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Incident # (For Office Use) Maine Public Utilities Commission Date of Report: Underground Facility Incident Report Report Submitted By : Excavator Facility Operator Other Party AM / PM AM / PM AM.

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How to fill out the Bhcs Ltc 362 online

Filling out the Bhcs Ltc 362 form online is essential for reporting underground facility incidents effectively. This guide provides a structured approach to navigating the form, ensuring that all necessary information is accurately captured.

Follow the steps to fill out the Bhcs Ltc 362 online.

  1. Click ‘Get Form’ button to access the Bhcs Ltc 362 form and open it in your preferred online document editor.
  2. Begin by entering the report submitted by section. Indicate whether the report is from the excavator, facility operator, or other party by selecting the appropriate option.
  3. Fill in the incident details, including the date and time of the incident. Make sure to select AM or PM to specify the time accurately.
  4. Provide the date and time when the facility operator was notified of the incident, also specifying AM or PM.
  5. Indicate the date and time the site was made safe and whether service was fully restored, again noting AM or PM.
  6. Select whether Dig Safe was notified and enter the Dig Safe ticket number if applicable.
  7. Input the GPS coordinates and the exact location of the incident, including street address and town.
  8. Choose the type of facility affected from the options provided, such as telephone, electric, gas, etc.
  9. Specify what was damaged, such as service line or distribution line, and if applicable, indicate if there was no damage.
  10. Fill in the section regarding property ownership, stating whether it is a public right of way or private property.
  11. Describe the facility, including its type, size, material, and pressure levels, to provide context.
  12. Explain the activity that caused damage or a safety concern and mention any lack of precaution taken.
  13. Detail any damage that occurred, including the number of injuries and fatalities, and provide an estimate of property damage in dollars.
  14. Complete the excavator data section with the excavation company's information, including address and telephone number.
  15. Fill out the facility operator data, including the utility's name, address, and telephone number.
  16. Identify the probable cause of the incident by checking the appropriate boxes that apply.
  17. Add any additional comments that might be relevant for the incident report.
  18. Finally, declare that the information provided is true and complete by printing your name, signing the form, and providing your company details and telephone number.
  19. Once completed, save your changes, and download, print, or share the form as needed.

Complete your Bhcs Ltc 362 form online today to ensure swift processing of your incident report.

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