N.H. Admin. Code § En 509.05

Current through Register No. 50, December 12, 2024

Section En 509.05 - E-5G Utility Accident Report

(a) Each utility shall file department "Form E-5G, Utility Accident Report," dated October 2023 with the department and the commission within 10 working days of when a utility accident, as described in En 508.03(b), occurs, and as required in En 508.03(c).

(b) Each utility shall include the following on Form E-5G:

(1) The current, date and name and address of utility;

(2) Date, time of discovery, and location of accident;

(3) Description of any person injured including:

a. Name;

b. Age;

c. Residence;

d. Employer; and

e. Status of any injured person, whether employee, person under contract, invitee, licensee, trespasser or other;

(4) Description of injury, current condition, duration of disability and, if applicable, anticipated return to work date;

(5) Description of cause and manner of accident;

(6) If applicable, cause of death and previous related accident report number;

(7) Designation of federal or state statute violated, if applicable;

(8) Estimated amount of property damage and breakdown of property damage amounts;

(9) Method of discovery of the accident;

(10) Estimated amount of gas released measured in terms of 1,000 cubic feet (mcf) and value of gas released, including calculations;

(11) Time operator or contractor acting on behalf of operator arrived on scene;

(12) Time operator made pipeline safe;

(13) Date and time final restoration and return to gas service was completed;

(14) Quantity of people evacuated and quantity of meters shut off or service interrupted;

(15) Description of the pipeline facility involved, such as: age, material type, diameter, location, classification, above ground, below ground, depth, pressure at time of accident, map of pipeline;

(16) Date and time of notification to the National Response Center, if required;

(17) Recommendation for and steps taken to guard against repetition of accident; and

(18) The signature, full name and title of the utility employee who supervised the preparation of the report, and date of signature.

N.H. Admin. Code § En 509.05

Derived from Number 45, Filed November 9, 2023, Proposed by #13796, Effective 10/25/2023, Expires 10/25/2033.