| Site Name | Pipeline/Equipment ID | ||
|---|---|---|---|
| Date | Inspected by |
| Item | Description | Status | Comments |
|---|---|---|---|
| 1 | Check for leakage | ||
| 2 | Inspect valves and fittings | ||
| 3 | Verify pressure readings | ||
| 4 | Lubricate equipment | ||
| 5 | Check cathodic protection | ||
| 6 | Examine support structures | ||
| 7 | Inspect corrosion protection | ||
| 8 | Test safety devices |
| Technician | Date | Supervisor | Date |
|---|---|---|---|