# Kinder Morgan, Inc. Natural Gas-Fueled Explosion and Fire

**Citation:** PLD21FR003  
**Type / status:** incident / current  
**Agency:** National Transportation Safety Board  
**Effective:** 2021-08-15  
**Published:** 2023-05-09

Accident. in Coolidge, AZ, USA. on 2021-08-15. Kinder Morgan. Rupture

## Document text

NTSB investigation PLD21FR003.

Event Type: Accident

Event Date: 2021-08-15

Event City: Coolidge

Event State Or Region: AZ

Event Country: USA

Pipeline Operator: Kinder Morgan

Pipeline Type: Gas Transmission - Regulated

Accident Type: Rupture

Completion Status: Completed

Report Number: PIR2301

Report Date: 2023-04-27

Probable cause: The National Transportation Safety Board determines that the probable cause of the August 15, 2021, pipeline rupture in Coolidge, Arizona, was tented tape wrap leading to stress corrosion cracking, a fracture at a longitudinal seam weld, and subsequent rupture of the pipe. Contributing to the rupture was Kinder Morgan’s failure to record the correct coating type used for this segment of pipeline, leading to a risk assessment that did not fully identify the risk of stress corrosion cracking.

Tier1Name: System operating, changing flow/pressure

Tier2Name: Fire/explosion (post-release)

Tier1Name: System operating, changing flow/pressure

Tier2Name: SCADA system event

Tier1Name: Post-release

Tier2Name: Emergency response

Tier1Name: Initiating product flow

Tier2Name: Product leak/release

Tier1Name: System operating, changing flow/pressure

Tier2Name: Pipe structural malfunction/failure

Tier1Name: System operating

Tier2Name: Pressure/flow/temp event

Finding Tier1Name: Organizational

Finding Tier2Name: Support/oversight/monitoring

Finding Tier3Name: Documentation/record keeping

Finding Modifier Name: Pipeline operator

Finding Report Text: Organizational - Support/oversight/monitoring - Documentation/record keeping - Pipeline operator

Finding Tier1Name: Organizational

Finding Tier2Name: Support/oversight/monitoring

Finding Tier3Name: Oversight

Finding Modifier Name: Pipeline operator

Finding Report Text: Organizational - Support/oversight/monitoring - Oversight - Pipeline operator

Finding Tier1Name: Pipeline

Finding Tier2Name: Pipeline structure

Finding Tier3Name: Pipe seam

Finding Modifier Name: Failure

Finding Report Text: Pipeline - Pipeline structure - Pipe seam - Failure

Finding Tier1Name: Pipeline

Finding Tier2Name: Pipline systems/equipment

Finding Tier3Name: (general)

Finding Modifier Name: Failure

Finding Report Text: Pipeline - Pipline systems/equipment - (general) - Failure

Finding Tier1Name: Pipeline

Finding Tier2Name: Pipline systems/equipment

Finding Tier3Name: Coatings/anti-corrosion

Finding Modifier Name: Fatigue/wear/corrosion

Finding Report Text: Pipeline - Pipline systems/equipment - Coatings/anti-corrosion - Fatigue/wear/corrosion

Official NTSB investigation data. NTSB findings determine probable cause and make safety recommendations; they do not adjudicate civil liability or regulatory violations.

What Happened
On August 15, 2021, about 5:29 a.m. local time, a 30-inch-diameter natural gas transmission pipeline owned and operated by Kinder Morgan, Inc., ruptured in a rural area of Coolidge, Arizona. The rupture resulted in the release of natural gas vapor that ignited and exploded. The explosion and gas-fed fire destroyed a farmhouse about 451 feet away, killing two of the three occupants and seriously injuring the other.

What We Found
We determined that the probable cause of the August 15, 2021, pipeline rupture in Coolidge, Arizona, was tented tape wrap leading to stress corrosion cracking, a fracture at a longitudinal seam weld, and subsequent rupture of the pipe. Contributing to the rupture was Kinder Morgan’s failure to record the correct coating type used for this segment of pipeline, leading to a risk assessment that did not fully identify the risk of stress corrosion cracking.

PIR-23-01
<<<PAGE 1>>>

Kinder Morgan Natural Gas–Fueled Explosion
PIR-23/01
Issued: April 27, 2023 Kinder Morgan
Natural Gas–Fueled Explosion
Coolidge, Arizona
August 15, 2021
Pipeline Investigation Report: PIR-23/01
1 Factual Information
1.1 Accident Description
On August 15, 2021, about 5:29 a.m.
local time, a 30-inch-diameter natural gas
transmission pipeline owned and operated by
Kinder Morgan, Inc., (Kinder Morgan)
ruptured in a rural area of Coolidge, Arizona.
1
The rupture resulted in the release of natural
gas vapor that ignited and exploded, causing
a blast wave and gas-fed fire.
2 (See figure 1.)
The explosion and fire destroyed a farmhouse
about 451 feet away, killing two of the three
occupants and seriously injuring the other. About 33 acres of vegetation were damaged
in some areas about 878 feet away from the rupture crater. A 47-foot segment of pipe
was ejected about 133 feet from the center of the crater. (See figure 2.) Kinder Morgan
estimated property damage and emergency response costs to be $5,541,740.
Figure 1. Ruptured pipeline and fire.
(Source: Coolidge Fire Department.)
1 (a) Visit www.ntsb.gov to find additional information in the public docket for this NTSB accident
investigation (case number PLD21FR003). Use the CAROL Query to search safety recommendations and
investigations (b) All times in this report are local time unless otherwise noted.
2 A blast wave is created when an explosion occurs and instantaneously over-pressurizes the ambient
atmospheric pressure.
1

<<<PAGE 2>>>

Kinder Morgan Natural Gas–Fueled Explosion
PIR-23/01
Figure 2. Aerial image of the accident site following the explosion and fire. (Source: Pinal County
Fire Investigation Task Force.)
The rupture occurred at milepost 497.07 on Line 2000.3 The location was
designated a Class 1 location under Title 49 Code of Federal Regulations (CFR) 192.5
and was not designated a high consequence area (HCA) or moderate consequence area
under 49 CFR 192.905 and 49 CFR 192.3, respectively.4
Pipeline operations on Line 2000 were controlled and monitored by Kinder
Morgan’s control center in Colorado Springs, Colorado. At 5:36 a.m., about 7 minutes
after the rupture, Kinder Morgan personnel at the control center received 5
3 A milepost is a unit of measure used to define the location on a pipeline relative to a chosen starting
point in miles and fractions of miles.
4 (a) Class locations are defined by the population density within an onshore area that extends 220 feet
on either side of the centerline of any continuous 1-mile length of pipeline. Class 1 locations represent the
lowest population density and Class 4 locations represent the highest population density. (b) Pipeline safety
regulations for gas transmission pipelines define areas that have higher potential consequences to health
and safety as high consequence areas or moderate consequence areas.
2

<<<PAGE 3>>>

Kinder Morgan Natural Gas–Fueled Explosion
PIR-23/01
informational pressure rate-of-change alarms in 4 minutes, alerting them to a rapid drop
in pressure in the segment of the pipeline near the rupture site.
Working with Kinder Morgan personnel near the rupture site, control center
personnel initiated emergency response activities in accordance with company
operations and maintenance procedures at 6:02 a.m.5 To isolate the affected pipeline
segment, Kinder Morgan personnel needed to manually close three mainline valves
(MLVs), MLV 37, MLV 38, and MLV 39. MLV 39, to the west of the rupture, was closed
first, about 6:29 a.m. MLV 37, to the east of the rupture, was closed next, about 6:55 a.m.
MLV 38, the valve closest to the rupture to the east, was closed about 8:16 a.m. About
8:20 a.m., 4 minutes after MLV 38 was closed and 2 hours and 51 minutes after the
rupture, the gas-fed fire stopped.
1.2 Line 2000
Line 2000 was installed in 1986 by the All American Pipeline Company for crude
oil service. The ownership of Line 2000 changed in 2000 to El Paso Natural Gas
Company, LLC (El Paso). In 2002 and 2003, under the ownership of El Paso, Line 2000
was converted from a crude oil pipeline to a natural gas transmission pipeline and its
flow reversed from a west to east direction to an east to west direction. El Paso made
several modifications to Line 2000 as part of the conversion, including the removal of a
pump station that was located about 6 miles downstream of the rupture site, relative to
the original crude oil flow direction of west to east.6
On September 6, 2002, as part of the conversion to natural gas operations and
flow reversal, El Paso hydrostatically tested the segment of Line 2000 that ruptured in this
accident to a pressure of 1,212 pounds per square inch, gauge (psig).
7 This test detected
no leaks.
In 2012 Kinder Morgan became the parent company of El Paso, which continued
to operate the pipeline. Line 2000 is located within Kinder Morgan’s Western Operations
Region, specifically the Phoenix Area, which covers about 1,540 miles of natural gas
5 Kinder Morgan, O&M Procedure 1900: Area/Facility Emergency Response Plan. April 1, 2020.
6 According to a 2014 Pipeline and Hazardous Materials Safety Administration (PHMSA) advisory
bulletin, pipeline flow reversals and conversions from crude oil to natural gas service—including removal or
modification of pump stations—can have system impacts related to a shift in locations along the pipeline at
risk for stress corrosion cracking (SCC), cyclic fatigue, or both. See PHMSA, Pipeline Safety: Guidance for
Pipeline Flow Reversals, Product Changes and Conversion to Service, September 2014.
7 In hydrostatic testing, water is pumped into a pipeline and held at pressure to determine whether the
pipeline can withstand the pressure without leaking. The hydrostatic testing conducted at this time noted a
leak at a nearby location, milepost 496.9. See section 1.3.2.
3

<<<PAGE 4>>>

Kinder Morgan Natural Gas–Fueled Explosion
PIR-23/01
pipeline in Arizona and California. At the time of the rupture, the operating pressure of
Line 2000 was about 863 psig, which was less than the maximum allowable operating
pressure of 944 psig.
8 The pipeline was coated with two layers of spiral wrap tape as the
primary means of corrosion protection and supplemented with an impressed current
cathodic protection system.9 Other specifications for Line 2000 are shown in table 1.
Table 1. Line 2000 specifications
Pipeline Specification Value
Diameter 30-inch
Material Steel
Grade1 X-70
Longitudinal Seam Weld Double Submerged Arc-Welded
Wall Thickness 0.281 inches
Coating Kendall Polyken Wrap Tape (two layers)
Manufacturer Bergrohr Herne or Vallourec
Corrosion Protection Impressed Current Cathodic Protection
1 American Petroleum Institute 5LX defines specific grades of carbon steel pipeline, each with a minimum yield strength.
The higher the grade of the pipeline, the higher the strength of the steel used to manufacture that pipeline.
1.3 Integrity Management
The Pipeline and Hazardous Materials Safety Administration’s (PHMSA’s)
regulations on gas transmission integrity management (IM) fall under 49 CFR Part 192
Subpart O, Gas Transmission Pipeline Integrity Management.10 IM has three goals: (1) to
determine pipeline segments where the potential consequences are the highest; (2) to
evaluate the soundness, stability, and reliability of pipelines; and (3) to address risk in a
scientific, consistent, and prioritized manner.
8 Title 49 CFR 192.619, Maximum allowable operating pressure: Steel or plastic pipelines, specifies
how the maximum allowable operating pressure is determined.
9 Cathodic protection is a corrosion mitigation method used by the pipeline industry to protect
underground steel structures. To prevent corrosion of any exposed steel, cathodic protection supplies a
protective electrical current through a ground bed that typically contains a string of suitable anodes, with
soil as an electrolyte. A wire connected to the pipeline provides the return path for the current to complete
the circuit.
10 On December 15, 2003, the Research and Special Programs Administration issued its final rule on
natural gas transmission integrity management, setting the minimum regulatory requirements for pipelines
in HCAs.
4

<<<PAGE 5>>>

Kinder Morgan Natural Gas–Fueled Explosion
PIR-23/01
Kinder Morgan was not required to implement the IM regulations at the rupture
location because the rupture site was designated a Class 1 location and was not
designated as an HCA. However, before the accident, Kinder Morgan had voluntarily
included the ruptured pipeline segment in their IM program as part of a nonregulatory
internal program.
1.3.1 Pipeline Open Database Standard
Starting in 2014, when Kinder Morgan field personnel exposed any segment of
Line 2000, including excavations for defects, they completed a Pipeline Examination
Report (PER). The data from PERs were then integrated into a Pipeline Open Database
Standard (PODS). PODS was Kinder Morgan’s internal data management tool to identify
and document pipeline specifications such as coating type.
11 Data factors recorded in
PODS were used as inputs during the risk assessments discussed in section 1.3.2.
Between 2014 and the day of the rupture, six PERs were completed on Line 2000
within about two miles of the rupture origin; the latest PER was completed in February
2018. In each of these PERs, which Kinder Morgan personnel then entered into PODS,
the coating type for the ruptured pipeline segment was listed as fusion-bonded epoxy.
One pipeline data report, submitted in 2011 after a composite sleeve was
installed on Line 2000 approximately 375 feet from the rupture location, noted that the
coating type listed as fusion-bonded epoxy was incorrect at that location and that the
actual coating type was spiral wrap tape.
12 This was not recorded in PODS.
1.3.2 Risk Assessment
At the time of the rupture, Kinder Morgan used a risk assessment to evaluate their
pipeline segments for the threats to pipeline integrity identified by the American Society
of Mechanical Engineers (ASME) standard B31.8S.
13 The risk assessment algorithm
determined the probability of failure from stress corrosion cracking (SCC) by examining
11 Kinder Morgan relied upon PODS to record various pipeline-specific data by location, meeting the
requirements of 49 CFR 192.947.
12 This pipeline data report was a Streamline report, which was the type of report used to denote
pipeline exposures before 2014, when PERs were introduced.
13 ASME standard B31.8S-2004, Managing System Integrity of Gas Pipelines, is incorporated by
reference into PHMSA regulation. B.31.8S identifies nine types of threat criteria; SCC is one type of time-
dependent threat.
5

<<<PAGE 6>>>

Kinder Morgan Natural Gas–Fueled Explosion
PIR-23/01
near neutral and high pH SCC, the two types of SCC defined in ASME B31.8S.
14 Kinder
Morgan further calculated the baseline susceptibility of pipeline segments to the threat
of SCC as the direct product of several correlating factors recorded in PODS: pipe age;
year of installation; pipe manufacturer and mill location; pipe diameter and wall
thickness; downstream distance from a compressor station; location of pipe (above or
below ground); soil conditions (susceptibility, pH, and resistivity); and coating type.
Before the rupture, the coating type of the ruptured pipeline segment was listed in
PODS as fusion-bonded epoxy.
15 The coating type was spiral wrap tape.
The Kinder Morgan risk assessment algorithm at the time of the rupture
determined that near neutral SCC was an active threat to pipeline safety and integrity on
Line 2000 at milepost 496.9, based on a 2002 hydrostatic test failure. Kinder Morgan
records listed that the coating at that location was a multilayer tape system with urethane
foam insulation. Kinder Morgan did not identify threats of SCC on the ruptured pipeline
segment at milepost 497.07 where the coating type was incorrectly listed as fusion-
bonded epoxy.
1.3.3 Potential Impact Radius
Under 49 CFR 192.903, PHMSA requires operators to mathematically calculate a
pipeline’s potential impact radius (PIR), or the area where the failure of a pipeline could
have a significant impact on people or property when deciding whether a pipeline is in
an HCA. Using the requirements provided by the regulations, the NTSB calculated the
potential impact radius for the rupture site to be 636 feet. Physical evidence identified
during the NTSB’s onsite examination showed that damage to the surrounding
vegetation was found up to 878 feet from the rupture crater.
1.4 Postaccident Examinations
NTSB investigators conducted onsite metallurgical examinations of the ruptured
pipeline on August 17–22, 2021. Examination of the pipeline just south of the fracture
14 (a) Stress corrosion cracking is a form of environmentally assisted cracking produced under the
combined action of corrosion and tensile stress. SCC typically manifests as clusters of small cracks in the
external body of the pipe. (b) The pH of the local environment of the pipeline surface is between 5 and 7 in
near neutral SCC and between 9 and 13 in high pH SCC.
15 Fusion-bonded epoxy coating, also known as fusion-bond epoxy powder coating, is an epoxy-based
powder coating that is widely used to protect steel pipe used in pipeline construction from corrosion.
6

<<<PAGE 7>>>

Kinder Morgan Natural Gas–Fueled Explosion
PIR-23/01
noted that the undamaged pipe was covered in an adhesive coating followed by two
layers of plastic spiral wrap tape.16
The ejected pipe segment was cut into several pieces, which were sent to the
NTSB Materials Laboratory in Washington, D.C., for testing. The laboratory examination
of these pieces found the pipeline fracture was caused by SCC that originated on the
outside surface of the pipe, predominantly along the edge, or toe, of the longitudinal
seam weld. (See figure 3.)
Figure 3. Ejected pipe segment just after the rupture.
The NTSB’s examination of the ejected pipe segment observed colonies of
longitudinal surface breaking cracks that had propagated through the wall as
intergranular cracking consistent with high pH SCC.17 The maximum depth of the SCC
present in the ejected pipe segment was about 0.14 inches—approximately 50 percent of
the nominal wall thickness. (See figure 4.) The origin of the fracture contained three SCC
regions with a combined length of about 3.1 feet, whose ends were connected by a
16 NTSB investigators observed that most of the coating of the ejected pipe segment had been
consumed by fire, leaving most of the external surface bare.
17 Intergranular cracking is the propagation of cracks along the grain boundaries of a polycrystalline
metal or alloy.
7

<<<PAGE 8>>>

Kinder Morgan Natural Gas–Fueled Explosion
PIR-23/01
transverse overstress crack.18 The longitudinal cracks had coalesced and formed a crack
at the rupture site large enough to split open the pipeline.
Figure 4. Cross section of ejected pipe segment.
Evidence of pitting corrosion was observed on the outer surface of the pipe at the
toe of the longitudinal seam weld, consistent with disbonded coating from tented tape
wrap that had shielded the toe of the weld from cathodic protection.
19
1.5 Postaccident Actions
18 (a) Details of the fracture examination can be found in the NTSB Materials Laboratory Factual Report
No. 21-003, March 7, 2022, in the docket for this accident. (b) A transverse crack is a circumferentially
oriented crack extending around the pipe, usually perpendicular to its length. (c) An overstress crack occurs
when the strength of a material is exceeded; this crack can extend through the thickness of the material.
19 (a) Disbonded coating is when pipeline coating separates from the metal of the pipe, causing a gap
between coating and pipe surface. (b) Tented tape wrap, or tenting, is a form of disbonded coating that can
occur at longitudinal seams. Tenting causes a gap between the coating and where the weld meets the pipe
surface. (c) Tape coating can shield the cathodic protection current from reaching the exposed pipe wall,
allowing corrosion to form on the external pipe surface.
8

<<<PAGE 9>>>

Kinder Morgan Natural Gas–Fueled Explosion
PIR-23/01
1.5.1 Pipeline and Hazardous Materials Safety Administration
On August 19, 2021, PHMSA issued a corrective action order to Kinder Morgan
regarding the August 15 rupture.
20 The corrective action order required El Paso to
isolate, or shut down, the 38.6-mile segment of Line 2000 from MLV 37 to MLV 39; to
reduce the operating pressure of Line 2000; to conduct a leakage survey and to review
prior in-line inspections on Line 2000; to verify the records that established the maximum
allowable operating pressure for Line 2000; and to develop a plan, approved by
PHMSA, to resume operation of the isolated pipeline segment.
21
1.5.2 Kinder Morgan
Kinder Morgan corrected the Line 2000 coating data that were placed in PODS.
Kinder Morgan created a new procedure for all its natural gas transmission and
gathering pipelines that, in cases when a PER field observation shows coating type
inconsistent with PODS data, requires the PODS data team to compare the original
source documentation with the PER and to make the necessary corrections in PODS.
After completing a review of PODS and PER data for Line 2000, Kinder Morgan
conducted a new risk assessment for Line 2000.
On December 19, 2021, Kinder Morgan conducted electromagnetic acoustic
transducer testing on the segment of Line 2000 that ruptured. This testing resulted in
excavations to four areas; upon examination of these areas, Kinder Morgan found one
area of SCC. By June 25, 2022, Kinder Morgan had completed about 19 miles of spike
hydrostatic testing on Line 2000, including at the rupture site, to validate the results from
the electromagnetic acoustic transducer testing. Three hydrostatic test failures were
observed, none of which were within 500 feet of the rupture site. The pipe sections that
experienced hydrostatic test failures were cut out and sent to a metallurgical laboratory
to determine the failure mechanism; results did not indicate the presence of SCC. These
pipe sections were replaced and retested successfully.
2 Analysis
20 (a) The corrective action order (CPF No. 2-2021-012-CAO) was issued to Kinder Morgan as the
parent company of El Paso. (b) PHMSA enforcement actions include corrective action orders that are issued
when a pipeline facility is or would be hazardous to life, property, or the environment, and specifies
corrective measures that must be taken under the authority of 49 U.S.C. 60112.
21 In-line inspection is an inspection method in which a highly specialized tool is passed within a
pipeline to inspect the pipeline from the inside. In-line inspection uses nondestructive examination
techniques to identify, locate, and size various damages and defects, depending on the type of tool.
9

<<<PAGE 10>>>

Kinder Morgan Natural Gas–Fueled Explosion
PIR-23/01
In this accident, a Kinder Morgan natural gas pipeline ruptured in rural Coolidge,
Arizona, destroying a nearby farmhouse and killing two of its three occupants. A
segment of the pipe was ejected in the rupture.
NTSB investigators conducted metallurgical testing of the ejected pipe segment
and found longitudinal surface breaking cracks, evidence of high pH SCC, in three
regions at the toe of the ejected pipe segment’s longitudinal seam weld. Pitting
corrosion observed on the surface of the tested pipe pieces indicated that moisture had
settled on the pipe surface, likely due to tenting of the spiral wrap tape coating at the
gap between the coating and where the weld meets the pipe surface. The tape coating
had most likely shielded the toe of the weld from cathodic protection, allowing the toe of
the weld to corrode from SCC. Over time, the three SCC regions had spread, eventually
connecting into one larger fracture, which split open the pipeline on August 15, 2021.
Kinder Morgan had voluntarily included the segment of Line 2000 that ruptured
in its integrity management program and subsequently conducted risk assessments on
the accident segment. However, the data on coating type on the accident pipeline
segment, recorded in PODs and used in Kinder Morgan’s risk assessment algorithm, was
incorrectly listed as fusion-bonded epoxy rather than as spiral wrap tape. The coating
type data for the accident pipeline segment remained incorrect despite at least one
instance of information gathering that documented the error.
Different pipeline coating types offer different levels of protection from SCC.
Spiral wrap tape coating is known by the pipeline industry to be more vulnerable than
other coating types to SCC. Had the coating data in PODS been correctly listed as spiral
wrap tape coating, as it was at milepost 496.9, the threat of SCC could likely have been
identified. However, Kinder Morgan’s IM program did not identify the threat of SCC at
the rupture location and thus did not address it.
As a result of this accident, Kinder Morgan corrected their records in PODS. They
also tested the section of Line 2000 that ruptured and replaced several areas of pipe.
PHMSA issued a corrective action order to Kinder Morgan to shut down the affected
pipeline segment, reduce the operating pressure of the pipeline, and develop a plan for
reopening the segment.
Federal regulations require operators to mathematically calculate a pipeline’s PIR,
the area where a pipeline’s potential failure could have a significant impact on people or
property. The NTSB calculated the PIR for the rupture site to be 636 feet; however,
physical evidence identified during the NTSB’s onsite examination showed that damage
to the surrounding vegetation was found up to 878 feet from the rupture crater. Such
discrepancies between the calculated PIR and evidence collected at accident scenes
has been seen before and prompted the NTSB to further evaluate the assumptions
on which the PIR equation is based during the investigation of a pipeline rupture in
10

<<<PAGE 11>>>

Kinder Morgan Natural Gas–Fueled Explosion
PIR-23/01
Danville, Kentucky. On August 15, 2022, NTSB Recommendation P-22-1 was issued to
PHMSA: “Revise the calculation methodology used in your regulations to determine the
potential impact radius of a pipeline rupture based on the accident data and human
response data discussed in this report.”22 The recommendation is classified “Open—
Acceptable Response.”
3 Probable Cause
The National Transportation Safety Board determines that the probable cause of
the August 15, 2021, pipeline rupture in Coolidge, Arizona, was tented tape wrap
leading to stress corrosion cracking, a fracture at a longitudinal seam weld, and
subsequent rupture of the pipe. Contributing to the rupture was Kinder Morgan’s failure
to record the correct coating type used for this segment of pipeline, leading to a risk
assessment that did not fully identify the risk of stress corrosion cracking.
The National Transportation Safety Board (NTSB) is an independent federal agency charged by
Congress with investigating every civil aviation accident in the United States and significant events in other
modes of transportation—railroad, transit, highway, marine, pipeline, and commercial space. We determine
the probable cause of the accidents and events we investigate and issue safety recommendations aimed at
preventing future occurrences. We also conduct safety research studies and offer information and other
assistance to family members and survivors for any accident investigated by the agency. Additionally, we
serve as the appellate authority for enforcement actions involving aviation and mariner certificates issued by
the Federal Aviation Administration (FAA) and US Coast Guard, and we adjudicate appeals of civil penalty
actions taken by the FAA.
The NTSB does not assign fault or blame for an accident or incident; rather, as specified by NTSB
regulation, “accident/incident investigations are fact-finding proceedings with no formal issues and no
adverse parties … and are not conducted for the purpose of determining the rights or liabilities of any
person” (Title 49 Code of Federal Regulations section 831.4). Assignment of fault or legal liability is not
relevant to the NTSB’s statutory mission to improve transportation safety by investigating accidents and
incidents and issuing safety recommendations. In addition, statutory language prohibits the admission into
evidence or use of any part of an NTSB report related to an accident in a civil action for damages resulting
from a matter mentioned in the report (Title 49 United States Code section 1154(b)).
For more detailed background information on this report, visit the NTSB investigations website and
search for NTSB accident ID PLD21FR003. Recent publications are available in their entirety on the NTSB
website. Other information about available publications also may be obtained from the website or by
contacting—
National Transportation Safety Board
Records Management Division, CIO-40
490 L’Enfant Plaza, SW
Washington, DC 20594
(800) 877-6799 or (202) 314-6551
22 See Pipeline Investigation Report NTSB/PIR-22/02, Enbridge Inc. Natural Gas Transmission Pipeline
Rupture and Fire, Danville, Kentucky, August 1, 2019.
11

## Provenance

- Official: Yes
- Source: <https://www.ntsb.gov/investigations/Pages/PLD21FR003.aspx>
- Source ID: `ntsb-pipeline`
- SHA-256: `eea89f033a51759e47dbaa86931e078f2319e9c15602cf521aba6db8aa0b5166`
- Retrieved: 2026-08-20T04:57:25.499Z
- Exported: 2026-08-22T02:03:34.664Z
- Document slug: `ntsb-case-pld21fr003`

### Source metadata

```json
{
  "recordKind": "ntsb_pipeline_investigation",
  "mkey": 103697,
  "ntsbNumber": "PLD21FR003",
  "completionStatus": "Completed",
  "caseClosed": true,
  "hasSafetyRecommendation": false,
  "eventType": "Accident",
  "accidentType": "Rupture",
  "operator": "Kinder Morgan",
  "pipelineType": "Gas Transmission - Regulated",
  "location": {
    "city": "Coolidge",
    "state": "AZ",
    "country": "USA",
    "latitude": 32.922413,
    "longitude": -111.497712
  },
  "reportNumber": "PIR2301",
  "probableCause": "The National Transportation Safety Board determines that the probable cause of the August 15, 2021, pipeline rupture in Coolidge, Arizona, was tented tape wrap leading to stress corrosion cracking, a fracture at a longitudinal seam weld, and subsequent rupture of the pipe. Contributing to the rupture was Kinder Morgan’s failure to record the correct coating type used for this segment of pipeline, leading to a risk assessment that did not fully identify the risk of stress corrosion cracking.",
  "events": [
    {
      "eventNumber": 8,
      "sequenceNumber": 4,
      "eventCode": "401180",
      "tier1Number": "401",
      "tier1Name": "System operating, changing flow/pressure",
      "tier2Number": "180",
      "tier2Name": "Fire/explosion (post-release)",
      "isDefiningEvent": false
    },
    {
      "eventNumber": 9,
      "sequenceNumber": 5,
      "eventCode": "401335",
      "tier1Number": "401",
      "tier1Name": "System operating, changing flow/pressure",
      "tier2Number": "335",
      "tier2Name": "SCADA system event",
      "isDefiningEvent": false
    },
    {
      "eventNumber": 10,
      "sequenceNumber": 6,
      "eventCode": "700800",
      "tier1Number": "700",
      "tier1Name": "Post-release",
      "tier2Number": "800",
      "tier2Name": "Emergency response",
      "isDefiningEvent": false
    },
    {
      "eventNumber": 7,
      "sequenceNumber": 3,
      "eventCode": "160450",
      "tier1Number": "160",
      "tier1Name": "Initiating product flow",
      "tier2Number": "450",
      "tier2Name": "Product leak/release",
      "isDefiningEvent": true
    },
    {
      "eventNumber": 6,
      "sequenceNumber": 2,
      "eventCode": "401337",
      "tier1Number": "401",
      "tier1Name": "System operating, changing flow/pressure",
      "tier2Number": "337",
      "tier2Name": "Pipe structural malfunction/failure",
      "isDefiningEvent": false
    },
    {
      "eventNumber": 5,
      "sequenceNumber": 1,
      "eventCode": "400230",
      "tier1Number": "400",
      "tier1Name": "System operating",
      "tier2Number": "230",
      "tier2Name": "Pressure/flow/temp event",
      "isDefiningEvent": false
    }
  ],
  "findings": [
    {
      "findingNumber": 4,
      "sequenceNumber": 4,
      "findingCode": "04033069",
      "findingTier1Name": "Organizational ",
      "findingTier2Name": "Support/oversight/monitoring",
      "findingTier3Name": "Documentation/record keeping",
      "findingTier4Name": null,
      "findingModifierName": "Pipeline operator",
      "findingReportText": "Organizational  - Support/oversight/monitoring - Documentation/record keeping - Pipeline operator",
      "findingText": null,
      "inProbableCause": true
    },
    {
      "findingNumber": 5,
      "sequenceNumber": 5,
      "findingCode": "04032069",
      "findingTier1Name": "Organizational ",
      "findingTier2Name": "Support/oversight/monitoring",
      "findingTier3Name": "Oversight",
      "findingTier4Name": null,
      "findingModifierName": "Pipeline operator",
      "findingReportText": "Organizational  - Support/oversight/monitoring - Oversight - Pipeline operator",
      "findingText": null,
      "inProbableCause": true
    },
    {
      "findingNumber": 3,
      "sequenceNumber": 3,
      "findingCode": "01035101",
      "findingTier1Name": "Pipeline",
      "findingTier2Name": "Pipeline structure",
      "findingTier3Name": "Pipe seam",
      "findingTier4Name": null,
      "findingModifierName": "Failure",
      "findingReportText": "Pipeline - Pipeline structure - Pipe seam - Failure",
      "findingText": null,
      "inProbableCause": true
    },
    {
      "findingNumber": 2,
      "sequenceNumber": 2,
      "findingCode": "01020001",
      "findingTier1Name": "Pipeline",
      "findingTier2Name": "Pipline systems/equipment",
      "findingTier3Name": "(general)",
      "findingTier4Name": null,
      "findingModifierName": "Failure",
      "findingReportText": "Pipeline - Pipline systems/equipment - (general) - Failure",
      "findingText": null,
      "inProbableCause": true
    },
    {
      "findingNumber": 1,
      "sequenceNumber": 1,
      "findingCode": "01025506",
      "findingTier1Name": "Pipeline",
      "findingTier2Name": "Pipline systems/equipment",
      "findingTier3Name": "Coatings/anti-corrosion",
      "findingTier4Name": null,
      "findingModifierName": "Fatigue/wear/corrosion",
      "findingReportText": "Pipeline - Pipline systems/equipment - Coatings/anti-corrosion - Fatigue/wear/corrosion",
      "findingText": null,
      "inProbableCause": true
    }
  ],
  "caveat": "Official NTSB investigation data. NTSB findings determine probable cause and make safety recommendations; they do not adjudicate civil liability or regulatory violations.",
  "investigationPageAvailable": true,
  "investigationPageUrl": "https://www.ntsb.gov/investigations/Pages/PLD21FR003.aspx",
  "docketUrl": "https://data.ntsb.gov/Docket/?NTSBNumber=PLD21FR003",
  "reportArtifacts": [
    {
      "id": "ntsb-report-pir2301",
      "title": "PIR-23-01",
      "url": "https://www.ntsb.gov/investigations/AccidentReports/Reports/PIR2301.pdf",
      "pageCount": 11,
      "pdfArtifactPath": "data/sources/ntsb-reports/artifacts/reports/ntsb-report-pir2301.pdf",
      "pdfArtifactSha256": "5613b47a031cf054484f096c7fd2298e3b9eaee8c37701ee314b8208c44b296b",
      "extractedTextPath": "data/sources/ntsb-reports/artifacts/reports/ntsb-report-pir2301.txt",
      "extractedTextSha256": "683ad4901a7d5a7a6a5ae727e62b2f27ba3f039d6adf2b38bb09c1b45c56ec17",
      "extractionVersion": 2
    }
  ],
  "jurisdiction": "US",
  "operatorName": "Kinder Morgan",
  "region": "AZ"
}
```
