Utilities Form

Free Fillable Coating Inspection

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31 fieldscompliance

Project Information

Project Name*

Segment / Inspection ID*

Inspector Name*

Inspection Date*

Pipeline Operator

Line Designation

Inspection Trigger

Milepost / Station

Coating Type

Existing Coating Type*

Estimated Coating Age (years)

Nominal Thickness (mils)

Measured Thickness (mils)

Pipe Diameter (in)

Length Inspected (ft)

Holiday Detector Readings

Holiday Test PerformedHoliday Test Performed

Adhesion Test Results

Adhesion Test PerformedAdhesion Test Performed

Overall Coating Assessment

Overall Coating Condition*

Repair RequiredRepair Required

Repair Completed On-SiteRepair Completed On-Site

Coating Notes

Photos

Location

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