PIPELINE QUESTIONNAIRE

COMPANY NAME
ADDRESS
Questionnaire Completed By:
Name: Fax:
Office Phone: Date:
Questionnaire Checked By:
Name: Fax:
Office Phone: Date:
SITE INFORMATION
Pipeline Name:
Section name (IP to IP):
Year of commissioning:
Type of Inspection required: SCC UT MFL DENT PROFILE CLEANING
Line OD: Launch Location :
Line Length: Contact Phone of Launch station:
Base Location: Receipt Location:
Base Contact Phone: Contact Phone of Receipt Station:
Shipping Address:
Pipeline alignment maps/sheets available?
Product Details:
Product Type Composition
Wax Content:
CO2 Content
Composition
H2S Content Slack Line?
H2O Content Hazardous?
Type of flow: Laminar Turbulent Two-Phase(Transitional)
Flow Properties: Liquid Gas Two Phase (Both)
Will the line be isolated? Constant Velocity?
Flow rate Controllable?
Line Conditions:
Parameters Minimum Normal Maximum
Launch pressure
Launch Velocity
Launch Flow rate
Launch Temperature
Receive pressure
Receive Velocity
Receive Flow rate
Receive Temperature
Coating Details:
Parameters Type Thickness
Internal Coating
External Coating
Concrete Weight Coating: Any magnetic
content
Cathodic Protection details:
Internal
 PIPELINE QUESTIONNAIRE
External
Type of corrosion expected: Internal External
Corrosion History and type of defects
Internal: External:
General Corrosion Pittings: Grooving:
Cleaning history
Frequency
Type of Cleaning Pig
Make and Model of Cleaning pig
Type of debris receipt
Analysis of debris:
Known/suspected data
Relevant Historical data
Caliper pigging history
Type and Make of Caliper Pig:
Results available?
Any significant reported restriction/geometry defect
Intelligent pigging history
Type and Make of Intelligent Pig:
Results available?
Any significant observation
Pipeline Specifications
Outer diameter
Wall thickness
Internal dia
Length of above ID in total pipeline
Grade of pipe material
Seamless
Length of above type of pipe in total pipeline
Longitudinally welded
Length of above type of pipe in total pipeline
Minimum Bend radius
Minimum Bend angle
Length of straight pipe between bends
Pipeline features
Pipeline feature Yes No Pipeline feature Yes No
Thread & Collar Couplings Chill rings
Bell and Spigot couplings Hydro couples
Stepped hydro couples Stopple tees
Non transitioned wall Wye fittings
thickness changes
Corrosion sampling points Mitre joint
Internal probes Acetylene welds
Vortex breakers
Tees and Branches
Hot Taps Yes No Size of bars
Forged fittings Pattern
Max off take diameter Sphere Tee Yes No
 PIPELINE QUESTIONNAIRE
Angle to pipe run
Valves
Type Chain age Manufacturer Model Minimum bore Set ring spacing

Check Valves
Type Chain age Manufacturer Model Minimum Bowl Can be removed
bore Length during pigging
Yes/No

Bends
Type Chain age Angle Bend Minimum bore Comments
Radius

Diameter Changes
Type of Chain age Upstream Down stream Diameter transition Comments
reducer diameter diameter length

Above ground reference

Can any of the following be located from above ground for references
Line Valves Large bends
CP connections Off-Tees
Major wall thk changes Sleeves
Anodes Casings
Girth weld Insulation flanges
Possible electric charges in the pipeline
Any high voltage lines in the vicinity? Yes No
If yes which AC/DC and where?
Are there any Insulating flanges/joints? Yes No
If yes can they be bridged? Yes No
Are there AC suppressers? Yes No
Right of way condition
Year of construction Type of pipe cover (rock/sea bed etc.)
Pipe cover depth : Max Min
Accessibility to ROW: YES/NO Type of crossings: