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PH MSA Form 21 Public Awareness Program Effectiveness Inspection, July 21, 2011, Rev 0 PUBLIC AWARENESS PROGRAM EFFECTIVENESS INSPECTION SPECIFIC INFORMATION Control Information Inspection Start Date*:
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How to fill out PHMSA Form 21 Public:

01
Begin by downloading the PHMSA Form 21 Public from the official PHMSA website.
02
Fill out the header section of the form, including your name, address, and contact information.
03
Provide the necessary details regarding the pipeline for which you are submitting the form. This may include the pipeline operator, location, and any relevant identification numbers.
04
Indicate the type of submission you are making. This could be a new submission, an amendment, or a withdrawal.
05
Fill out the required information about the public meeting or proceeding for which you are submitting the form. This may include the date, time, and location of the event.
06
Provide a brief description of the purpose or subject of the meeting.
07
Include any additional comments or attachments that you believe are relevant to your submission.
08
Review the form for accuracy and completeness before submitting it.
09
Sign and date the form in the designated space.
10
Submit the completed Form 21 Public to the appropriate PHMSA office.

Who needs PHMSA Form 21 Public:

01
Pipeline Operators: If you are a pipeline operator planning to hold a public meeting or proceeding, you are required to fill out PHMSA Form 21 Public. This form helps document the necessary information about the event and ensures compliance with PHMSA regulations.
02
Government Agencies: Government agencies that are involved in overseeing pipeline operations may also require pipeline operators to submit PHMSA Form 21 Public. This form helps them stay informed about public meetings and proceedings related to pipeline safety and regulation.
03
Concerned Individuals or Stakeholders: Individuals or stakeholders who are interested or directly affected by pipeline operations can also use PHMSA Form 21 Public. By filling out this form, they can formally request to participate or provide input in public meetings or proceedings related to pipeline safety or projects.
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PHMSA Form 21 Public is a form used to report safety-related conditions and incidents in the pipeline industry that may pose a risk to the public.
Operators of pipeline facilities are required to file PHMSA Form 21 Public.
PHMSA Form 21 Public can be filled out online on the PHMSA website or submitted through hard copy via mail.
The purpose of PHMSA Form 21 Public is to ensure the safety of pipeline facilities and the surrounding communities by reporting safety-related incidents.
Information such as the date and time of the incident, location, description of the incident, potential impact on public safety, and corrective actions taken must be reported on PHMSA Form 21 Public.
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