Incident Report

Mailing Address:
OKLAHOMA CORPORATION COMMISSION
Transportation Division
P.O. Box 52000
Oklahoma City, OK 73152-2000

Pipeline Accident/ Incident Report

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Type of Party Reporting:

Name*:

Address:

City:

State:

Zip:

Email*:

Contact Phone*:

Alternate Phone:

Location*:

City*:

Driving Directions:

Pipeline Company Name*:

Operator Type:

Section:

Township (N/S):

Range (E/W):

County of Incident:

Description of Event*:

Date of Event*:

Time of Event*:

Date of Confirmed Discovery:

Time of Confirmed Discovery:

Type of Material Discharged:

Estimated Volume in Barrels:

Estimated Volume in MCF:

Estimated Property Damage:

Injuries*:

Fatalities*:

Facility Type:

Accident/Incident Type:

Locator Type:

Excavator Type:

Excavator Equipment:

NRC Report Number:

Date of NRC Report:

Time of NRC Report:

Comments:

Last Modified on Nov 04, 2020