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Run: Advanced Leak Detection Survey Record

Use this Advanced Leak Detection Survey Record to document methane survey scope, instrument checks, detected emissions, and follow-up actions in one place. I...

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Inspection Details and Survey Scope

Survey date and start/end time recorded

Record the date and time the advanced leak detection survey began and ended.

Note (optional)

Survey area, asset ID, and route documented critical (required)

Identify the facility, pipeline segment, street route, or asset covered by the survey.

Survey type matches advanced leak detection program scope critical (required)

Select the survey method used for this inspection.

Weather and operating conditions recorded

Document wind, temperature, precipitation, traffic, or other conditions that could affect detection performance.

Instrument Verification and Sensitivity

Instrument ID and model recorded critical (required)

Record the methane detection instrument identifier, model, and any attached sensor package.

Calibration or bump check completed before use critical (required)

Verify the instrument was checked according to the applicable SOP before the survey began.

Yes No N/A

Verified methane detection sensitivity critical (required)

Record the verified detection sensitivity for the survey instrument.

Note (optional)

Instrument zero/span or functional check results

Document the outcome of pre-survey functional checks, including any drift or adjustment made.

Survey Execution and Coverage

Survey route or coverage completed as planned critical (required)

Confirm the planned route, asset coverage, or scan area was completed.

Yes No N/A

Survey speed or dwell time recorded

Record the vehicle speed, walking speed, or dwell time used during the survey.

Note (optional)

Obstructions or access limitations noted

Document blocked access, traffic, weather, or other limitations that may have reduced coverage.

Survey data captured and stored critical (required)

Confirm survey data, logs, or telemetry were captured and retained per program requirements.

Yes No N/A

Detected Emissions and Leak Indications

Methane readings recorded at detection points critical (required)

Enter the highest observed methane concentration at each detection point or the peak reading for the survey.

Note (optional)

Potential leak indication identified critical (required)

Indicate whether the survey identified a potential leak or abnormal emission source.

Yes No N/A

Emission estimate documented

Record the estimated emission rate, quantification method, and units used, if applicable.

Leak location and asset reference documented critical (required)

Describe the location, component, or asset associated with the detected emission or leak indication.

Disposition, Corrective Action, and Sign-Off

Immediate notification made for critical leak indication critical (required)

Confirm the supervisor, control room, or responsible party was notified when required by the leak detection program.

Yes No N/A

Corrective action or follow-up work order created

Document any repair request, re-survey requirement, or escalation initiated after the survey.

Inspector signature critical (required)

Inspector attestation that the survey record is complete and accurate.

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