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 N. Submittal of Program Documents

N.01 Integrity Management Program Document Submittal

Verify that the operator includes provisions in its program to submit, upon request, the operator's risk analysis or integrity management program to: [§192.911(n)]

N.01.a. OPS and State or local pipeline safety authorities, as applicable. [§192.911(n)]

N.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)

 

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

 

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

 

N.01 Inspection Notes