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Run: Gas Distribution Integrity Management Data Collection

Use this Gas Distribution Integrity Management Data Collection template to gather leak, repair, and excavation damage data for annual integrity review and re...

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Inspection Scope and Record Identification

Reporting period is defined and matches the annual review window critical (required)

Note (optional)

Operating area, division, or system segment is identified critical (required)

Source records reviewed are identified

Note (optional)

Inspector confirms records are complete for the selected period critical (required)

Yes No N/A

Data owner or preparer is identified

Leak Event Data Collection

Leak count for the reporting period is recorded critical (required)

Note (optional)

Leak classification is documented for each event critical (required)

Note (optional)

Leak location or asset type is documented

Note (optional)

Leak discovery method is recorded

Note (optional)

Leak response time or repair initiation date is documented

Note (optional)

Repair and Corrective Action Data

Repair completion status is documented for each applicable event critical (required)

Note (optional)

Repair method or component replaced is documented

Root cause or contributing factor is identified

Note (optional)

Corrective action or mitigation is documented for repeat or systemic issues critical (required)

Yes No N/A

Excavation Damage and Third-Party Interference

Excavation damage count is recorded critical (required)

Note (optional)

Damage type is documented critical (required)

Note (optional)

One-call / locate ticket reference is recorded when applicable

Damage was reported and investigated according to company procedure critical (required)

Yes No N/A

Data Quality, Trend Review, and Sign-Off

Data entries are internally consistent across source records critical (required)

Yes No N/A

Missing or unknown values are identified and explained

Yes No N/A

Notable trends, repeat events, or hotspots are summarized

Annual report submission or management review is completed critical (required)

Yes No N/A

Inspector signature critical (required)

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