NGDISM Risk Profile - Voluntary Resource Document.pdf

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FY 2023 Natural Gas Distribution Infrastructure and Safety Modernization Grant
Opportunity number
693JK323NF0014
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NGDISM Risk Profile - Voluntary Resource Document

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NOT MANDATORY – Voluntary Resource Document

USDOT/PHMSA FY23 NGDISM Applicant Risk Profile Applicants may use this resource document when describing the risk profile. These are key data points that PHMSA will extract during the intake process. This resource document may be completed for each project in the application. An applicant’s utilization of this resource document is voluntary.

Applicant Name:

Project Number and Description:

Risk Profile: Leaks

Are there any current pipe leaks or corrosion failures in the project area?

Risk Profile: Length and Type of Pipe

Number of miles:

Pipe material (for multiple selections, use the “ctrl” key and click):

Applicants may use this resource document when describing the risk profile. These are key data points that PHMSA will extract during the intake process. This resource document may be completed for each project in the application. An applicant’s utilization of this resource document is voluntary.

Applicant Name:

Project Number and Description:

Risk Profile: Leaks

Are there any current pipe leaks or corrosion failures in the project area?

Risk Profile: Length and Type of Pipe

Applicants may use this resource document when describing the risk profile. These are key data points that PHMSA will extract during the intake process. This resource document may be completed for each project in the application. An applicant’s utilization of this resource document is voluntary.

Applicant Name:

Project Number and Description:

Risk Profile: Leaks

Are there any current pipe leaks or corrosion failures in the project area?

Risk Profile: Length and Type of Pipe

Sample 1
Sample 2
Sample 3
Applicant Name:
Project Number and Description:
Number of miles:
Leaks: [Select...]
Pipe Material: [Select...]
Project Number and Description 2:
Applicant Name 2:
Leaks 2: [Select...]
Number of miles 2:
Pipe Material 2: [Select...]
Applicant Name 3:
Project Number and Description 3:
Leaks 3: [Select...]
Number of miles 3:
Pipe Material 3: [Select...]

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