Annex

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(informative)
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Sample On-site Report for Caliper and MFL Inspection Tool Runs
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Part 1: Pipeline and Pipeline Owner Information

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Pipeline Owner: BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB

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Project #: BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB
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Pipeline data:
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Pipeline location
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Pipeline segment and name
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Survey direction
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Product description (with H28,
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AP|5L grade
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Wall thickness
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Length
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Design temperature
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Design pressure
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Part 2: ILI Contractor Information

Contractor (contractor branch) name: Contract #:

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Contractors contact person and contact details: BBBBBBBB BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB

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Part 3: Survey Description and Inspection Evaluation

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Tool Information

Tool name and description

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Tool S/N
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Tool datasheet number
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Comment
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Medium and/or propellant
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Direction of tool run
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SYSTEMS QUALIFICATION
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Tool Photo Before Tool Run

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Tool Photo After Tool Run

Gauge Plate or MFL Tool Run Data (use separate line for each attempted run)
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Launcher
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Tool Run Name
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Date
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Outcome of Cleaning and Gauge Plate Run

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Tool Type
7RRO7\SH Criteria
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Gauge pig
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Magnetic pig
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Cleaning pig
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Operation Condition During Tool Run

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Operating Condition
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Minimum pressure
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Maximum pressure
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Minimum temperature
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Maximum temperature
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Maximum traveling time
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Minimum tool velocity
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Maximum tool velocity
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Acceleration above spec (Yes/No)
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Start/Stop (Yes/No)
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Mechanical and Electronic Condition After Tool Run

Tool System Part

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Odometer system
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Sensors

Cups and discs

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Brushes
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Support wheels
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Other mechanical damage
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Recorded line length
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Data volume (MB)
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Part 4: Conclusion of Survey

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Tool Technical Data During Survey

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Condition
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Primary survey channel loss
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Secondary survey channel loss
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Primary adjacent survey channel defect
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Total line length without data
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Longest continuous section without data
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Minimum velocity
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Maximum velocity
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Magnetization level
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Weld signal check
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D If condition falls in between acceptance and rejection criteria, the data quality shall be checked and confirmed and a decision made on the
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basis of this evaluation.
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Tool Condition (place a check mark in the applicable condition)

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Insignificant Damage
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Available only after repair in
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Tool is ready for next run
7RROLVUHDG\IRUQH[WUXQ On-site maintenance required
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service center
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