Run Cathodic Protection Annual Test Station Reading Log — Free

Inspection Details

Inspection date and time recorded critical (required)

Pipeline, segment, and test station identified critical (required)

Record the pipeline name/ID, segment or milepost, and test station number or location.

Inspector name and qualification documented critical (required)

Enter the inspector or technician name and any required qualification or certification reference.

Weather and site conditions noted

Document conditions that could affect readings, such as rain, frozen ground, standing water, or access limitations.

Inspection scope confirmed as annual pipe-to-soil reading log critical (required)

Confirm this inspection is the annual cathodic protection test station reading log for the pipeline.

Yes No N/A

Reference standard or SOP available

Identify the applicable company procedure, corrosion control plan, or reference criteria used for the inspection.

Reference Electrode and Test Setup

Reference electrode type verified critical (required)

Select the reference electrode used for the reading, such as copper/copper sulfate (CSE).

Note (optional)

Reference electrode condition acceptable critical (required)

Electrode is intact, clean, and suitable for use; no visible damage or contamination.

Yes No N/A

Lead connections secure and test equipment functioning critical (required)

Meter, leads, and connections are secure, undamaged, and operating properly before taking readings.

Yes No N/A

Test station access unobstructed

Test station is accessible without unsafe excavation, traffic exposure, or physical obstruction.

Yes No N/A

IR drop minimized or accounted for critical (required)

Reading method accounts for IR drop or uses an approved instant-off / depolarized method where required by procedure.

Yes No N/A

Pipe-to-Soil Potential Readings

Instant-off pipe-to-soil potential reading critical (required)

Record the measured pipe-to-soil potential at the test station.

Note (optional)

Native or depolarized reading recorded when required

Record any additional reading required by the procedure, such as native, polarized, or depolarized potential.

Note (optional)

Reading meets cathodic protection criterion critical (required)

Confirm the measured potential meets the applicable cathodic protection acceptance criterion used by the operator.

Yes No N/A

Test station reading stable and repeatable

Repeat reading is within expected tolerance and does not indicate a loose connection, interference, or unstable condition.

Yes No N/A

Interference or stray current observed

Indicate whether interference, stray current, or other abnormal conditions were observed during the reading.

Note (optional)

Photo of meter reading or test setup captured

Attach a photo showing the meter reading, test station, or setup if required by site procedure.

Deficiencies and Corrective Actions

Deficiencies identified

Select any deficiencies or non-conformances observed during the inspection.

Note (optional)

Corrective action required critical (required)

Indicate whether follow-up action is needed to restore or verify cathodic protection performance.

Yes No N/A

Corrective action description

Describe the corrective action taken or recommended, including retest, repair, adjustment, or escalation.

Retest scheduled or completed

Record the date and time for a follow-up reading if required.

Note (optional)

Sign-Off

Inspection complete and records accurate critical (required)

Confirm all required readings, observations, and corrective actions are documented accurately.

Yes No N/A

Inspector signature critical (required)

Supervisor or reviewer signature

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Run: Cathodic Protection Annual Test Station Reading Log

Inspection Details

Reference Electrode and Test Setup

Pipe-to-Soil Potential Readings

Deficiencies and Corrective Actions

Sign-Off

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