Blocks with this designation appear at two different
locations on the form. They each contain preprinted
information for ADP use. Do NOT Insert any letter or
figure in the empty (fourth) box.
Regional Report No.
The report number is used to identify the data
collected with the incident reported. This number
shall be assigned on a regional basis by the regional
office in consecutive order corresponding to the
chronological order of receipt by the regional office,
beginning with No. 1 at the start of each calendar year,
Review "SPECIAL INSTRUCTIONS" in part A,
section II of this chapter, and instructions (a), (b),
and (c) above which pertain specifically to this report.
Date of Trouble
Insert a six-digit number to indicate the date of the
trouble occurrence or discovery (YEAR. MONTH. AND
DAY in that specific sequence) - e.g., 870409 for
April 9, 1987, or 871027 for October 27, 1987.
The Reclamation geographical region represented by
a numerical equivalent; 1 = PN, 2 = MP, 3 = LC, 4 = UC,
6 = GP, in which the faulty equipment was located.
Name and Code
On the line provided. Insert the name of the facility
(plant, station, transmission fine, etc.) where the faulty
equipment was located, and In the vacant blocks at
the right, insert the approved code designation for the
facility as listed in
Codes for ADP." When the facility is a plant or station,
with code designation of three characters or less, place
the code in the LEFT END group of three vacant boxes.
Indicate the "type" of facility (powerplant, switchyard,
transmission line, etc.) using the approved single-
letter codes listed in section 5.2, "TYPE CODES," of
When the report is supplemented by accompanying
pictures, place a "Y" (for "yes") in the box. If pictures
are not enclosed, place an "N" ("no") in the box.
(FIST 1-3 12/89)