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TDRF Data Collecting Form … Excavator Page One Texas Damage Reporting Form (TDRF) Operator Field Data


Page Two

Affected Facility Information
What type of facility was affected?










What was the depth of the damaged facility?
feet
inches
Was the facility part of a joint trench? Yes No Unknown
Was the facility owner a member of One Call? Yes No Unknown

Type of facility affected choices are: Distribution, Gathering, Service/Drop, Transmission, and Unknown/Other.
Notification, Locating, and Marking
Did the excavator notify the One Call Notification Center? Yes No
If yes, provide the following information:
Name of one call notification center








One Call Notification Center choices are: Lone Star Notification Center, Texas Excavation Safety System, Inc., Texas One Call System,
and Unknown/Other


One Call ticket number




Date of notification





Type of locator





Type of locator choices are: Utility Owner, Contract Locator, Data Not Collected and Unknown/Other

If Contract, what was the name of the locator








Were facility marks visible in the area of excavation? Yes No Data Not Collected
Were facilities marked correctly? Yes No Data Not Collected Unknown/Other
If not marked correctly, how far off in feet?
feet (whole numbers only)
Were marks made within the required time? Yes No Unknown/Other or N/A
Methods used to locate Conductive Inductive Other or N/A



Was paint a type of marking used? Yes No Unknown or N/A
Were flags a type of marking used? Yes No Unknown or N/A
Was there another type of marking used? Yes No Unknown or N/A
If yes to another type of marking used, describe








Was site pre-marked by White Lining? Yes No Unknown or N/A
Were special instructions part of the locate orders? Yes No Unknown or N/A
Were maps used during marking? Yes No Unknown or N/A
Did excavator give 48-hours notice prior to excavating? Yes No Unknown or N/A
Did the locator meet with the excavator at the time of the marking? Yes No Unknown or N/A
Were company representatives on site at the time of excavation? Yes No Unknown or N/A
Did excavator have to make a second call to the One Call Center? Yes No Unknown or N/A
Did the operator follow their Damage Prevention/Locating Procedure? Yes No Unknown or N/A
Did facility operator provide a positive response? Yes No Unknown or N/A

Excavator Downtime
Did the excavator incur down time? Yes No Unknown
If yes, how much down time?

hours
Estimate cost of down time $