Forms


National Operator Registry Forms


Title Description
 
Operator Assignment Request (Form) PHMSA F 1000.1
Operator Assignment Request (Instructions) PHMSA F 1000.1 (Instructions)
Operator Registry Notification (Form) PHMSA F 1000.2
Operator Registry Notification (Instructions) PHMSA F 1000.2 (Instructions)

Drug & Alcohol Forms


Title Description
 
Inspection Forms
Reporting Forms

Accident/Incident/Annual Reporting Forms


Title Description
 
PHMSA F 7000-1 (Accident Report Form) Hazardous Liquid Pipeline Systems (Accident Report)
PHMSA F 7000-1 (Instructions for Form) Hazardous Liquid Pipeline Systems (Accident Report Instructions)
PHMSA F 7000-1.1 (Annual Report Form) Hazardous Liquid or Carbon Dioxide Systems (Annual Report)
PHMSA F 7000-1.1 (Instructions for Completing Form) Hazardous Liquid or Carbon Dioxide Systems (Annual Report Instructions)
PHMSA F 7100.1 (Incident Report Form) Gas Distribution System (Incident Report)
PHMSA F 7100.1 (Instructions for Completing Form) Gas Distribution System (Incident Report Instructions)
PHMSA F 7100.1-1 (Annual Report Form) Gas Distribution System (Annual Report)
PHMSA F 7100.1-1 (Instructions for Completing Form) Gas Distribution System ( Annual Report Instructions)
PHMSA F 7100.1-2 (Instructions for Completing Form) Mechanical Fitting Failure Form (Annual Report Instructions)
PHMSA F 7100.1-2 (Mechanical Fitting Failure Report Form) Mechanical Fitting Failure Report Form
PHMSA F 7100.2 (Incident Report Form) Gas Transmission and Gathering Systems (Incident Report)
PHMSA F 7100.2 (Instructions for Completing Form) Gas Transmission and Gathering Systems (Incident Report Instructions)
PHMSA F 7100.2-1 (Annual Report Form) Gas Transmission and Gathering Systems (Annual Report)
PHMSA F 7100.2-1 (Instructions for Completing Form) Gas Transmission and Gathering Systems (Annual Report Instructions)
PHMSA F 7100.3 (Incident Report Form) Liquefied Natural Gas (LNG) Facilities (Incident Report)
PHMSA F 7100.3 (Instructions for Completing Form) Liquefied Natural Gas (LNG) Facilities (Incident Report Instructions)
PHMSA F 7100.3-1 (Annual Report Form) Liquefied Natural Gas (LNG) Facilities (Annual Report)
PHMSA F 7100.3-1 (Instructions for Completing Form) Liquefied Natural Gas (LNG) Facilities (Annual Report Instructions)

Inspection, Evaluation, and Qualification Forms


Title Description
 
PHMSA Form-01 Standard Inspection Report of a Gas Transmission Pipeline
PHMSA Form-02 Standard Inspection Report of Gas Distribution Operator
PHMSA Form-03 Standard Inspection of a Liquid Pipeline Carrier
PHMSA Form-04 Standard Inspection Report of an LNG Facility
PHMSA Form-05 Evaluation Report of Gas Pipeline & Compressor Station Construction
PHMSA Form-07 Evaluation Report of Liquid Pipeline Construction
PHMSA Form-10 Breakout Tank Inspection Form
PHMSA Form-11 Pipeline Failure Investigation Report
PHMSA Form-12 Gas Storage Field Review
PHMSA Form-13 PHMSA Pipeline Drug & Alcohol Questions
PHMSA Form-14 Operator Qualification Inspection Form
PHMSA Form-15 Operator Qualification Field Inspection Protocol Form
PHMSA Form-16 Gas IMP Field Verification Inspection
PHMSA Form-17 Supplemental SCC Questionnaire Gas Transmission or Liquid Pipeline
PHMSA Form-18 Evaluation of LNG Facility Siting, Design, Construction, and Equipment
PHMSA Form-19 Hazardous Liquid IMP Field Verification Inspection
PHMSA Form-20 Ethanol Pipeline Transportation Questions
PHMSA Form-21 Public Awareness Program Effectiveness Inspection Form
PHMSA Form-22 Distribution Integrity Management Program Inspection Form
PHMSA Form-23 Distribution Integrity Management Program Inspection Form for Master Meter and Small LPG Operators
PHMSA Form-24 Distribution Integrity Management Program Implementation Inspection Form
PHMSA GT Integrity Management (IA Equivalent) GT Integrity Management Question Set
PHMSA HL Integrity Management (IA Equivalent) HL Integrity Management Question Set
PHMSA GT IA GT IA Question Set
PHMSA GT Control Room Management (IA Equivalent) GT Control Room Management (IA Equivalent) Question Set
PHMSA HL IA HL IA QuestionSet
PHMSA GD IA GD IA Question Set
PHMSA HL Control Room Management (IA Equivalent) HL Control Room Management (IA Equivalent) Question Set
PHMSA LNG IA LNG IA Question Set
PHMSA Forms IA Equivalent Summary PHMSA Forms IA Equivalent Summary
PHMSA Gas Distribution Topical Content (OQ, PA, CRM) - Control Room Management (IA Equivalent) Gas Distribution Inspection Form