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PH MSA Form 21 Public Awareness Program Effectiveness Inspection July 2011 Rev 0 PUBLIC AWARENESS PROGRAM EFFECTIVE INSPECTION SPECIFIC INFORMATION Control Information INSPECTION START DATE: 7/31/2012
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How to fill out PHMSA Form 21 PAP:

01
Start by obtaining a copy of PHMSA Form 21 PAP from the Pipeline and Hazardous Materials Safety Administration (PHMSA) website or by contacting their office directly.
02
Carefully read the instructions provided with the form to understand the requirements and guidelines for completing it correctly.
03
Begin filling out the form by providing your personal or company information, such as name, address, and contact details, in the designated sections.
04
Identify the specific pipeline or hazardous material activity for which the form is being submitted. This may include details like pipeline operator name, pipeline location, and activity type.
05
Provide a detailed description of the proposed or ongoing pipeline activity. Include information such as the purpose of the activity, the start and end dates, and any relevant specifications or technical details.
06
If applicable, specify the type of hazardous material involved in the activity and provide the relevant identification codes or classification information.
07
Attach any additional supporting documents or reports that may be required as per the instructions provided with the form.
08
Review the filled-out form carefully to ensure all the information is accurate and complete. Double-check for any errors or missing information that may cause delays or complications.
09
Sign and date the form in the designated sections to certify its accuracy and completeness.
10
Submit the completed PHMSA Form 21 PAP to the appropriate PHMSA office electronically or through mail as instructed.

Who needs PHMSA Form 21 PAP:

01
Pipeline operators: Companies or individuals responsible for the operation and maintenance of pipelines, including natural gas, oil, and hazardous liquid pipelines.
02
Contractors: Individuals or entities involved in pipeline construction, inspection, repair, or any other related activities.
03
Regulators: Government agencies or departments responsible for overseeing pipeline safety and ensuring compliance with applicable regulations.
04
Inspectors: Professionals who conduct inspections of pipelines or related activities to ensure compliance with safety standards and regulations.
05
Licensed professionals: Engineers, geologists, or other licensed professionals who are involved in designing or assessing pipeline activities.
06
Government agencies: Federal, state, or local government entities that may require PHMSA Form 21 PAP for permit issuance or regulatory compliance purposes.
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PHMSA Form 21 PAP is a form used for reporting pipeline and hazardous materials safety violations to the Pipeline and Hazardous Materials Safety Administration (PHMSA).
Operators of pipelines and facilities that transport hazardous materials are required to file PHMSA Form 21 PAP.
PHMSA Form 21 PAP can be filled out electronically on the PHMSA website or submitted via mail. Operators need to provide detailed information about safety violations and corrective actions taken.
The purpose of PHMSA Form 21 PAP is to ensure the safe transportation of hazardous materials by identifying and rectifying safety violations.
Operators must report details of safety violations, corrective actions taken, and any additional information requested by PHMSA on Form 21 PAP.
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