N.H. Admin. Code § En 511.16

Current through Register No. 45, November 7, 2024

Section En 511.16 - E-5G LPG Operator or Landfill Gas Operator Accident Report

(a) Each LPG operator and landfill gas operator shall file department "Form E-5G Utility Accident Report," dated October 2023 with the department within 10 working days of when an LPG operator or landfill gas operator accident, as described in En 511.07(b), occurs.

(b) Each LPG operator and landfill gas operator shall include the following on Form E-5G:

(1) Report number, date and name and address of LPG operator or landfill gas operator;

(2) Date and location of accident;

(3) Description of person injured including:

a. Name;

b. Age;

c. Residence;

d. Employer; and

e. Status of injured person, whether employee, person under contract, invitee, licensee, trespasser or other;

(4) Description of injury, current condition, duration of disability and, if applicable, anticipated return to work date;

(5) Description of cause and manner of accident;

(6) If applicable, cause of death, previous accident report number;

(7) Designation of federal or state statute violated, if applicable;

(8) Recommendation for and steps taken to guard against repetition of accident; and

(9) Signature and title of signatory.

N.H. Admin. Code § En 511.16

Derived from Number 45, Filed November 9, 2023, Proposed by #13796, Effective 10/25/2023, Expires 10/25/2033.