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Appendix B
PIPELINE SAFETY FORMS FOR INSPECTIONS
NATURAL GAS OPERATOR
EN #
Description
Revised
DOT Type1
10
Drug and Alcohol Program
Comp.
Drug and Alcohol Self
Assessment
Utility Records Inspection
Gas Utility O&M Plan Comp.
Review
Welding Procedure Inspection
OQ 37-page OPS Protocol
OQ Field Inspection
Steel Pipeline Construction
Plastic Pipeline Construction
Customer Response/Leak Survey
Gas Transmission Integrity
Management Insp.
Corrosion Control Field
Regulator Station Field
Gas Leak Field Survey/ Leak
Repair Inspection
Pipe and Bottle Holders
Liquid Natural Gas Plant
Uprating/MAOP Inspection
Plastic Joining Inspection
Peak Shaving Plant Annual
RP 1162 Public Awareness
4/3/07
STD
Interval
(Months)
24
3/6/06
STD
24
7/11/03
4/12/04
STD
STD
12
36
2/3/04
15/15/09
3/27/09
5/1/08
5/1/08
10/25/02
1/1/08
SPC
STD
STD
DTC
DTC
SPC
STD
24
36
3
as needed 2
as needed 3
12
36
10/25/02
10/25/02
5/31/07
SPC
SPC
SPC
12
24
24/ as needed
4/5/95
3/23/09
3/6/06
10/24/94
4/5/02
7/1/09
STD
STD
SPC
SPC
STD
SPC
24
24
as needed
24
15
36
11
16
17
31
32
32-9
33
34
36
38G
41
43
44
56
58
59
60
63
69
1
2
3
Any EN Form can be DOT Type FUP, if the inspection was done to follow-up on an enforcement action.
Based on Gas Pipeline Construction Notices submitted by operators.
Based on Gas Pipeline Construction Notices submitted by operators.
Revised Mar. 24, 2008
Page 1 of 3
PROPANE OPERATOR
EN #
Description
Revised
DOT Type1
32
32-9
40
42
OQ 37-page OPS Protocol
OQ Field Inspection
Propane Operator Comp
Propane Facility <4000 gal.
Comp.
Propane Facility Comp
Propane Operator Records
12/15/08
3/27/09
6/9/08
2/18/09
STD
STD
STD
STD
Interval
(Months)
36
3
36
36
2/17/09
4/14/10
STD
STD
36
15
Interval
(Months)
36
15
57
64
MASTER METER OPERATOR
EN #
Description
Revised
DOT Type1
32
37
OQ 37-page OPS Protocol
Master Meter Records
12/15/08
8/6/03
STD
STD
Revised Mar. 24, 2008
Page 2 of 3
LANDFILL GAS OPERATOR
EN #
Description
Revised
DOT Type1
07
32
51
Sm. Oper. w/Compressor Comp.
OQ 37-page OPS Protocol
Sm. Op. w/Compressor Records
8/7/02
12/15/08
2/7/02
STD
STD
STD
Interval
(Months)
36
36
15
HAZARDOUS LIQUID OPERATOR
EN #
Description
Revised
DOT Type1
10
Drug and Alcohol Programs
Comp.
Drug and Alcohol Self
Assessment
OQ 37-page OPS Protocol
OQ Field Inspection
Liquids IMP Comprehensive
Corrosion Control Field
Liquid Procedures Comp.
Liquid CPM-SCADA
Liquid Operator Records
Hazardous Liquid Transfer
Liquid Breakout Tank
RP 1162 Public Awareness
4/3/07
STD
Interval
(Months)
24
3/6/06
STD
24
12/15/08
3/27/07
12/20/07
10/25/02
3/6/06
3/8/06
5/30/03
11/12/02
2/5/04
7/1/09
STD
STD
STD
SPC
STD
STD
STD
SPC
SPC
SPC
36
3
24
12
36
12
12
34
24
36
Interval
(Months)
as needed
as needed
11
32
32-9
38
41
48
52
53
61
65
69
ANY OPERATOR
4
EN #
Description
Revised
DOT Type1
54
55
Failure Investigation
Operator Meeting Notes
5/19/09
4/4/02
INC
SPC
Based on Operator Pumping Schedule
Revised Mar. 24, 2008
Page 3 of 3
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