Under the United States Department of Transportation, the Pipeline and Hazardous Materials Safety Administration (PHMSA) mandates the annual submission of the PHMSA F 7100 1 1 form, a critical component in the oversight and safety regulation of gas distribution systems across the country. This extensive paperwork, grounded in 49 CFR Part 191, plays a pivotal role by requiring gas system operators to compile and report a wide range of operational and safety-related data each year. Failure to comply with this reporting requirement can lead to severe financial penalties, emphasizing up to $100,000 per violation per day, with a potential to reach a cap of $1,000,000. From detailing the miles of gas mains and the number of service operations to providing an exhaustive breakdown of materials used, system installations by decade, total leaks and repairs made within the year, and excavation damage data, the form serves as a comprehensive audit of a gas system's health and hazards. Additionally, it includes information on excess flow valves (EFVs) and the percentage of unaccounted for gas, thus offering a snapshot of a system's efficiency and potential environmental impact. Designed to ensure accountability and promote safety, the completion of this form is a significant annual task for operators, underscoring the interplay between regulatory compliance, public safety, and environmental stewardship.
| Question | Answer |
|---|---|
| Form Name | Form Phmsa F 7100 1 1 |
| Form Length | 3 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 45 sec |
| Other names | Gas Distr Annual Form PHMSA F 7100.1 1 (01 2011) phmsa form 71001 |
NOTICE: This report is required by 49 CFR Part 191. Failure to report may result in a civil penalty not to exceed $100,000 for |
OMB No. |
|
each violation for each day the violation continues up to a maximum of $1,000,000 as provided in 49 USC 60122. |
Expiration Date 01/31/2014 |
|
|
|
|
U.S. Department of Transportation
Pipeline and Hazardous Materials
Safety Administration
ANNUAL REPORT FOR CALENDAR YEAR 20___ |
INITIAL REPORT |
GAS DISTRIBUTION SYSTEM |
SUPPLEMENTAL REPORT |
A federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply with a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a current valid OMB Control Number. The OMB Control Number for this information collection is
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
PART A - OPERATOR INFORMATION |
|
|
|
|
|
|
|
DOT USE ONLY |
|
|
|
|
|
|
|
|
|
|
|
|
||
|
1. |
NAME OF OPERATOR |
|
|
|
|
|
3. OPERATOR'S 5 DIGIT IDENTIFICATION NUMBER |
|
|||||||||||||||
|
|
|
|
|
|
|
/ |
/ |
/ |
|
/ |
/ |
/ |
|
|
|
|
|||||||
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||||||
|
2. |
LOCATION OF OFFICE WHERE ADDITIONAL |
|
|
|
|
4. HEADQUARTERS NAME & ADDRESS, IF DIFFERENT |
|
||||||||||||||||
|
|
|
INFORMATION MAY BE OBTAINED |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||
|
|
|
Number and Street |
|
|
|
|
Number and Street |
|
|
|
|
|
|
|
|
|
|||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||
|
|
|
City and County |
|
|
|
|
City and County |
|
|
|
|
|
|
|
|
|
|||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||
|
|
|
State and Zip Code |
|
|
|
|
State and Zip Code |
|
|
|
|
|
|
|
|
||||||||
|
5. |
STATE IN WHICH SYSTEM OPERATES:/ / |
/ (provide a separate report for each state in which system operates) |
|
||||||||||||||||||||
|
|
|
|
|
|
|
||||||||||||||||||
|
|
|
|
|
||||||||||||||||||||
|
|
PART B - SYSTEM DESCRIPTION |
Report miles of main and number of services in system at end of year. |
|
||||||||||||||||||||
|
1. |
GENERAL |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
STEEL
|
|
UNPROTECTED |
CATHODICALLY |
||
|
|
PROTECTED |
|||
|
|
|
|
||
|
|
BARE |
COATED |
BARE |
COATED |
MILES OF MAIN
PLASTIC
CAST/
WROUGHT
IRON
DUCTILE
IRON
COPPER
OTHER
SYSTEM TOTAL
NO. OF SERVICES
2. MILES OF MAINS IN SYSTEM AT END OF YEAR
|
|
MATERIAL |
|
UNKNOWN |
|
|
2" OR LESS |
|
|
OVER 2" |
|
|
OVER 4" |
|
|
OVER 8" |
|
|
OVER 12" |
|
SYSTEM |
||
|
|
|
|
|
|
|
THRU 4" |
|
|
THRU 8" |
|
|
THRU 12” |
|
|
|
TOTALS |
||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||
|
|
STEEL |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
DUCTILE IRON |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
COPPER |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
CAST/WROUGHT |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
IRON |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
PLASTIC |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1. PVC |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2. PE |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
3. ABS |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
4. OTHER |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
PLASTIC |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
OTHER |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
SYSTEM TOTALS |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
3. NUMBER OF SERVICES IN SYSTEM AT END OF YEAR
AVERAGE SERVICE LENGTH |
|
FEET |
Form PHMSA F |
Reproduction of this form is permitted. |
Page 1 of 3 |
|
|
MATERIAL |
UNKNOWN |
1" OR LESS |
|
OVER 1" |
|
OVER 2" |
|
OVER 4" |
|
OVER 8" |
|
|
TOTAL |
|
|
|
|
|
THRU 2" |
|
THRU 4" |
|
THRU 8” |
|
|
|
|||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||
|
|
STEEL |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
DUCTILE IRON |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
COPPER |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
CAST/WROUGHT |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
IRON |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
PLASTIC |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1. PVC |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2. PE |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
3. ABS |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
4. OTHER |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
PLASTIC |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
OTHER |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
SYSTEM |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
TOTALS |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
4. MILES OF MAIN AND NUMBER OF SERVICES BY DECADE OF INSTALLATION
UN-
KNOWN
MILES OF MAIN
NUMBER OF
SERVICES
PRE- 1940
1940-
1949
1950- 1960-
1959 1969
1970-
1979
1980- 1990-
1989 1999
2000-
2009
2010-
2019
TOTAL
PART C - TOTAL LEAKS AND HAZARDOUS LEAKS ELIMINATED/REPAIRED DURING YEAR
|
Mains |
|
|
Services |
CAUSE OF LEAK |
Total |
Hazardous |
Total |
Hazardous |
CORROSION
NATURAL FORCES
EXCAVATION DAMAGE
OTHER OUTSIDE FORCE DAMAGE
MATERIAL OR WELDS
EQUIPMENT
INCORRECT OPERATIONS
OTHER
NUMBER OF KNOWN SYSTEM LEAKS AT END OF YEAR SCHEDULED FOR REPAIR
|
|
PART D – EXCAVATION DAMAGE |
|
|
PART E – EXCESS FLOW VALVE (EFV) DATA |
|
|
|
Number of Excavation Damages |
__________________ |
|
Total Number Of EFVs on |
|
|
|
|
|
|
Installed During Year _________ |
|
Number of Excavation Tickets |
__________________ |
Estimated Number of EFVs In System At End Of Year _________
Form PHMSA F |
Reproduction of this form is permitted. |
Page 2 of 3 |
|
|
PART F - TOTAL NUMBER OF LEAKS ON FEDERAL LAND |
|
PART G - PERCENT OF UNACCOUNTED FOR GAS |
|
||
|
|
REPAIRED OR SCHEDULED FOR REPAIR |
|
|
|
||
|
|
|
|
|
|
Unaccounted for gas as a percent of total input for the12 months |
|
|
|
|
|
|
|
ending June 30 of the reporting year. |
|
|
|
|
|
|
|
[(Purchased gas + produced gas) minus (customer use + |
|
|
|
|
|
|
|
company use + appropriate adjustments)] divided by (purchased |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
gas + produced gas) equals percent unaccounted for. |
|
|
|
|
|
|
|
Input for year ending 6/30________________________ %. |
|
|
|
|
|
|
|
|
|
PART H - ADDITIONAL INFORMATION
PART I - PREPARER AND AUTHORIZED SIGNATURE
(Type or print) Preparer’s Name and Title
Preparer’s email address
Name and Title of Person Signing
Authorized Signature
Area Code and Telephone Number
Area Code and Facsimile Number
Area Code and Telephone Number
Form PHMSA F |
Reproduction of this form is permitted. |
Page 3 of 3 |