Tdrf Form PDF Details

In today’s complex regulatory landscape, understanding the intricacies of compliance forms is crucial for operators in various sectors. The Texas Damage Reporting Form (TDRF) serves as a vital tool for documenting incidents involving infrastructure damage, especially within the realm of excavation and construction activities. Specifically designed to capture comprehensive details, the form includes fields for identifying the type of excavator—ranging from contractors to homeowners—and the equipment used, such as augers, backhoes, and trenchers. It meticulously records the nature of the work performed, encapsulating an extensive array of activities from agriculture and building construction to telecommunications and water improvement projects. The depth of the planned excavation is accounted for, emphasizing the form’s attention to planning and safety measures. Furthermore, it inquires about the provision of incident information cards to excavators, a small but critical detail in managing onsite communication and response. Assessment of impact is thorough, asking whether the excavation resulted in downtime, facility damage, service interruptions, injuries, or fatalities, and quantifying these effects in terms of hours lost, customers affected, and repair costs. Additionally, the form delves into specific details regarding underground pipelines, such as the type of facility affected, the depth of the damaged facility, and the nature of the transported product, highlighting the critical intersections between construction activities and energy infrastructure. This structured approach not only aids in immediate incident response but also contributes to long-term data collection and analysis, underpinning efforts to enhance safety and prevent future incidents. Through its detailed sections, the TDRF illustrates the multifaceted considerations necessary for effectively reporting and addressing excavation-related damages in Texas.

QuestionAnswer
Form NameTdrf Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namestdrf long form, Bldg, tdrf, tdrf course

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 (If subcontractor provide General Contractors contact information), Data Not Collected, Unknown/Other, and Home Owner

Type of Excavation Equipment

‘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 facility?

 

 

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

What type of facility was affected?

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

What was the depth of the damaged facility?

 

 

 

feet

 

 

inches

Was the facility part of a joint trench?

 

 

Yes

 

No

Unknown

Are you a member of One Call?

 

 

 

 

 

 

 

 

 

 

 

 

Yes

 

No

 

Unknown

What product was transported?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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