New Hampshire Code of Administrative Rules
Puc - Public Utilities Commission
Chapter Puc 500 - RULES FOR GAS SERVICE
Part Puc 509 - FORMS REQUIRED TO BE FILED
Section Puc 509.07 - E-5 Utility Accident Report

Universal Citation: NH Admin Rules Puc 509.07

Current through Register No. 12, March 21, 2024

(a) Each utility shall file the commission's Form E-5G "Utility Accident Report" within 10 working days of when a utility accident, as described in Puc 508.03(b), occurs, and as required in Puc 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 (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.

(See Revision Note at Chapter heading for Puc 500) #6445, eff 1-28-97; ss and moved by #8259, eff 1-19-05 (from Puc 509.08 ); ss by #10334, eff 5-10-13

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