Tdrf Damage Reporting Form PDF Details

In the realm of infrastructure and construction, ensuring the safety and integrity of underground pipelines is of paramount importance. This is where the Texas Damage Reporting Form (TDRF) comes into play, providing a comprehensive resource for reporting any incidents of damage. Embedded within this form are critical fields that capture a wide array of data, including the operator and excavator details, excavation information — which outlines the type of excavator involved (ranging from contractors to homeowners), the equipment used (from augers to hand tools), and the nature of the work performed across various sectors such as agriculture, telecommunication, and public transit. Insights into the occurrence, such as the depth of the planned excavation, whether an incident information card was provided to the excavator, and details on excavator downtime, including the downtime's duration and estimated cost, further enrich the dataset. Importantly, the form probes into the aftermath of the incident, inquiring if there was damage to a pipeline, the extent of service interruption, the number of customers affected, and the estimated repair costs. Furthermore, it delves into the specifics of the damaged underground pipeline, seeking information about the type of facility affected, the depth of the pipeline at the point of contact, whether the facility was in a joint trench, membership in a One Call notification system, and the type of product transported. This detailed form serves not only as a critical tool for documenting and managing incidents of damage to underground pipelines but also as a means to foster safer excavation practices and enhance the protection of essential infrastructure.

QuestionAnswer
Form NameTdrf Damage Reporting Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namestdrf reporting texas, tdrf texas damage reporting form copy, texas damage reporting form tdrf, tdrf texas

Form Preview Example

Texas Damage Reporting Form (TDRF) Operator Field Data

Page Two

Excavation Information

Type of Excavator

‘Type of Excavator’ choices are: Contractor, County, Farmer, Municipality, Occupant, Railroad, State, Utility, Developer, Subcontractor, Data Not Collected, Unknown/Other, and Home Owner

Pipeline damage with:

‘Type of Excavation Equipment’ choices are: Auger, Backhoe/Trackhoe, Boring, Drilling. Directional Drilling, Explosives, Grader/Scraper, Hand Tools, Vacuum Equipment, Probing Device, Trencher, Farm Equipment, Milling Equipment, Data Not Collected, and Unknown/Other

Type of Work Performed:

‘Type of Work Performed’ choices are: Agriculture, Cable TV, Bldg Construction, Curb/Sidewalk, Bldg Demolition, Drainage, Driveway, Electric, Engineering/Survey, Fencing, Natural Gas, Irrigation, Landscaping, Grading, Pole, Public Transit Authority, Railroad Maintenance, Road Work, Sewer (Sanitary/Storm), Site Development, Steam, Storm Drain/Culvert, Street Light, Telecommunications, Traffic Signal, Traffic Sign, Water, Water Improvement, Liquid Pipeline, Milling, Data Not Collected, and Unknown/Other

What was the depth of the planned excavation?

 

 

 

 

Feet

 

Inches

 

 

 

 

 

Did the operator provide the excavator with an incident information card?

 

 

Yes

No Unknown (optional)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Excavator Downtime

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Did the excavator incur down time?

 

 

 

Yes

 

No

 

Unknown

 

 

 

 

 

 

 

 

 

 

 

If yes, how much down time?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hours (optional)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Estimate cost of down time

$

 

 

 

 

 

 

 

 

 

(optional)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Description of Damage

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Was there damage to a pipeline?

 

 

 

Yes

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Did you call the RRC to report the incident and receive a Call In Number?

 

 

 

Yes

 

 

 

No

RRC Call In Number

 

 

-

 

 

 

-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Did the damage cause an interruption in service?

 

 

Yes

 

No

 

 

 

 

 

 

 

 

 

 

 

If yes, duration of interruption

 

 

 

 

 

 

 

 

 

 

 

 

hours

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If yes, approximately how many customers were affected?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If yes, what was the estimated cost of repair or restoration?

$

 

 

 

 

 

 

 

 

 

 

 

 

Number of people injured

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Number of fatalities

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Underground Pipeline Information

Type of underground pipeline facility affected:

‘Type of facility affected’ choices are: Distribution, Gathering, Service/Drop, Transmission, and Unknown/Other.

What was the depth of the damaged pipeline at the point of contact?

 

feet

 

inches

Was the facility part of a joint trench?

 

 

 

Yes

 

No

 

Unknown

 

 

 

 

Are you a member of One Call?

 

Yes

 

No

 

Unknown

 

 

 

 

Type of product:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

‘Type of product transported’ choices are: ‘Natural or Other Gases’ and ‘Hazardous Liquid’