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Appendix D
PIPELINE SAFETY FORMS FOR INSPECTIONS
NATURAL GAS OPERATOR
EN #
10
16
17
31
32
32-9
33
34
36
38G
41
43
44
56
58
59
60
63
69
70
71
72
1
2
3
4
Description
Drug and Alcohol Program
Comp.
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
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
Distribution Integrity
Management
Control Room Management
DIMP Implementation
Revised
6/1/12
DOT Type1
STD
Interval (Months)
36
8/1/12
8/28/12
STD
STD
18
36
6/11/12
12/15/08
3/27/07
STD
OQ
OQ
9/8/11
7/13/12
6/26/12
8/1/13
DTC
DTC
STD
IMP
24
36
3x a year not to exceed
4.5 months
As needed 2
As needed 3
As needed
36
10/25/02
STD
10/16/12
6/11/12
STD
STD
6/11/12
3/23/09
8/3/12
10/24/94
11/19/12
7/21/11
9/23/11
STD
STD
STD
STD
STD
STD
IMP
15 months but within the
calendar year
As needed.4
15 months but within the
calendar year
24
24
as needed
24
24
36
36
8/14/13
3/1/15
STD
IMP
36
36
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.
Based on the number of regulator stations that an operator maintains.
Revised May 31, 2016 Page 1 of 3
PROPANE OPERATOR
EN #
32
32-9
40
42
57
64
70
72
Description
OQ 37-page OPS Protocol
OQ Field Inspection
Propane Operator Comp
Propane Facility <4000 gal.
Comp.
Propane Facility Comp
Propane Operator Records
Distribution Integrity
Management
DIMP Implementation
Revised
12/15/08
3/27/09
10/13/13
2/18/09
DOT Type1
OQ
OQ
STD
STD
Interval (Months)
36
As needed
36
36
2/17/09
5/7/14
9/23/11
STD
STD
IMP
36
18
36
3/1/15
IMP
36
Revised
12/15/08
8/6/03
9/23/11
DOT Type1
OQ
STD
IMP
Interval (Months)
36
18
36
3/1/15
IMP
36
Revised
10/16/12
12/15/08
8/1/13
DOT Type1
STD
OQ
IMP
Interval (Months)
36
36
36
10/16/12
7/21/11
STD
STD
18
36
MASTER METER OPERATOR
EN #
32
37
70
72
Description
OQ 37-page OPS Protocol
Master Meter Records
Distribution Integrity
Management
DIMP Implementation
LANDFILL GAS OPERATOR
EN #
07
32
38G
51
69
Description
Sm. Oper. w/Compressor Comp.
OQ 37-page OPS Protocol
Gas Transmission Integrity
Management Insp.
Sm. Op. w/Compressor Records
RP 1162 Public Awareness
Revised May 31, 2016 Page 2 of 3
HAZARDOUS LIQUID OPERATOR
Revised
6/1/12
DOT Type1
STD
Interval (Months)
36
32
32-9
38
41
Description
Drug and Alcohol Programs
Comp.
OQ 37-page OPS Protocol
OQ Field Inspection
Liquids IMP Comprehensive
Corrosion Control Field
12/15/08
3/27/07
8/1/13
10/25/02
OQ
OQ
IMP
STD
48
52
53
61
65
69
71
Liquid Procedures Comp.
Liquid CPM-SCADA
Liquid Operator Records
Hazardous Liquid Transfer
Liquid Breakout Tank
RP 1162 Public Awareness
Control Room Management
3/6/06
3/8/06
10/15/12
8/3/12
2/5/04
7/21/11
8/14/13
STD
STD
STD
STD
STD
STD
STD
36
As needed
36
15 months but within the
calendar year
36
24
18
35
36
36
36
DOT Type1
INC
STD
Interval (Months)
as needed
as needed
EN #
10
ANY OPERATOR
EN #
54
55
5
Description
Failure Investigation
Operator Meeting Notes
Based on Operator Pumping Schedule
Revised May 31, 2016 Page 3 of 3
Revised
5/19/09
4/4/02
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