Pipeline excavation report

Mailing Address:
Oklahoma Corporation Commission
Transportation Division
P.O. Box 52000
Oklahoma City, OK ZIP 73152-2000

*Fields marked with an asterisk are required.

Internet Explorer is not compatible with this form.

Reporting party type:

*First Name:

*Last Name:

*Email:

*Contact Phone:

Alternate Phone:

Mailing Address:

City:

State:

ZIP code:

*Pipeline location (Street address, nearest intersection or lat./long.):

*City:

County of Incident:

Section

Township (N/S):

Range (E/W):

Directions To Incident Location:

*Pipeline company name:

Operator type (hazardous liquid; natural gas; unknown):

*Event Description

*Date of Incident:

*Event time (Central Standard Time):

*Confirmed discovery date:

*Confirmed discovery time (CST):

Material type discharged:

Estimate volume (bbls):

Estimate volume (Mcf):

Estimated property damage:

*Injuries (quantity):

*Fatalities (quantity):

*Facility type (distribution, gathering, non-regulated gathering, etc.):

Accident / incident type (excavation, corrosion, explosion, etc.):

Excavator name:

Excavator address:

Excavator city:

Excavator state:

Excavator contact number:

*Excavator equipment (auger; backhoe; drilling; handtools, etc.):

Last Modified on Jan 07, 2021