contents](#table-of-contents)

### M.01 External and Internal Communication Requirements

Verify that an integrity management communication plan exists that meets
the requirements of ASME B31.8S-2004, Section 10. \[§192.911(m)\]

**M.01.a.** Verify that the operator has submitted its API-1162 external
communications plan to the PHMSA clearinghouse for approval.

  -----------------------------------------------------------------------------
  **M.01.a.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **M.01.a. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

**M.01.b.** Verify provisions for operator internal organizational
communication exist to establish understanding of and support for the
integrity management program. \[ASME B31.8S-2004, Section 10.3\]

  -----------------------------------------------------------------------------
  **M.01.b.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **M.01.b. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

  ---------------------------------------------------------------------------------
  **M.01 Documents                        
  Reviewed                                
     ***(Tab from                         
  bottom-right cell                       
  to add additional                       
  rows.)*                                 
  ------------------ --------- ---------- -----------------------------------------
  **Document         **Rev**   **Date**   **Document Title**
  Number**                                

                                          

                                          
  ---------------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **M.01 Inspection Notes**
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

### M.02 Addressing Safety Concerns

Verify that provisions exist to address safety concerns raised by:

**M.02.a.** OPS and State or local pipeline safety authorities (when a
covered segment is located in a State where OPS has an interstate
agreement). \[§192.911(m)(1) and §192.911(m)(2)\].

  -----------------------------------------------------------------------------
  **M.02.a.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **M.02.a. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

  ---------------------------------------------------------------------------------
  **M.02 Documents                        
  Reviewed                                
     ***(Tab from                         
  bottom-right cell                       
  to add additional                       
  rows.)*                                 
  ------------------ --------- ---------- -----------------------------------------
  **Document         **Rev**   **Date**   **Document Title**
  Number**                                

                                          

                                          
  ---------------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **M.02 Inspection Notes**
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

## Protocol Area N. Submittal of Program Documents

-   [N.01](#n.01-integrity-management-program-document-submittal) Integrity
    Management Program Document Submittal

-   [Table of Contents](#table-of-contents)

### N.01 Integrity Management Program Document Submittal

Verify that the operator includes provisions in its program to submit,
upon request, the operator's risk analysis or integrity management
program to: \[§192.911(n)\]

**N.01.a.** OPS and State or local pipeline safety authorities, as
applicable. \[§192.911(n)\]

  -----------------------------------------------------------------------------
  **N.01.a.     
  Inspection    
  Results       
     ***(Type   
  an X in the   
  applicable    
  box below.    
  Select only   
  one.)*        
  ------------- ---------------------------------------------------------------
                No Issues Identified

                Potential Issues Identified *(explain in summary)*

                Not Applicable *(explain in summary)*
  -----------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **N.01.a. Statement of Issue    ***(Leave blank if no issue was
  identified.)*
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

  ---------------------------------------------------------------------------------
  **N.01 Documents                        
  Reviewed                                
     ***(Tab from                         
  bottom-right cell                       
  to add additional                       
  rows.)*                                 
  ------------------ --------- ---------- -----------------------------------------
  **Document         **Rev**   **Date**   **Document Title**
  Number**                                

                                          

                                          
  ---------------------------------------------------------------------------------

 

  -----------------------------------------------------------------------
  **N.01 Inspection Notes**
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------

 

 

## Additional Notes