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Name:
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Date:
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Do you have natural gas pipelines running through your community?
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Do you know the name of your local natural gas company?
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If yes, who?
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Do you know how to contact the local natural gas company if there is an incident,
or if you need more information?
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Have you seen, heard, or received any information regarding natural gas safety in
any media in the last year?
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If yes, do you recall what?
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Have you or anyone else in your department to your knowledge met with any Representatives
of the natural gas company to discuss pipeline safety within the last 12 months,
prior to today?
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If yes, when?
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With whom?
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Do you have a response plan or SOPs for responding to a natural gas incident, such
as a leak?
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Have you done any practical training to deal with a leak?
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Do you feel reasonably well prepared to deal with a natural gas leak, should one
occur in your community?
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If not, in what areas are there deficiencies?
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If you heard a report of a natural gas leak night now, would your department know
what actions to take? (Write in the steps; someone should grade the responses to
get a sense of whether there has been adequate training or preparation, or the respondent
just mentioned general procedures applicable to any kind of incident.)
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Do you know if there were any natural gas leaks within the last two years in your
community?
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If yes, about when?
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What was the incident?
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Did the department respond?
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If yes, Do you feel the department dealt with the incident in a satisfactory manner?
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