Pipeline Incident Background Data

Thank you for selecting Kiefner & Associates to investigate your pipeline incident, anomaly, or material specimen. In order for us to make a thorough evaluation and to write a factually correct report, we need certain basic background information. Please provide the following data to the best of your available information. Not all data fields will be applicable to your system or may be known.

Operating Company *
First name *
Last name *
Phone*
Email *
Product *
Line Name and Number and/or System Name *
Survey Station and Mile Post *
Date of Failure/Incident/Anomaly *
How was the Failure/Incident/Anomaly found *
State, county, and closest city or town *
Pipe nominal outside diameter *
Pipe nominal wall thickness *
Pipe grade *
Pipe seam type and joint length *
Pipe manufacturer *
Year of installation *
Coating type *
Cathodic protection type and year installed *
Distance to nearest rectifier or anode bed *
Terrain and soil conditions *
Distance to upstream and downstream compressor or pumping stations
Upstream *
Downstream *
Distance to upstream and downstream girth welds
Upstream *
Downstream *
Position of failure or anomaly on pipe circumference *
Pressure at time and location of failure/incident/anomaly *
Normal operating pressure at location of failure/incident/anomaly *
MOP, MAOP, Design Factor, and/or Location Class *
Date, Test Pressure, and Duration of most recent hydrostatic test *
Hydrostatic test pressure at location of failure/incident/anomaly *
Other comments and/or observations *
Contact information if we need further information (if not the addressee)
* Mandatory fields
 
* I have read and accept the Conditions of use and privacy policy


APPLUS+ informs the User that his/her personal data will be incorporated into an Applus Servicios Tecnológicos S.L. file. This file has been created for the purpose of giving information about the products, services, offers and news that may interest the User, as well as for carrying out promotional and advertising activities by any means, including sending e-mails, and for responding to the User’s questions or information requests (by e-mail or by any other similar means). The User expressly authorizes APPLUS+ to use the aforementioned data for the purposes described above. The User expressly authorizes APPLUS+ to transfer his/her personal data to the APPLUS+ group companies (check the website for details about the businesses composing the group). Such companies shall make use of the aforementioned data in the terms and for the same purposes described above. The User is the sole responsible party and shall respond to the reliability and correctness of the personal data provided to APPLUS+, who is therefore exonerated from any responsibility for such data. The fields in the website marked with an asterisk (*) are mandatory and must be completed in order to send the form. The Applus+ website uses cookies, which is a small data file that can be placed on your hard drive. The Applus+ website may use cookies to collect, store and sometimes track information for statistical purposes, to improve the products and services Applus+ companies provide and to customize the User’s browsing experience. These cookies do not enable third parties to access any personal information. With regard to the data obtained, the User may exercise his/her right to access, rectify, cancel and object to such data, as well as the right to withdraw his/her consent for transferring this data, or for any of the uses described above. Any User may exercise the rights mentioned above by writing to the APPLUS+ Legal Department, located in Campus UAB, Carretera de acceso a la Facultad de Medicina, s/n, 08193 Bellaterra-Cerdanyola del Vallès (Barcelona), or, alternatively, by e-mail at dataprivacy@applus.com. As a proof of identity, a copy of the User’s ID or passport will be required.