PHMSA Gas Integrity Management Protocol Results Form

Explanation of Protocol Format

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:

Protocol Area M. Communications Plan

M.01 External and Internal Communication Requirements

Verify that an integrity management communication plan exists that meets the requirements of ASME B31.8S-2004, Section 10. [§192.911(m)]

M.01.a. Verify that the operator has submitted its API-1162 external communications plan to the PHMSA clearinghouse for approval.

M.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)

 

M.01.a. Inspection Issues Summary    Leave blank if no issue was identified.

 

M.01.b. Verify provisions for operator internal organizational communication exist to establish understanding of and support for the integrity management program. [ASME B31.8S-2004, Section 10.3]

M.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)

 

M.01.b. Inspection Issues Summary    Leave blank if no issue was identified.

 

M.01 Documents Reviewed    (Tab from bottom-right cell to add additional rows.)
Document Number Rev Date Document Title

 

M.01 Inspection Notes

 

M.02 Addressing Safety Concerns

Verify that provisions exist to address safety concerns raised by:

M.02.a. PHMSA and State or local pipeline safety authorities (when a covered segment is located in a State where PHMSA has an interstate agent agreement). [�192.911(m)(1) and �192.911(m)(2)].

M.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)

 

M.02.a. Inspection Issues Summary    Leave blank if no issue was identified.

 

M.02 Documents Reviewed    (Tab from bottom-right cell to add additional rows.)
Document Number Rev Date Document Title

 

M.02 Inspection Notes