For Calendar Year January 1 through December 31, 2022

Each year SGA Member Companies are asked to participate in this Incident Survey in an effort to analyze and share relevant safety information for our Industry. Results of this Survey will be shared with each member company and will provide a straightforward comparison of key incident data and serve as a possible platform for sharing information on company-driven safety initiatives that may help member companies further safeguard employees, reduce property losses and improve safety-related training, compliance and policy making efforts. Thank you for your efforts to participate in this important Survey. - SGA Safety and Health Committee Members

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* 1. Please Complete the Following Information for Your Company:

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* 2. Primary Company Type

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* 3. OPTIONAL: If your company is a combined utility provider, please enter the estimated percentage of your company's business that is represented by natural gas.

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