2021 OPAL Capabilities Survey Question Title * 1. Contact Information Name Company Station Number Address City/Town State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code County Email Address Phone Number Question Title * 2. Agency Category Full Time Volunteer Full Time/Volunteer (combined) Fire Company/Department 911 Dispatch HAZMAT Federal/State Official Emergency Management/Planning Law Enforcement Emergency Medical Services Question Title * 3. Station Type Industrial Military Airport/Aviation Other (please specify) Question Title * 4. What is your total staffing count: Question Title * 5. How many of your staff are full time: Question Title * 6. How many of your staff are volunteer: Question Title * 7. If a pipeline incident occurred in your jurisdiction, would you agency respond? Yes No Question Title * 8. Can your agency provide communications and assistance with public evacuation? Yes No Question Title * 9. Can your agency provide medical assistance and/or ambulance service? Yes No Question Title * 10. Can your agency assist in directing traffic? Yes No Question Title * 11. Does your agency have firefighting equipment suitable for oil, gas, petroleum and other types of pipeline fires? Yes No Question Title * 12. Are your personnel trained to fight oil, gas and petroleum fires? Yes No Question Title * 13. Are your personnel HAZMAT and/or HAZWOPER trained? Yes No Question Title * 14. Does your agency have radio communications with other responding agencies? Yes No Question Title * 15. Can your agency provide, or have access to, air evacuation services? Yes No Question Title * 16. Does your agency have Mutual Aid Agreements? Yes No Question Title * 17. Is your agency familiar with your state One-Call System? Yes No Question Title * 18. If you want a specific pipeline or gas company representative to contact you please list the company names(s): Question Title * 19. Please indicate the specific information you would like from the company(s) you have listed: Question Title * 20. Does your agency feel it has the necessary training to respond to a pipeline incident? If no, explain: Done
