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: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. Inspection Issues Summary 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. Inspection Issues Summary 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. Inspection Issues Summary 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. Inspection Issues Summary Leave blank if no issue was identified. |
---|
A.01 Documents Reviewed (Tab from bottom-right cell to add additional rows.) | |||
---|---|---|---|
Document Number | Rev | Date | Document Title |
A.01 Inspection Notes |
---|
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. 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. Inspection Issues Summary 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. Inspection Issues Summary Leave blank if no issue was identified. |
---|
A.02 Documents Reviewed (Tab from bottom-right cell to add additional rows.) | |||
---|---|---|---|
Document Number | Rev | Date | Document Title |
A.02 Inspection Notes |
---|
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. 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. Inspection Issues Summary Leave blank if no issue was identified. |
---|
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. Inspection Issues Summary Leave blank if no issue was identified. |
---|
A.03 Documents Reviewed (Tab from bottom-right cell to add additional rows.) | |||
---|---|---|---|
Document Number | Rev | Date | Document Title |
A.03 Inspection Notes |
---|
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. Inspection Issues Summary Leave blank if no issue was identified. |
---|
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. Inspection Issues Summary 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. Inspection Issues Summary Leave blank if no issue was identified. |
---|
A.04 Documents Reviewed (Tab from bottom-right cell to add additional rows.) | |||
---|---|---|---|
Document Number | Rev | Date | Document Title |
A.04 Inspection Notes |
---|
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. 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. Inspection Issues Summary 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. Inspection Issues Summary Leave blank if no issue was identified. |
---|
A.05 Documents Reviewed (Tab from bottom-right cell to add additional rows.) | |||
---|---|---|---|
Document Number | Rev | Date | Document Title |
A.05 Inspection Notes |
---|
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. 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. Inspection Issues Summary Leave blank if no issue was identified. |
---|
A.06 Documents Reviewed (Tab from bottom-right cell to add additional rows.) | |||
---|---|---|---|
Document Number | Rev | Date | Document Title |
A.06 Inspection Notes |
---|