Exposed Pipe Report · Tortuga Safety

Exposed Pipe Report

Foreign Line Crossing · Daylight & Backfill Record

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EPR·NEW OPEN Not yet saved …

1Identification▸

Prepared by

Date opened

Status

Crossing method

Exposed (foreign) line

Owner / operator

Size

Material

Product carried

Coating type

Approx. depth

New / crossing line

Owner / company

Size

Material

Reason for exposing

Location

Description

GPS

↗ Open in Maps

Establishing shot

◫Pipe Map▸

Shows this dig on the pipeline alignment. Capture GPS above and the pin lands on the hole. Open full map ↗

2Damage Prevention & Locate▸

One-call must be open and unexpired through backfill. Hand/vac dig only inside the tolerance zone.

One-call ticket #

Locate company

Ticket opened

Ticket expires

Water company

Contractor

Locate marks verified on the ground

Line owner notified of excavation

Owner standby / inspector on site

Standby name (if present)

3Hydrovac Exposure▸

Record pressure and standoff — high-pressure water is what damages coating.

Hydrovac company

Operator

Date / time exposed

Pressure (PSI)

Flow (GPM)

Nozzle / standoff distance

Spoils / water handling

Hand / vac dig confirmed within tolerance zone

Pipe condition as exposed

Before

Exposed

4Coating Inspection▸

Coating

HP-water damage?

Holiday / jeep test

CP / test-station reading

Notes

Damage flagged — complete the Coating Repair section below.

5Coating Repair▸

OQ-qualified repair only. Surface temp must be above dew point for FBE/epoxy. Record batch numbers.

OQ-qualified tech

Veriforce / OQ task #

Surface prep

Ambient temp

Surface temp

Dew point

Product

Batch / lot #

Product detail

DFT (if epoxy)

Holiday test of repair

Repair inspected and approved

Notes

Repair — before

Repair — after

6Secure the Hole▸

Barricades

Snow fencing

Snow blankets

Plywood cover

Date secured

Covered / secured

7Crossing Work▸

Bore / lower-in observed

Clearance maintained (in.)

Date

Crossing

8Backfill & Closeout▸

Line owner approves before anything is covered. That sign-off is the record that protects you.

Select backfill / padding around line

Compacted per spec

Line owner rep (approved backfill)

Date / time backfilled

Owner approved to backfill

Backfill

9Signatures▸

Preparer

OQ repair tech (if repaired)

Line owner representative

✎Visit Log▸

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