Pipeline Failure Investigation Report - PHMSA - U.S. Department of ...
Pipeline Failure Investigation Report - PHMSA - U.S. Department of ...
Pipeline Failure Investigation Report - PHMSA - U.S. Department of ...
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<strong>Pipeline</strong> <strong>Failure</strong> <strong>Investigation</strong> <strong>Report</strong><br />
Odorization<br />
N/A<br />
Temperature: 85 F<br />
Climate (Snow, Rain): Sunny<br />
Weather Conditions<br />
Wind (Direction & Speed): light<br />
Humidity:<br />
N/A<br />
Was Incident preceded by a rapid weather change? Yes No<br />
Weather Conditions Prior to Incident (Cloud Cover, Ceiling Heights, Snow, Rain, Fog):<br />
Clear<br />
Gas Migration Survey<br />
N/A<br />
Bar Hole Test <strong>of</strong> Area: Yes No Equipment Used:<br />
Method <strong>of</strong> Survey (Foundations, Curbs, Manholes, Driveways, Mains, Services)<br />
(9) (1)<br />
Environment Sensitivity Impact<br />
Location (Nearest Rivers, Body <strong>of</strong> Water, Marshlands, Wildlife Refuge, City Water Supplies that could be or were affected<br />
by the medium loss):<br />
N/A<br />
(1)<br />
OPA Contingency Plan Available? Yes No Followed? Yes No<br />
Class Location: 1 2 3 4<br />
Determination:<br />
Odorization Required? Yes No N/A<br />
Class Location/High Consequence Area<br />
Pressure Test History<br />
(Expand List as Necessary)<br />
HCA Area? Yes No N/A<br />
Determination:<br />
N/A<br />
N/A<br />
9 Plot on site description page<br />
- 10 -<br />
Form 11 <strong>Pipeline</strong> <strong>Failure</strong> <strong>Investigation</strong> <strong>Report</strong> (Revised 03/07/08)