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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


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