P-25-005
P-25-005
NTSB safety recommendation P-25-005.
TO THE 50 STATES, THE COMMONWEALTH OF PUERTO RICO, AND THE DISTRICT OF COLUMBIA: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak.
Priority: CLASS II
Overall Status: Open - Await Response
Issued Date: 2025-04-08
Adopted Date: 2025-03-18
Synopsis: This report discusses the March 24, 2023, natural gas–fueled explosion and fire at Building 2 of the R.M. Palmer Company, a candy manufacturer located in West Reading, Pennsylvania. The explosion destroyed the manufacturer’s Building 2 and caused significant structural damage to its adjacent Building 1 and other surrounding structures. In total, 7 people were killed, 10 people were injured, and 3 families were displaced from a neighboring apartment building. Safety issues identified in this report include degradation of a retired service tee, insufficient consideration of threats to pipeline integrity, the risk associated with unmarked private pipeline assets crossing public rights-of-way (for example, a public street), delayed evacuation of Building 2 despite detection of natural gas, natural gas safety messaging that may not reach certain members of the public, insufficient guidance on gas leak emergency procedures, absence of natural gas detection alarms in commercial buildings, and insufficient accessibility of gas distribution line valves. As part of this investigation, the National Transportation Safety Board issued recommendations to the Pipeline and Hazardous Materials Safety Administration, the Occupational Safety and Health Administration, 50 states along with the Commonwealth of Puerto Rico and the District of Columbia, the Commonwealth of Pennsylvania, the Pennsylvania Public Utility Commission, the American Gas Association, the American Petroleum Institute, the Gas Piping Technology Committee, the Common Ground Alliance, the International Code Council, the National Fire Protection Association, UGI Corporation, and R.M. Palmer Company.
Probable Cause: The National Transportation Safety Board determines that the probable cause of the explosion was degradation of a retired 1982 Aldyl A polyethylene service tee with a Delrin polyacetal insert that allowed natural gas to leak and migrate underground into the R.M. Palmer Company candy factory buildings, where it was ignited by an unknown source. Contributing to the degradation of the service tee and insert were significantly elevated ground temperatures from steam escaping R.M. Palmer Company’s corroded underground steam pipe, located near the service tee, that had been unmarked and cracked. Contributing to the steam pipe crack was soil movement and R.M. Palmer Company’s lack of awareness of the pipe’s corroded state. Contributing to the natural gas leak was UGI Corporation’s lack of awareness of the nearby steam pipe, which led to an incomplete integrity management program evaluation that did not consider or manage the risk posed by the steam pipe. Contributing to the accident’s severity was R.M. Palmer Company’s insufficient emergency response procedures and training of its employees, who did not understand the hazard and did not evacuate the buildings before the explosion.
Ntsbnumber: PLD23LR002
Report Number: PIR-25-01
Addressee Name: State of West Virginia
Addressee Status: Open - Await Response
Addressee Acronym: WV
Addressee Organization Type: S-State Government
Communication Date: 2025-04-08
Communication Type: Transmittal Letter
Communication Contents: 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 accidents in other modes of transportation—railroad, highway, marine, and pipeline. We determine the probable cause of the accidents and issue safety recommendations aimed at preventing future accidents. In addition, we carry out special studies concerning transportation safety and coordinate the resources of the federal government and other organizations to assist victims and their family members affected by major transportation disasters. We are providing the following information to urge the State of West Virginia to act on the safety recommendation in this letter because we believe your organization can help reduce the risk of future accidents. For more information about the NTSB and our recommendation process, please see the attached one-page summary. This letter also includes information about our March 18, 2025, report, UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, NTSB/PIR-25/01. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. As a result of this investigation, we identified the following safety issues: • Degradation of a retired Aldyl A service tee that was accelerated by elevated ground temperatures from a corroded and cracked steam pipe nearby. • UGI Corporation’s insufficient consideration of pipeline integrity threats, particularly Aldyl A service tees with Delrin inserts at elevated temperatures. • Presence of unmarked and unreported private assets crossing public rights-of-way, excluding them from the Pennsylvania One Call System and increasing the risk of damage to them. • Delayed evacuation of Palmer’s Building 2 despite detection of natural gas by employees and others. • Natural gas safety messaging from pipeline operator public awareness programs that may not reach certain members of the public. • Insufficient guidance on natural gas emergency procedures. • Absence of natural gas alarms in commercial buildings. • Insufficient accessibility of gas distribution line valves. Accordingly, the NTSB makes the following safety recommendation to the State of West Virginia (additional information regarding this recommendation can be found in the noted section of the report): • Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) (See section 2.5.1.) The NTSB is vitally interested in this recommendation because it is designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter, detailing the actions you have taken or intend to take to implement this recommendation. When replying, please refer to the safety recommendation by number (Safety Recommendation P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply, including attachments, exceeds 20 megabytes, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. All communications regarding safety recommendations are stored by the NTSB and viewable by the public. Please do not send privileged or confidential communications in response to this recommendation. Responses marked as confidential or privileged (or similar designations) will be considered nonresponsive. In the likely event that your company uses auto generated and/or preformatted confidentiality statements on letterhead or outgoing e-mails, please include a statement in your letter indicating that the information can be publicly released. If you have concerns about this protocol, please contact us at ExecutiveSecretariat@ntsb.gov. The attached letter from the NTSB Chairman provides information about the March 18, 2025, report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. The NTSB is vitally interested in these recommendations because they are designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter detailing the actions you have taken or intend to take to implement these recommendations. When replying, please refer to the safety recommendation by number (for example, P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply exceeds 20 megabytes, including attachments, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. From the report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1: 2.5.1 Natural Gas Alarms Public awareness is an effective tool to encourage adoption of safety devices like natural gas alarms. The first edition of API RP 1162 requires that public awareness programs include safety messages about the awareness of hazards and prevention measures as well as leak recognition and response but does not specifically require these programs to disseminate safety messages about natural gas alarms. UGI’s public awareness materials distributed before the accident were consistent with federal regulations, and although the materials promoted the use of smoke and carbon monoxide alarms, they did not address natural gas alarms. Following the accident, UGI now includes safety messages encouraging the purchase of natural gas alarms in its public awareness materials. The NTSB concludes that installing natural gas alarms can alert people of a gas leak so they can evacuate the area; however, natural gas customers may not be aware of the necessity of such alarms. The NTSB believes that messages about the benefits of natural gas alarms are critically important and could save lives when natural gas alarms are installed. The NTSB further believes that the natural gas industry can help shape the effectiveness of public awareness program delivery methods so that people in businesses, schools, residences, and other places of congregation are better informed, both about natural gas hazards and the necessity of natural gas alarms. The American Gas Association, which represents natural gas pipeline operators throughout the US, can facilitate industry efforts to improve public awareness program delivery methods and to improve safety, most critically through increasing the installation of natural gas alarms. Therefore, the NTSB recommends that the American Gas Association share the details of the March 24, 2023, natural gas–fueled explosion and fire in West Reading, Pennsylvania, with its members, encouraging them to evaluate the effectiveness of their current delivery methods of public awareness programs and to promote the installation of natural gas alarms in businesses, residences, and other places of congregation that they serve. Evacuation should occur immediately upon detection of the presence of natural gas. In 1976, the NTSB made its first recommendation to require natural gas detection to provide early warning of leaks. Most recently, after a 2016 building explosion in Silver Spring, Maryland, and then again after the 2018 home explosion in Dallas, we made recommendations to the ICC and the NFPA to require natural gas alarms with methane detection in residences (NTSB 2019). We recommended the
Addressee Acronym: WV
Addressee Organization Type: S-State Government
Communication Date: 2026-04-07
Communication Type: Recommendation Mention
Communication Contents: Pipeline Investigation Report PIR-26-02, “Enbridge Inc. Natural Gas–Fueled Home Explosion and Fatality, South Jordan, Utah, November 6, 2024” published on April 7, 2026: 2 Analysis On November 6, 2024, a natural gas–fueled home explosion fatally injured one resident and damaged nearby homes. A crack in the 4-inch-diameter Aldyl A gas main near the home allowed natural gas to leak and fuel the home explosion. The NTSB found that the crack originated on the inner surface of the pipe and aligned directly with an oblong impression on the outer surface. Investigators determined that a rock impingement likely caused the oblong impression on the outer surface of the pipe and the resulting crack. They also found that the crack growth features indicated that the crack breached the outer surface in a single abrupt event. As a result, the pipe rapidly transitioned from releasing no gas to releasing up to 48.7 scfm, as measured in the lab. Footnote: The actual leak rate may have been lower, given that the pipeline was buried in soil, which would constrain the pipe and provide back-pressure resistance to gas as it leaked from the pipe. Post-explosion, subsurface gas readings showed that the natural gas migrated about 150 feet from the leak location to the home. Although the exact timing of the leak could not be determined, the residents’ observations of physical symptoms, inability to relight the basement water heater, and an unusually high candle flame before the accident suggest that natural gas may have been present in the home for at least 3 days before the explosion. On November 6, the flammable natural gas–air mixture ignited in the southwest quadrant of the basement. The Utah Deputy State Fire Marshal identified two possible sources of the ignition: a water heater and a furnace. The water heater was turned off at the control point, so the only credible ignition source was the furnace. Footnote: The furnace control valve was found postaccident to have significant thermal damage, consistent with it being the ignition source. Before the accident, Enbridge had implemented safeguards to mitigate the consequences of leaks, including periodic leak surveys, timely response to odor complaints, and targeted replacement projects. However, none of these strategies proved effective for this scenario, because of the following issues related to the strategies: • Periodic leak surveys. Regulators require distribution leak surveys to be conducted every 5 years. Enbridge conducted its most recent leak survey on April 29, 2022—two years before the accident. However, in this accident, through-wall crack propagation occurred too rapidly, causing the leak to go undetected before the explosion. • Timely response to odor complaints. Regulators require odorization of natural gas in distribution systems to help alert the public to natural gas leaks. During interviews conducted by investigators, the NTSB determined that the local residents had not smelled natural gas odorant near the accident home, even though gas was determined to have permeated the ground in the area during postaccident surveys, indicating that the odorant had been stripped from the leaked natural gas that ultimately entered the home. Footnote: Field testing of the gas in the distribution system after the explosion found acceptable odorant concentrations. Although odorant can act as an early warning of a gas release to prevent an explosion and fire, it has been known to become depleted when traveling through soil, as it did in this accident. Previous NTSB investigations have identified occurrences of odorant depletion that allowed natural gas leaks to go undetected, resulting in explosions in Dallas, Texas, in 2018 and in Silver Spring, Maryland, in 2016. Footnote: NTSB. 2021. Atmos Energy Corporation Natural Gas–Fueled Explosion, Dallas, Texas, February 23, 2018. PAR-21/01. Washington, DC: NTSB. Footnote: NTSB. 2019. Building Explosion and Fire, Silver Spring, Maryland, August 10, 2016. PAR-19/01. Washington, DC: NTSB. • Targeted replacement projects. A 2014 California Public Utilities Commission study showed that the vintage of Aldyl A present in this accident, with stress concentrations from rock impingement, squeeze-off, bending, or deflection, were statistically predicted to fail between 22 and 235 years after installation. Footnote: California Public Utilities Commission 2014 Hazard Analysis and Mitigation Report On Aldyl A Polyethylene Gas Pipelines in California. Haine 2014. Because the estimated failure time is imprecise (a range of more than 200 years), and because some environmental conditions—such as the locations of rocks in the backfill material—are unknown, the Enbridge evaluation of the cracking threat to the 1976 vintage Aldyl A did not accurately characterize the risk of rock impingements and prevented Enbridge from identifying effective mitigative actions and targeted replacement projects. Even though Enbridge worked continuously to search for the leak after the explosion, it took them more than 21 hours to find and isolate the natural gas leak. During this time, the pipeline continued to leak natural gas into the ground, increasing the risk to nearby residents, first responders, and others operating in the area. When an underground natural gas pipeline leak occurs rapidly, it can be difficult to safeguard against. Natural gas alarms can provide an early warning of natural gas leaks inside nearby structures and can alert the building occupants to take immediate safety actions. Had in-home natural gas alarms been installed in the homes involved in this accident, they would have alerted the residents to a potential problem and prompted them to evacuate and call 911, reducing or eliminating the fatal consequences of the explosion. The NTSB has previously recommended requiring the installation of natural gas alarms in businesses, residences, and other buildings (Safety Recommendation P 25 05).
Addressee Acronym: WV
Addressee Organization Type: S-State Government
Communication Date: 2026-06-05
Communication Type: Recommendation Mention
Communication Contents: Atmos Energy Corporation Natural Gas–Fueled Home Explosion Pipeline Investigation Report PIR-26-03 published on June 5, 2026: Analysis The explosion and fire occurred after natural gas leaked from a fractured buried main, migrated through an uncapped underground sewer lateral, entered the accident home, and reached an explosive concentration near an unknown ignition source. The investigation did not identify issues with gas pressures in the area of the leak or the timeliness or efficacy of the local emergency response agencies. Postaccident bar-hole testing and excavations found only one source of natural gas: a leak in the gas main near a valve box on the eastern edge of the construction site. On-site examinations of the main found that it was fractured around most of its circumference with a thin strip of metal at the top (12 o’clock position) joining the southern section of pipe to the section still threaded into the valve body. This indicates tension—a stretching force—at the bottom of the pipe along its long axis. Tension along the bottom of the pipe is consistent with a bending stress created by an external downward force. Based on information provided to Atmos by the construction superintendent, a cement truck ran over a valve box at the leak’s location immediately before he heard and smelled natural gas being released. The investigation did not identify another plausible external force that could have damaged the main. The Materials Laboratory examination of the main found fracture characteristics typical of fast crack growth and no signs of significant corrosion or preexisting structural damage that could have contributed to the failure. The fracture was therefore consistent with a sudden application of force by the valve box to the main. Based on the fracture’s location, timing, and fast-cracking characteristics, the valve box transmitted part of the cement truck’s weight to the gas main, causing the main to fracture and leak. Examination of the gas main and valve box involved in this accident found coal tar coating the main and deposited on the bottom edge of the valve box. This indicates that the valve box was in contact with the main. The presence of coal tar alone does not indicate when the contact occurred, but the evidence is consistent with the valve box being installed in contact with the main and therefore able transmit the cement truck’s weight directly to the main near the fracture’s location. Federal regulations at 49 CFR 192.181(c)(3) require that valve boxes not be installed in a manner that transmits external loads to mains, and valve boxes are normally installed with a buffer of soil or other protection between the valve box and the assets immediately below. For example, Atmos’s newer valve boxes are installed with support and base pads to prevent load transmission. However, Atmos was not actively replacing cast iron valve boxes with this newer design. Further, the maintenance crew that removed and reinstalled the valve box about 2 months before the accident did not have a specific standard to follow for reinstalling cast iron valve boxes other than an expectation that the top of the valve box be level with the grade. The lack of a standard likely led to the common reinstallation of valve boxes in contact with mains, as described by an Atmos vice president of operations. If Atmos had adopted either a standard for safely installing cast iron valve boxes or a policy of replacing cast iron valve boxes with the newer design, the protective buffer of soil or support pad would have reduced the load transmitted to the pipe on the day of the accident. There is not enough evidence to determine whether a buffer or pad would have prevented the accident, but it would have made the infrastructure more resilient. Atmos has not reported making changes to its valve box installation practices. After the main fractured, gas propagated undetected through an uncapped underground sewer lateral into the sewer system and then into the accident home, where it reached an explosive concentration. The gas in the sewers remained undetected because Atmos personnel did not test the atmosphere in the sewers prior to the explosion. For about 35 minutes, most of the time between the initial leak and the explosion, there was only one Atmos employee on the scene: an experienced senior service technician. He was equipped with a CGI and checked nearby storm drains for the presence of gas, which was one step in Atmos’s subsurface leak investigation procedure. During his interview with the NTSB, he described planning to check the sewers, another required step, but said that he had already confirmed that there was no threat to life or property. His activities after checking the storm drains are also consistent with a belief that he had finished assessing the risk posed by the leak: he switched to the non-safety-critical work of recording billing information for the damage. The investigation did not find evidence of a natural gas alarm in the accident home, which did not have gas service but was still impacted by a leak from a gas main. It is likely that a natural gas alarm would have provided the home’s occupants with warning of accumulating natural gas and given them an opportunity to evacuate before the explosion. The NTSB has advocated wider installation and use of natural gas alarms for nearly 50 years, including following the investigation into a pair of 2024 home explosions in Jackson, Mississippi, that involved Atmos assets. As a result of that investigation, the NTSB reiterated a recommendation to the 50 states, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: See CAROL for the complete history and current status of this recommendation. The NTSB also recommended that Atmos “develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas” (P-26-10).11F Footnote: See CAROL for the complete history and current status of this recommendation.
Addressee Acronym: WV
Addressee Organization Type: S-State Government
Communication Date: 2026-03-26
Communication Type: Recommendation Reiteration
Communication Contents: From the Report, “Atmos Energy Corporation Natural Gas-Fueled Home Explosions and Fires Jackson, Mississippi, January 24, 2024, and January 27, 2024” published on March 26, 2026. Absence of Natural Gas Detection Alarms in Buildings The Bristol Boulevard accident home and the Shalimar Drive accident home did not have natural gas alarms installed. For nearly 50 years, the NTSB has been recommending natural gas alarms for the early detection of natural gas leaks. In the West Reading accident, several candy factory employees told the NTSB that they had smelled natural gas odorant and did not call 9 1 1 or the gas company but stayed in the building until the explosion occurred. Some of the employees inquired with their managers about what to do, and their managers were equally unaware of the actions to take during a suspected natural gas leak. In the two Jackson accidents, and in many of the pipeline accidents the NTSB has investigated for the last 5 decades, people smelled natural gas odorant and either did not know what actions to take, or they knew the actions necessary to address a potential natural gas emergency but did not execute them. Natural gas distribution pipeline operators must educate the public on pipeline safety through public awareness programs. It is also necessary, however, to have safeguards in place when members of the public (1) smell natural gas odorant and do not take the appropriate safety actions and (2) do not smell natural gas odorant, as was the case in the NTSB investigation of the Dallas accident, and therefore do not take appropriate safety actions. Footnote: The NTSB’s Dallas investigation determined that the occupants in the accident homes did not smell natural gas odorant because it was absorbed and depleted in the soil. Natural gas alarms are safeguards in protecting the public, which is why the NTSB has recommended their installation after many of our pipeline accident investigations. The NTSB found that natural gas alarms likely would have prevented or reduced the consequences of the Dallas and West Reading accidents, and the evidence in this investigation suggests the same. The Shalimar Drive accident home was empty at the time of that accident; however, when the explosion in the Bristol Boulevard accident home occurred, two people were inside. Therefore, the NTSB concludes that had a natural gas alarm been installed inside the Bristol Boulevard accident home, it could have alerted occupants that natural gas was present, prompting them to evacuate and report the leak, making Atmos aware that the leak had likely worsened and required corrective action. As a result of the West Reading investigation, the NTSB recommended that the 50 States, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: Safety Recommendation P-25-5 is currently classified Open—Await Response. As of this report, 7 states and the District of Columbia have provided an initial response; 43 states and the Commonwealth of Puerto Rico have not responded. Footnote: The seven states that have provided an initial response include Colorado, Connecticut, Kansas, Nevada, North Carolina, Virginia, and Wyoming. Mississippi, the state where the two Jackson accidents occurred, is one of the 43 states that have not provided an initial response. The NTSB investigation of the two Jackson accidents has again identified the critical importance of natural gas alarms to alert occupants to natural gas leaks. Therefore, the NTSB reiterates Safety Recommendation P 25-5 to 50 States, the Commonwealth of Puerto Rico, and the District of Columbia. As discussed in section 1.10.1.1, after the Avondale accident, Atmos reported that it provided the public with information, through its website, on the availability of natural gas alarms. However, Atmos can do more to safeguard the public in its distribution areas. The NTSB is aware of multiple natural gas distribution operators that have made natural gas alarms available to people in their service areas. Footnote: Visit http://www.ntsb.gov to find additional information in the public docket for this NTSB accident investigation (case number PLD24FR003). Therefore, the NTSB recommends that Atmos develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas.
Addressee Name: State of Washington
Addressee Status: Open - Await Response
Addressee Acronym: WA
Addressee Organization Type: S-State Government
Communication Date: 2025-04-08
Communication Type: Transmittal Letter
Communication Contents: 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 accidents in other modes of transportation—railroad, highway, marine, and pipeline. We determine the probable cause of the accidents and issue safety recommendations aimed at preventing future accidents. In addition, we carry out special studies concerning transportation safety and coordinate the resources of the federal government and other organizations to assist victims and their family members affected by major transportation disasters. We are providing the following information to urge the State of Washington to act on the safety recommendation in this letter because we believe your organization can help reduce the risk of future accidents. For more information about the NTSB and our recommendation process, please see the attached one-page summary. This letter also includes information about our March 18, 2025, report, UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, NTSB/PIR-25/01. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. As a result of this investigation, we identified the following safety issues: • Degradation of a retired Aldyl A service tee that was accelerated by elevated ground temperatures from a corroded and cracked steam pipe nearby. • UGI Corporation’s insufficient consideration of pipeline integrity threats, particularly Aldyl A service tees with Delrin inserts at elevated temperatures. • Presence of unmarked and unreported private assets crossing public rights-of-way, excluding them from the Pennsylvania One Call System and increasing the risk of damage to them. • Delayed evacuation of Palmer’s Building 2 despite detection of natural gas by employees and others. • Natural gas safety messaging from pipeline operator public awareness programs that may not reach certain members of the public. • Insufficient guidance on natural gas emergency procedures. • Absence of natural gas alarms in commercial buildings. • Insufficient accessibility of gas distribution line valves. Accordingly, the NTSB makes the following safety recommendation to the State of Washington (additional information regarding this recommendation can be found in the noted section of the report): • Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) (See section 2.5.1.) The NTSB is vitally interested in this recommendation because it is designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter, detailing the actions you have taken or intend to take to implement this recommendation. When replying, please refer to the safety recommendation by number (Safety Recommendation P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply, including attachments, exceeds 20 megabytes, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. All communications regarding safety recommendations are stored by the NTSB and viewable by the public. Please do not send privileged or confidential communications in response to this recommendation. Responses marked as confidential or privileged (or similar designations) will be considered nonresponsive. In the likely event that your company uses auto generated and/or preformatted confidentiality statements on letterhead or outgoing e-mails, please include a statement in your letter indicating that the information can be publicly released. If you have concerns about this protocol, please contact us at ExecutiveSecretariat@ntsb.gov. The attached letter from the NTSB Chairman provides information about the March 18, 2025, report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. The NTSB is vitally interested in these recommendations because they are designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter detailing the actions you have taken or intend to take to implement these recommendations. When replying, please refer to the safety recommendation by number (for example, P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply exceeds 20 megabytes, including attachments, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. From the report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1: 2.5.1 Natural Gas Alarms Public awareness is an effective tool to encourage adoption of safety devices like natural gas alarms. The first edition of API RP 1162 requires that public awareness programs include safety messages about the awareness of hazards and prevention measures as well as leak recognition and response but does not specifically require these programs to disseminate safety messages about natural gas alarms. UGI’s public awareness materials distributed before the accident were consistent with federal regulations, and although the materials promoted the use of smoke and carbon monoxide alarms, they did not address natural gas alarms. Following the accident, UGI now includes safety messages encouraging the purchase of natural gas alarms in its public awareness materials. The NTSB concludes that installing natural gas alarms can alert people of a gas leak so they can evacuate the area; however, natural gas customers may not be aware of the necessity of such alarms. The NTSB believes that messages about the benefits of natural gas alarms are critically important and could save lives when natural gas alarms are installed. The NTSB further believes that the natural gas industry can help shape the effectiveness of public awareness program delivery methods so that people in businesses, schools, residences, and other places of congregation are better informed, both about natural gas hazards and the necessity of natural gas alarms. The American Gas Association, which represents natural gas pipeline operators throughout the US, can facilitate industry efforts to improve public awareness program delivery methods and to improve safety, most critically through increasing the installation of natural gas alarms. Therefore, the NTSB recommends that the American Gas Association share the details of the March 24, 2023, natural gas–fueled explosion and fire in West Reading, Pennsylvania, with its members, encouraging them to evaluate the effectiveness of their current delivery methods of public awareness programs and to promote the installation of natural gas alarms in businesses, residences, and other places of congregation that they serve. Evacuation should occur immediately upon detection of the presence of natural gas. In 1976, the NTSB made its first recommendation to require natural gas detection to provide early warning of leaks. Most recently, after a 2016 building explosion in Silver Spring, Maryland, and then again after the 2018 home explosion in Dallas, we made recommendations to the ICC and the NFPA to require natural gas alarms with methane detection in residences (NTSB 2019). We recommended the ICC w
Addressee Acronym: WA
Addressee Organization Type: S-State Government
Communication Date: 2026-04-07
Communication Type: Recommendation Mention
Communication Contents: Pipeline Investigation Report PIR-26-02, “Enbridge Inc. Natural Gas–Fueled Home Explosion and Fatality, South Jordan, Utah, November 6, 2024” published on April 7, 2026: 2 Analysis On November 6, 2024, a natural gas–fueled home explosion fatally injured one resident and damaged nearby homes. A crack in the 4-inch-diameter Aldyl A gas main near the home allowed natural gas to leak and fuel the home explosion. The NTSB found that the crack originated on the inner surface of the pipe and aligned directly with an oblong impression on the outer surface. Investigators determined that a rock impingement likely caused the oblong impression on the outer surface of the pipe and the resulting crack. They also found that the crack growth features indicated that the crack breached the outer surface in a single abrupt event. As a result, the pipe rapidly transitioned from releasing no gas to releasing up to 48.7 scfm, as measured in the lab. Footnote: The actual leak rate may have been lower, given that the pipeline was buried in soil, which would constrain the pipe and provide back-pressure resistance to gas as it leaked from the pipe. Post-explosion, subsurface gas readings showed that the natural gas migrated about 150 feet from the leak location to the home. Although the exact timing of the leak could not be determined, the residents’ observations of physical symptoms, inability to relight the basement water heater, and an unusually high candle flame before the accident suggest that natural gas may have been present in the home for at least 3 days before the explosion. On November 6, the flammable natural gas–air mixture ignited in the southwest quadrant of the basement. The Utah Deputy State Fire Marshal identified two possible sources of the ignition: a water heater and a furnace. The water heater was turned off at the control point, so the only credible ignition source was the furnace. Footnote: The furnace control valve was found postaccident to have significant thermal damage, consistent with it being the ignition source. Before the accident, Enbridge had implemented safeguards to mitigate the consequences of leaks, including periodic leak surveys, timely response to odor complaints, and targeted replacement projects. However, none of these strategies proved effective for this scenario, because of the following issues related to the strategies: • Periodic leak surveys. Regulators require distribution leak surveys to be conducted every 5 years. Enbridge conducted its most recent leak survey on April 29, 2022—two years before the accident. However, in this accident, through-wall crack propagation occurred too rapidly, causing the leak to go undetected before the explosion. • Timely response to odor complaints. Regulators require odorization of natural gas in distribution systems to help alert the public to natural gas leaks. During interviews conducted by investigators, the NTSB determined that the local residents had not smelled natural gas odorant near the accident home, even though gas was determined to have permeated the ground in the area during postaccident surveys, indicating that the odorant had been stripped from the leaked natural gas that ultimately entered the home. Footnote: Field testing of the gas in the distribution system after the explosion found acceptable odorant concentrations. Although odorant can act as an early warning of a gas release to prevent an explosion and fire, it has been known to become depleted when traveling through soil, as it did in this accident. Previous NTSB investigations have identified occurrences of odorant depletion that allowed natural gas leaks to go undetected, resulting in explosions in Dallas, Texas, in 2018 and in Silver Spring, Maryland, in 2016. Footnote: NTSB. 2021. Atmos Energy Corporation Natural Gas–Fueled Explosion, Dallas, Texas, February 23, 2018. PAR-21/01. Washington, DC: NTSB. Footnote: NTSB. 2019. Building Explosion and Fire, Silver Spring, Maryland, August 10, 2016. PAR-19/01. Washington, DC: NTSB. • Targeted replacement projects. A 2014 California Public Utilities Commission study showed that the vintage of Aldyl A present in this accident, with stress concentrations from rock impingement, squeeze-off, bending, or deflection, were statistically predicted to fail between 22 and 235 years after installation. Footnote: California Public Utilities Commission 2014 Hazard Analysis and Mitigation Report On Aldyl A Polyethylene Gas Pipelines in California. Haine 2014. Because the estimated failure time is imprecise (a range of more than 200 years), and because some environmental conditions—such as the locations of rocks in the backfill material—are unknown, the Enbridge evaluation of the cracking threat to the 1976 vintage Aldyl A did not accurately characterize the risk of rock impingements and prevented Enbridge from identifying effective mitigative actions and targeted replacement projects. Even though Enbridge worked continuously to search for the leak after the explosion, it took them more than 21 hours to find and isolate the natural gas leak. During this time, the pipeline continued to leak natural gas into the ground, increasing the risk to nearby residents, first responders, and others operating in the area. When an underground natural gas pipeline leak occurs rapidly, it can be difficult to safeguard against. Natural gas alarms can provide an early warning of natural gas leaks inside nearby structures and can alert the building occupants to take immediate safety actions. Had in-home natural gas alarms been installed in the homes involved in this accident, they would have alerted the residents to a potential problem and prompted them to evacuate and call 911, reducing or eliminating the fatal consequences of the explosion. The NTSB has previously recommended requiring the installation of natural gas alarms in businesses, residences, and other buildings (Safety Recommendation P 25 05).
Addressee Acronym: WA
Addressee Organization Type: S-State Government
Communication Date: 2026-06-05
Communication Type: Recommendation Mention
Communication Contents: Atmos Energy Corporation Natural Gas–Fueled Home Explosion Pipeline Investigation Report PIR-26-03 published on June 5, 2026: Analysis The explosion and fire occurred after natural gas leaked from a fractured buried main, migrated through an uncapped underground sewer lateral, entered the accident home, and reached an explosive concentration near an unknown ignition source. The investigation did not identify issues with gas pressures in the area of the leak or the timeliness or efficacy of the local emergency response agencies. Postaccident bar-hole testing and excavations found only one source of natural gas: a leak in the gas main near a valve box on the eastern edge of the construction site. On-site examinations of the main found that it was fractured around most of its circumference with a thin strip of metal at the top (12 o’clock position) joining the southern section of pipe to the section still threaded into the valve body. This indicates tension—a stretching force—at the bottom of the pipe along its long axis. Tension along the bottom of the pipe is consistent with a bending stress created by an external downward force. Based on information provided to Atmos by the construction superintendent, a cement truck ran over a valve box at the leak’s location immediately before he heard and smelled natural gas being released. The investigation did not identify another plausible external force that could have damaged the main. The Materials Laboratory examination of the main found fracture characteristics typical of fast crack growth and no signs of significant corrosion or preexisting structural damage that could have contributed to the failure. The fracture was therefore consistent with a sudden application of force by the valve box to the main. Based on the fracture’s location, timing, and fast-cracking characteristics, the valve box transmitted part of the cement truck’s weight to the gas main, causing the main to fracture and leak. Examination of the gas main and valve box involved in this accident found coal tar coating the main and deposited on the bottom edge of the valve box. This indicates that the valve box was in contact with the main. The presence of coal tar alone does not indicate when the contact occurred, but the evidence is consistent with the valve box being installed in contact with the main and therefore able transmit the cement truck’s weight directly to the main near the fracture’s location. Federal regulations at 49 CFR 192.181(c)(3) require that valve boxes not be installed in a manner that transmits external loads to mains, and valve boxes are normally installed with a buffer of soil or other protection between the valve box and the assets immediately below. For example, Atmos’s newer valve boxes are installed with support and base pads to prevent load transmission. However, Atmos was not actively replacing cast iron valve boxes with this newer design. Further, the maintenance crew that removed and reinstalled the valve box about 2 months before the accident did not have a specific standard to follow for reinstalling cast iron valve boxes other than an expectation that the top of the valve box be level with the grade. The lack of a standard likely led to the common reinstallation of valve boxes in contact with mains, as described by an Atmos vice president of operations. If Atmos had adopted either a standard for safely installing cast iron valve boxes or a policy of replacing cast iron valve boxes with the newer design, the protective buffer of soil or support pad would have reduced the load transmitted to the pipe on the day of the accident. There is not enough evidence to determine whether a buffer or pad would have prevented the accident, but it would have made the infrastructure more resilient. Atmos has not reported making changes to its valve box installation practices. After the main fractured, gas propagated undetected through an uncapped underground sewer lateral into the sewer system and then into the accident home, where it reached an explosive concentration. The gas in the sewers remained undetected because Atmos personnel did not test the atmosphere in the sewers prior to the explosion. For about 35 minutes, most of the time between the initial leak and the explosion, there was only one Atmos employee on the scene: an experienced senior service technician. He was equipped with a CGI and checked nearby storm drains for the presence of gas, which was one step in Atmos’s subsurface leak investigation procedure. During his interview with the NTSB, he described planning to check the sewers, another required step, but said that he had already confirmed that there was no threat to life or property. His activities after checking the storm drains are also consistent with a belief that he had finished assessing the risk posed by the leak: he switched to the non-safety-critical work of recording billing information for the damage. The investigation did not find evidence of a natural gas alarm in the accident home, which did not have gas service but was still impacted by a leak from a gas main. It is likely that a natural gas alarm would have provided the home’s occupants with warning of accumulating natural gas and given them an opportunity to evacuate before the explosion. The NTSB has advocated wider installation and use of natural gas alarms for nearly 50 years, including following the investigation into a pair of 2024 home explosions in Jackson, Mississippi, that involved Atmos assets. As a result of that investigation, the NTSB reiterated a recommendation to the 50 states, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: See CAROL for the complete history and current status of this recommendation. The NTSB also recommended that Atmos “develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas” (P-26-10).11F Footnote: See CAROL for the complete history and current status of this recommendation.
Addressee Acronym: WA
Addressee Organization Type: S-State Government
Communication Date: 2026-03-26
Communication Type: Recommendation Reiteration
Communication Contents: From the Report, “Atmos Energy Corporation Natural Gas-Fueled Home Explosions and Fires Jackson, Mississippi, January 24, 2024, and January 27, 2024” published on March 26, 2026. Absence of Natural Gas Detection Alarms in Buildings The Bristol Boulevard accident home and the Shalimar Drive accident home did not have natural gas alarms installed. For nearly 50 years, the NTSB has been recommending natural gas alarms for the early detection of natural gas leaks. In the West Reading accident, several candy factory employees told the NTSB that they had smelled natural gas odorant and did not call 9 1 1 or the gas company but stayed in the building until the explosion occurred. Some of the employees inquired with their managers about what to do, and their managers were equally unaware of the actions to take during a suspected natural gas leak. In the two Jackson accidents, and in many of the pipeline accidents the NTSB has investigated for the last 5 decades, people smelled natural gas odorant and either did not know what actions to take, or they knew the actions necessary to address a potential natural gas emergency but did not execute them. Natural gas distribution pipeline operators must educate the public on pipeline safety through public awareness programs. It is also necessary, however, to have safeguards in place when members of the public (1) smell natural gas odorant and do not take the appropriate safety actions and (2) do not smell natural gas odorant, as was the case in the NTSB investigation of the Dallas accident, and therefore do not take appropriate safety actions. Footnote: The NTSB’s Dallas investigation determined that the occupants in the accident homes did not smell natural gas odorant because it was absorbed and depleted in the soil. Natural gas alarms are safeguards in protecting the public, which is why the NTSB has recommended their installation after many of our pipeline accident investigations. The NTSB found that natural gas alarms likely would have prevented or reduced the consequences of the Dallas and West Reading accidents, and the evidence in this investigation suggests the same. The Shalimar Drive accident home was empty at the time of that accident; however, when the explosion in the Bristol Boulevard accident home occurred, two people were inside. Therefore, the NTSB concludes that had a natural gas alarm been installed inside the Bristol Boulevard accident home, it could have alerted occupants that natural gas was present, prompting them to evacuate and report the leak, making Atmos aware that the leak had likely worsened and required corrective action. As a result of the West Reading investigation, the NTSB recommended that the 50 States, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: Safety Recommendation P-25-5 is currently classified Open—Await Response. As of this report, 7 states and the District of Columbia have provided an initial response; 43 states and the Commonwealth of Puerto Rico have not responded. Footnote: The seven states that have provided an initial response include Colorado, Connecticut, Kansas, Nevada, North Carolina, Virginia, and Wyoming. Mississippi, the state where the two Jackson accidents occurred, is one of the 43 states that have not provided an initial response. The NTSB investigation of the two Jackson accidents has again identified the critical importance of natural gas alarms to alert occupants to natural gas leaks. Therefore, the NTSB reiterates Safety Recommendation P 25-5 to 50 States, the Commonwealth of Puerto Rico, and the District of Columbia. As discussed in section 1.10.1.1, after the Avondale accident, Atmos reported that it provided the public with information, through its website, on the availability of natural gas alarms. However, Atmos can do more to safeguard the public in its distribution areas. The NTSB is aware of multiple natural gas distribution operators that have made natural gas alarms available to people in their service areas. Footnote: Visit http://www.ntsb.gov to find additional information in the public docket for this NTSB accident investigation (case number PLD24FR003). Therefore, the NTSB recommends that Atmos develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas.
Addressee Name: State of Vermont
Addressee Status: Open - Await Response
Addressee Acronym: VT
Addressee Organization Type: S-State Government
Communication Date: 2025-04-08
Communication Type: Transmittal Letter
Communication Contents: 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 accidents in other modes of transportation—railroad, highway, marine, and pipeline. We determine the probable cause of the accidents and issue safety recommendations aimed at preventing future accidents. In addition, we carry out special studies concerning transportation safety and coordinate the resources of the federal government and other organizations to assist victims and their family members affected by major transportation disasters. We are providing the following information to urge the State of Vermont to act on the safety recommendation in this letter because we believe your organization can help reduce the risk of future accidents. For more information about the NTSB and our recommendation process, please see the attached one-page summary. This letter also includes information about our March 18, 2025, report, UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, NTSB/PIR-25/01. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. As a result of this investigation, we identified the following safety issues: • Degradation of a retired Aldyl A service tee that was accelerated by elevated ground temperatures from a corroded and cracked steam pipe nearby. • UGI Corporation’s insufficient consideration of pipeline integrity threats, particularly Aldyl A service tees with Delrin inserts at elevated temperatures. • Presence of unmarked and unreported private assets crossing public rights-of-way, excluding them from the Pennsylvania One Call System and increasing the risk of damage to them. • Delayed evacuation of Palmer’s Building 2 despite detection of natural gas by employees and others. • Natural gas safety messaging from pipeline operator public awareness programs that may not reach certain members of the public. • Insufficient guidance on natural gas emergency procedures. • Absence of natural gas alarms in commercial buildings. • Insufficient accessibility of gas distribution line valves. Accordingly, the NTSB makes the following safety recommendation to the State of Vermont (additional information regarding this recommendation can be found in the noted section of the report): • Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) (See section 2.5.1.) The NTSB is vitally interested in this recommendation because it is designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter, detailing the actions you have taken or intend to take to implement this recommendation. When replying, please refer to the safety recommendation by number (Safety Recommendation P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply, including attachments, exceeds 20 megabytes, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. All communications regarding safety recommendations are stored by the NTSB and viewable by the public. Please do not send privileged or confidential communications in response to this recommendation. Responses marked as confidential or privileged (or similar designations) will be considered nonresponsive. In the likely event that your company uses auto generated and/or preformatted confidentiality statements on letterhead or outgoing e-mails, please include a statement in your letter indicating that the information can be publicly released. If you have concerns about this protocol, please contact us at ExecutiveSecretariat@ntsb.gov. The attached letter from the NTSB Chairman provides information about the March 18, 2025, report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. The NTSB is vitally interested in these recommendations because they are designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter detailing the actions you have taken or intend to take to implement these recommendations. When replying, please refer to the safety recommendation by number (for example, P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply exceeds 20 megabytes, including attachments, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. From the report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1: 2.5.1 Natural Gas Alarms Public awareness is an effective tool to encourage adoption of safety devices like natural gas alarms. The first edition of API RP 1162 requires that public awareness programs include safety messages about the awareness of hazards and prevention measures as well as leak recognition and response but does not specifically require these programs to disseminate safety messages about natural gas alarms. UGI’s public awareness materials distributed before the accident were consistent with federal regulations, and although the materials promoted the use of smoke and carbon monoxide alarms, they did not address natural gas alarms. Following the accident, UGI now includes safety messages encouraging the purchase of natural gas alarms in its public awareness materials. The NTSB concludes that installing natural gas alarms can alert people of a gas leak so they can evacuate the area; however, natural gas customers may not be aware of the necessity of such alarms. The NTSB believes that messages about the benefits of natural gas alarms are critically important and could save lives when natural gas alarms are installed. The NTSB further believes that the natural gas industry can help shape the effectiveness of public awareness program delivery methods so that people in businesses, schools, residences, and other places of congregation are better informed, both about natural gas hazards and the necessity of natural gas alarms. The American Gas Association, which represents natural gas pipeline operators throughout the US, can facilitate industry efforts to improve public awareness program delivery methods and to improve safety, most critically through increasing the installation of natural gas alarms. Therefore, the NTSB recommends that the American Gas Association share the details of the March 24, 2023, natural gas–fueled explosion and fire in West Reading, Pennsylvania, with its members, encouraging them to evaluate the effectiveness of their current delivery methods of public awareness programs and to promote the installation of natural gas alarms in businesses, residences, and other places of congregation that they serve. Evacuation should occur immediately upon detection of the presence of natural gas. In 1976, the NTSB made its first recommendation to require natural gas detection to provide early warning of leaks. Most recently, after a 2016 building explosion in Silver Spring, Maryland, and then again after the 2018 home explosion in Dallas, we made recommendations to the ICC and the NFPA to require natural gas alarms with methane detection in residences (NTSB 2019). We recommended the ICC work wi
Addressee Acronym: VT
Addressee Organization Type: S-State Government
Communication Date: 2026-04-07
Communication Type: Recommendation Mention
Communication Contents: Pipeline Investigation Report PIR-26-02, “Enbridge Inc. Natural Gas–Fueled Home Explosion and Fatality, South Jordan, Utah, November 6, 2024” published on April 7, 2026: 2 Analysis On November 6, 2024, a natural gas–fueled home explosion fatally injured one resident and damaged nearby homes. A crack in the 4-inch-diameter Aldyl A gas main near the home allowed natural gas to leak and fuel the home explosion. The NTSB found that the crack originated on the inner surface of the pipe and aligned directly with an oblong impression on the outer surface. Investigators determined that a rock impingement likely caused the oblong impression on the outer surface of the pipe and the resulting crack. They also found that the crack growth features indicated that the crack breached the outer surface in a single abrupt event. As a result, the pipe rapidly transitioned from releasing no gas to releasing up to 48.7 scfm, as measured in the lab. Footnote: The actual leak rate may have been lower, given that the pipeline was buried in soil, which would constrain the pipe and provide back-pressure resistance to gas as it leaked from the pipe. Post-explosion, subsurface gas readings showed that the natural gas migrated about 150 feet from the leak location to the home. Although the exact timing of the leak could not be determined, the residents’ observations of physical symptoms, inability to relight the basement water heater, and an unusually high candle flame before the accident suggest that natural gas may have been present in the home for at least 3 days before the explosion. On November 6, the flammable natural gas–air mixture ignited in the southwest quadrant of the basement. The Utah Deputy State Fire Marshal identified two possible sources of the ignition: a water heater and a furnace. The water heater was turned off at the control point, so the only credible ignition source was the furnace. Footnote: The furnace control valve was found postaccident to have significant thermal damage, consistent with it being the ignition source. Before the accident, Enbridge had implemented safeguards to mitigate the consequences of leaks, including periodic leak surveys, timely response to odor complaints, and targeted replacement projects. However, none of these strategies proved effective for this scenario, because of the following issues related to the strategies: • Periodic leak surveys. Regulators require distribution leak surveys to be conducted every 5 years. Enbridge conducted its most recent leak survey on April 29, 2022—two years before the accident. However, in this accident, through-wall crack propagation occurred too rapidly, causing the leak to go undetected before the explosion. • Timely response to odor complaints. Regulators require odorization of natural gas in distribution systems to help alert the public to natural gas leaks. During interviews conducted by investigators, the NTSB determined that the local residents had not smelled natural gas odorant near the accident home, even though gas was determined to have permeated the ground in the area during postaccident surveys, indicating that the odorant had been stripped from the leaked natural gas that ultimately entered the home. Footnote: Field testing of the gas in the distribution system after the explosion found acceptable odorant concentrations. Although odorant can act as an early warning of a gas release to prevent an explosion and fire, it has been known to become depleted when traveling through soil, as it did in this accident. Previous NTSB investigations have identified occurrences of odorant depletion that allowed natural gas leaks to go undetected, resulting in explosions in Dallas, Texas, in 2018 and in Silver Spring, Maryland, in 2016. Footnote: NTSB. 2021. Atmos Energy Corporation Natural Gas–Fueled Explosion, Dallas, Texas, February 23, 2018. PAR-21/01. Washington, DC: NTSB. Footnote: NTSB. 2019. Building Explosion and Fire, Silver Spring, Maryland, August 10, 2016. PAR-19/01. Washington, DC: NTSB. • Targeted replacement projects. A 2014 California Public Utilities Commission study showed that the vintage of Aldyl A present in this accident, with stress concentrations from rock impingement, squeeze-off, bending, or deflection, were statistically predicted to fail between 22 and 235 years after installation. Footnote: California Public Utilities Commission 2014 Hazard Analysis and Mitigation Report On Aldyl A Polyethylene Gas Pipelines in California. Haine 2014. Because the estimated failure time is imprecise (a range of more than 200 years), and because some environmental conditions—such as the locations of rocks in the backfill material—are unknown, the Enbridge evaluation of the cracking threat to the 1976 vintage Aldyl A did not accurately characterize the risk of rock impingements and prevented Enbridge from identifying effective mitigative actions and targeted replacement projects. Even though Enbridge worked continuously to search for the leak after the explosion, it took them more than 21 hours to find and isolate the natural gas leak. During this time, the pipeline continued to leak natural gas into the ground, increasing the risk to nearby residents, first responders, and others operating in the area. When an underground natural gas pipeline leak occurs rapidly, it can be difficult to safeguard against. Natural gas alarms can provide an early warning of natural gas leaks inside nearby structures and can alert the building occupants to take immediate safety actions. Had in-home natural gas alarms been installed in the homes involved in this accident, they would have alerted the residents to a potential problem and prompted them to evacuate and call 911, reducing or eliminating the fatal consequences of the explosion. The NTSB has previously recommended requiring the installation of natural gas alarms in businesses, residences, and other buildings (Safety Recommendation P 25 05).
Addressee Acronym: VT
Addressee Organization Type: S-State Government
Communication Date: 2026-06-05
Communication Type: Recommendation Mention
Communication Contents: Atmos Energy Corporation Natural Gas–Fueled Home Explosion Pipeline Investigation Report PIR-26-03 published on June 5, 2026: Analysis The explosion and fire occurred after natural gas leaked from a fractured buried main, migrated through an uncapped underground sewer lateral, entered the accident home, and reached an explosive concentration near an unknown ignition source. The investigation did not identify issues with gas pressures in the area of the leak or the timeliness or efficacy of the local emergency response agencies. Postaccident bar-hole testing and excavations found only one source of natural gas: a leak in the gas main near a valve box on the eastern edge of the construction site. On-site examinations of the main found that it was fractured around most of its circumference with a thin strip of metal at the top (12 o’clock position) joining the southern section of pipe to the section still threaded into the valve body. This indicates tension—a stretching force—at the bottom of the pipe along its long axis. Tension along the bottom of the pipe is consistent with a bending stress created by an external downward force. Based on information provided to Atmos by the construction superintendent, a cement truck ran over a valve box at the leak’s location immediately before he heard and smelled natural gas being released. The investigation did not identify another plausible external force that could have damaged the main. The Materials Laboratory examination of the main found fracture characteristics typical of fast crack growth and no signs of significant corrosion or preexisting structural damage that could have contributed to the failure. The fracture was therefore consistent with a sudden application of force by the valve box to the main. Based on the fracture’s location, timing, and fast-cracking characteristics, the valve box transmitted part of the cement truck’s weight to the gas main, causing the main to fracture and leak. Examination of the gas main and valve box involved in this accident found coal tar coating the main and deposited on the bottom edge of the valve box. This indicates that the valve box was in contact with the main. The presence of coal tar alone does not indicate when the contact occurred, but the evidence is consistent with the valve box being installed in contact with the main and therefore able transmit the cement truck’s weight directly to the main near the fracture’s location. Federal regulations at 49 CFR 192.181(c)(3) require that valve boxes not be installed in a manner that transmits external loads to mains, and valve boxes are normally installed with a buffer of soil or other protection between the valve box and the assets immediately below. For example, Atmos’s newer valve boxes are installed with support and base pads to prevent load transmission. However, Atmos was not actively replacing cast iron valve boxes with this newer design. Further, the maintenance crew that removed and reinstalled the valve box about 2 months before the accident did not have a specific standard to follow for reinstalling cast iron valve boxes other than an expectation that the top of the valve box be level with the grade. The lack of a standard likely led to the common reinstallation of valve boxes in contact with mains, as described by an Atmos vice president of operations. If Atmos had adopted either a standard for safely installing cast iron valve boxes or a policy of replacing cast iron valve boxes with the newer design, the protective buffer of soil or support pad would have reduced the load transmitted to the pipe on the day of the accident. There is not enough evidence to determine whether a buffer or pad would have prevented the accident, but it would have made the infrastructure more resilient. Atmos has not reported making changes to its valve box installation practices. After the main fractured, gas propagated undetected through an uncapped underground sewer lateral into the sewer system and then into the accident home, where it reached an explosive concentration. The gas in the sewers remained undetected because Atmos personnel did not test the atmosphere in the sewers prior to the explosion. For about 35 minutes, most of the time between the initial leak and the explosion, there was only one Atmos employee on the scene: an experienced senior service technician. He was equipped with a CGI and checked nearby storm drains for the presence of gas, which was one step in Atmos’s subsurface leak investigation procedure. During his interview with the NTSB, he described planning to check the sewers, another required step, but said that he had already confirmed that there was no threat to life or property. His activities after checking the storm drains are also consistent with a belief that he had finished assessing the risk posed by the leak: he switched to the non-safety-critical work of recording billing information for the damage. The investigation did not find evidence of a natural gas alarm in the accident home, which did not have gas service but was still impacted by a leak from a gas main. It is likely that a natural gas alarm would have provided the home’s occupants with warning of accumulating natural gas and given them an opportunity to evacuate before the explosion. The NTSB has advocated wider installation and use of natural gas alarms for nearly 50 years, including following the investigation into a pair of 2024 home explosions in Jackson, Mississippi, that involved Atmos assets. As a result of that investigation, the NTSB reiterated a recommendation to the 50 states, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: See CAROL for the complete history and current status of this recommendation. The NTSB also recommended that Atmos “develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas” (P-26-10).11F Footnote: See CAROL for the complete history and current status of this recommendation.
Addressee Acronym: VT
Addressee Organization Type: S-State Government
Communication Date: 2026-03-26
Communication Type: Recommendation Reiteration
Communication Contents: From the Report, “Atmos Energy Corporation Natural Gas-Fueled Home Explosions and Fires Jackson, Mississippi, January 24, 2024, and January 27, 2024” published on March 26, 2026. Absence of Natural Gas Detection Alarms in Buildings The Bristol Boulevard accident home and the Shalimar Drive accident home did not have natural gas alarms installed. For nearly 50 years, the NTSB has been recommending natural gas alarms for the early detection of natural gas leaks. In the West Reading accident, several candy factory employees told the NTSB that they had smelled natural gas odorant and did not call 9 1 1 or the gas company but stayed in the building until the explosion occurred. Some of the employees inquired with their managers about what to do, and their managers were equally unaware of the actions to take during a suspected natural gas leak. In the two Jackson accidents, and in many of the pipeline accidents the NTSB has investigated for the last 5 decades, people smelled natural gas odorant and either did not know what actions to take, or they knew the actions necessary to address a potential natural gas emergency but did not execute them. Natural gas distribution pipeline operators must educate the public on pipeline safety through public awareness programs. It is also necessary, however, to have safeguards in place when members of the public (1) smell natural gas odorant and do not take the appropriate safety actions and (2) do not smell natural gas odorant, as was the case in the NTSB investigation of the Dallas accident, and therefore do not take appropriate safety actions. Footnote: The NTSB’s Dallas investigation determined that the occupants in the accident homes did not smell natural gas odorant because it was absorbed and depleted in the soil. Natural gas alarms are safeguards in protecting the public, which is why the NTSB has recommended their installation after many of our pipeline accident investigations. The NTSB found that natural gas alarms likely would have prevented or reduced the consequences of the Dallas and West Reading accidents, and the evidence in this investigation suggests the same. The Shalimar Drive accident home was empty at the time of that accident; however, when the explosion in the Bristol Boulevard accident home occurred, two people were inside. Therefore, the NTSB concludes that had a natural gas alarm been installed inside the Bristol Boulevard accident home, it could have alerted occupants that natural gas was present, prompting them to evacuate and report the leak, making Atmos aware that the leak had likely worsened and required corrective action. As a result of the West Reading investigation, the NTSB recommended that the 50 States, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: Safety Recommendation P-25-5 is currently classified Open—Await Response. As of this report, 7 states and the District of Columbia have provided an initial response; 43 states and the Commonwealth of Puerto Rico have not responded. Footnote: The seven states that have provided an initial response include Colorado, Connecticut, Kansas, Nevada, North Carolina, Virginia, and Wyoming. Mississippi, the state where the two Jackson accidents occurred, is one of the 43 states that have not provided an initial response. The NTSB investigation of the two Jackson accidents has again identified the critical importance of natural gas alarms to alert occupants to natural gas leaks. Therefore, the NTSB reiterates Safety Recommendation P 25-5 to 50 States, the Commonwealth of Puerto Rico, and the District of Columbia. As discussed in section 1.10.1.1, after the Avondale accident, Atmos reported that it provided the public with information, through its website, on the availability of natural gas alarms. However, Atmos can do more to safeguard the public in its distribution areas. The NTSB is aware of multiple natural gas distribution operators that have made natural gas alarms available to people in their service areas. Footnote: Visit http://www.ntsb.gov to find additional information in the public docket for this NTSB accident investigation (case number PLD24FR003). Therefore, the NTSB recommends that Atmos develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas.
Addressee Name: State of Utah
Addressee Status: Open - Await Response
Addressee Acronym: UT
Addressee Organization Type: S-State Government
Communication Date: 2025-04-08
Communication Type: Transmittal Letter
Communication Contents: 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 accidents in other modes of transportation—railroad, highway, marine, and pipeline. We determine the probable cause of the accidents and issue safety recommendations aimed at preventing future accidents. In addition, we carry out special studies concerning transportation safety and coordinate the resources of the federal government and other organizations to assist victims and their family members affected by major transportation disasters. We are providing the following information to urge the State of Utah to act on the safety recommendation in this letter because we believe your organization can help reduce the risk of future accidents. For more information about the NTSB and our recommendation process, please see the attached one-page summary. This letter also includes information about our March 18, 2025, report, UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, NTSB/PIR-25/01. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. As a result of this investigation, we identified the following safety issues: • Degradation of a retired Aldyl A service tee that was accelerated by elevated ground temperatures from a corroded and cracked steam pipe nearby. • UGI Corporation’s insufficient consideration of pipeline integrity threats, particularly Aldyl A service tees with Delrin inserts at elevated temperatures. • Presence of unmarked and unreported private assets crossing public rights-of-way, excluding them from the Pennsylvania One Call System and increasing the risk of damage to them. • Delayed evacuation of Palmer’s Building 2 despite detection of natural gas by employees and others. • Natural gas safety messaging from pipeline operator public awareness programs that may not reach certain members of the public. • Insufficient guidance on natural gas emergency procedures. • Absence of natural gas alarms in commercial buildings. • Insufficient accessibility of gas distribution line valves. Accordingly, the NTSB makes the following safety recommendation to the State of Utah (additional information regarding this recommendation can be found in the noted section of the report): • Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) (See section 2.5.1.) The NTSB is vitally interested in this recommendation because it is designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter, detailing the actions you have taken or intend to take to implement this recommendation. When replying, please refer to the safety recommendation by number (Safety Recommendation P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply, including attachments, exceeds 20 megabytes, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. All communications regarding safety recommendations are stored by the NTSB and viewable by the public. Please do not send privileged or confidential communications in response to this recommendation. Responses marked as confidential or privileged (or similar designations) will be considered nonresponsive. In the likely event that your company uses auto generated and/or preformatted confidentiality statements on letterhead or outgoing e-mails, please include a statement in your letter indicating that the information can be publicly released. If you have concerns about this protocol, please contact us at ExecutiveSecretariat@ntsb.gov. The attached letter from the NTSB Chairman provides information about the March 18, 2025, report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. The NTSB is vitally interested in these recommendations because they are designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter detailing the actions you have taken or intend to take to implement these recommendations. When replying, please refer to the safety recommendation by number (for example, P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply exceeds 20 megabytes, including attachments, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. From the report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1: 2.5.1 Natural Gas Alarms Public awareness is an effective tool to encourage adoption of safety devices like natural gas alarms. The first edition of API RP 1162 requires that public awareness programs include safety messages about the awareness of hazards and prevention measures as well as leak recognition and response but does not specifically require these programs to disseminate safety messages about natural gas alarms. UGI’s public awareness materials distributed before the accident were consistent with federal regulations, and although the materials promoted the use of smoke and carbon monoxide alarms, they did not address natural gas alarms. Following the accident, UGI now includes safety messages encouraging the purchase of natural gas alarms in its public awareness materials. The NTSB concludes that installing natural gas alarms can alert people of a gas leak so they can evacuate the area; however, natural gas customers may not be aware of the necessity of such alarms. The NTSB believes that messages about the benefits of natural gas alarms are critically important and could save lives when natural gas alarms are installed. The NTSB further believes that the natural gas industry can help shape the effectiveness of public awareness program delivery methods so that people in businesses, schools, residences, and other places of congregation are better informed, both about natural gas hazards and the necessity of natural gas alarms. The American Gas Association, which represents natural gas pipeline operators throughout the US, can facilitate industry efforts to improve public awareness program delivery methods and to improve safety, most critically through increasing the installation of natural gas alarms. Therefore, the NTSB recommends that the American Gas Association share the details of the March 24, 2023, natural gas–fueled explosion and fire in West Reading, Pennsylvania, with its members, encouraging them to evaluate the effectiveness of their current delivery methods of public awareness programs and to promote the installation of natural gas alarms in businesses, residences, and other places of congregation that they serve. Evacuation should occur immediately upon detection of the presence of natural gas. In 1976, the NTSB made its first recommendation to require natural gas detection to provide early warning of leaks. Most recently, after a 2016 building explosion in Silver Spring, Maryland, and then again after the 2018 home explosion in Dallas, we made recommendations to the ICC and the NFPA to require natural gas alarms with methane detection in residences (NTSB 2019). We recommended the ICC work with the
Addressee Acronym: UT
Addressee Organization Type: S-State Government
Communication Date: 2026-04-07
Communication Type: Recommendation Mention
Communication Contents: Pipeline Investigation Report PIR-26-02, “Enbridge Inc. Natural Gas–Fueled Home Explosion and Fatality, South Jordan, Utah, November 6, 2024” published on April 7, 2026: 2 Analysis On November 6, 2024, a natural gas–fueled home explosion fatally injured one resident and damaged nearby homes. A crack in the 4-inch-diameter Aldyl A gas main near the home allowed natural gas to leak and fuel the home explosion. The NTSB found that the crack originated on the inner surface of the pipe and aligned directly with an oblong impression on the outer surface. Investigators determined that a rock impingement likely caused the oblong impression on the outer surface of the pipe and the resulting crack. They also found that the crack growth features indicated that the crack breached the outer surface in a single abrupt event. As a result, the pipe rapidly transitioned from releasing no gas to releasing up to 48.7 scfm, as measured in the lab. Footnote: The actual leak rate may have been lower, given that the pipeline was buried in soil, which would constrain the pipe and provide back-pressure resistance to gas as it leaked from the pipe. Post-explosion, subsurface gas readings showed that the natural gas migrated about 150 feet from the leak location to the home. Although the exact timing of the leak could not be determined, the residents’ observations of physical symptoms, inability to relight the basement water heater, and an unusually high candle flame before the accident suggest that natural gas may have been present in the home for at least 3 days before the explosion. On November 6, the flammable natural gas–air mixture ignited in the southwest quadrant of the basement. The Utah Deputy State Fire Marshal identified two possible sources of the ignition: a water heater and a furnace. The water heater was turned off at the control point, so the only credible ignition source was the furnace. Footnote: The furnace control valve was found postaccident to have significant thermal damage, consistent with it being the ignition source. Before the accident, Enbridge had implemented safeguards to mitigate the consequences of leaks, including periodic leak surveys, timely response to odor complaints, and targeted replacement projects. However, none of these strategies proved effective for this scenario, because of the following issues related to the strategies: • Periodic leak surveys. Regulators require distribution leak surveys to be conducted every 5 years. Enbridge conducted its most recent leak survey on April 29, 2022—two years before the accident. However, in this accident, through-wall crack propagation occurred too rapidly, causing the leak to go undetected before the explosion. • Timely response to odor complaints. Regulators require odorization of natural gas in distribution systems to help alert the public to natural gas leaks. During interviews conducted by investigators, the NTSB determined that the local residents had not smelled natural gas odorant near the accident home, even though gas was determined to have permeated the ground in the area during postaccident surveys, indicating that the odorant had been stripped from the leaked natural gas that ultimately entered the home. Footnote: Field testing of the gas in the distribution system after the explosion found acceptable odorant concentrations. Although odorant can act as an early warning of a gas release to prevent an explosion and fire, it has been known to become depleted when traveling through soil, as it did in this accident. Previous NTSB investigations have identified occurrences of odorant depletion that allowed natural gas leaks to go undetected, resulting in explosions in Dallas, Texas, in 2018 and in Silver Spring, Maryland, in 2016. Footnote: NTSB. 2021. Atmos Energy Corporation Natural Gas–Fueled Explosion, Dallas, Texas, February 23, 2018. PAR-21/01. Washington, DC: NTSB. Footnote: NTSB. 2019. Building Explosion and Fire, Silver Spring, Maryland, August 10, 2016. PAR-19/01. Washington, DC: NTSB. • Targeted replacement projects. A 2014 California Public Utilities Commission study showed that the vintage of Aldyl A present in this accident, with stress concentrations from rock impingement, squeeze-off, bending, or deflection, were statistically predicted to fail between 22 and 235 years after installation. Footnote: California Public Utilities Commission 2014 Hazard Analysis and Mitigation Report On Aldyl A Polyethylene Gas Pipelines in California. Haine 2014. Because the estimated failure time is imprecise (a range of more than 200 years), and because some environmental conditions—such as the locations of rocks in the backfill material—are unknown, the Enbridge evaluation of the cracking threat to the 1976 vintage Aldyl A did not accurately characterize the risk of rock impingements and prevented Enbridge from identifying effective mitigative actions and targeted replacement projects. Even though Enbridge worked continuously to search for the leak after the explosion, it took them more than 21 hours to find and isolate the natural gas leak. During this time, the pipeline continued to leak natural gas into the ground, increasing the risk to nearby residents, first responders, and others operating in the area. When an underground natural gas pipeline leak occurs rapidly, it can be difficult to safeguard against. Natural gas alarms can provide an early warning of natural gas leaks inside nearby structures and can alert the building occupants to take immediate safety actions. Had in-home natural gas alarms been installed in the homes involved in this accident, they would have alerted the residents to a potential problem and prompted them to evacuate and call 911, reducing or eliminating the fatal consequences of the explosion. The NTSB has previously recommended requiring the installation of natural gas alarms in businesses, residences, and other buildings (Safety Recommendation P 25 05).
Addressee Acronym: UT
Addressee Organization Type: S-State Government
Communication Date: 2026-06-05
Communication Type: Recommendation Mention
Communication Contents: Atmos Energy Corporation Natural Gas–Fueled Home Explosion Pipeline Investigation Report PIR-26-03 published on June 5, 2026: Analysis The explosion and fire occurred after natural gas leaked from a fractured buried main, migrated through an uncapped underground sewer lateral, entered the accident home, and reached an explosive concentration near an unknown ignition source. The investigation did not identify issues with gas pressures in the area of the leak or the timeliness or efficacy of the local emergency response agencies. Postaccident bar-hole testing and excavations found only one source of natural gas: a leak in the gas main near a valve box on the eastern edge of the construction site. On-site examinations of the main found that it was fractured around most of its circumference with a thin strip of metal at the top (12 o’clock position) joining the southern section of pipe to the section still threaded into the valve body. This indicates tension—a stretching force—at the bottom of the pipe along its long axis. Tension along the bottom of the pipe is consistent with a bending stress created by an external downward force. Based on information provided to Atmos by the construction superintendent, a cement truck ran over a valve box at the leak’s location immediately before he heard and smelled natural gas being released. The investigation did not identify another plausible external force that could have damaged the main. The Materials Laboratory examination of the main found fracture characteristics typical of fast crack growth and no signs of significant corrosion or preexisting structural damage that could have contributed to the failure. The fracture was therefore consistent with a sudden application of force by the valve box to the main. Based on the fracture’s location, timing, and fast-cracking characteristics, the valve box transmitted part of the cement truck’s weight to the gas main, causing the main to fracture and leak. Examination of the gas main and valve box involved in this accident found coal tar coating the main and deposited on the bottom edge of the valve box. This indicates that the valve box was in contact with the main. The presence of coal tar alone does not indicate when the contact occurred, but the evidence is consistent with the valve box being installed in contact with the main and therefore able transmit the cement truck’s weight directly to the main near the fracture’s location. Federal regulations at 49 CFR 192.181(c)(3) require that valve boxes not be installed in a manner that transmits external loads to mains, and valve boxes are normally installed with a buffer of soil or other protection between the valve box and the assets immediately below. For example, Atmos’s newer valve boxes are installed with support and base pads to prevent load transmission. However, Atmos was not actively replacing cast iron valve boxes with this newer design. Further, the maintenance crew that removed and reinstalled the valve box about 2 months before the accident did not have a specific standard to follow for reinstalling cast iron valve boxes other than an expectation that the top of the valve box be level with the grade. The lack of a standard likely led to the common reinstallation of valve boxes in contact with mains, as described by an Atmos vice president of operations. If Atmos had adopted either a standard for safely installing cast iron valve boxes or a policy of replacing cast iron valve boxes with the newer design, the protective buffer of soil or support pad would have reduced the load transmitted to the pipe on the day of the accident. There is not enough evidence to determine whether a buffer or pad would have prevented the accident, but it would have made the infrastructure more resilient. Atmos has not reported making changes to its valve box installation practices. After the main fractured, gas propagated undetected through an uncapped underground sewer lateral into the sewer system and then into the accident home, where it reached an explosive concentration. The gas in the sewers remained undetected because Atmos personnel did not test the atmosphere in the sewers prior to the explosion. For about 35 minutes, most of the time between the initial leak and the explosion, there was only one Atmos employee on the scene: an experienced senior service technician. He was equipped with a CGI and checked nearby storm drains for the presence of gas, which was one step in Atmos’s subsurface leak investigation procedure. During his interview with the NTSB, he described planning to check the sewers, another required step, but said that he had already confirmed that there was no threat to life or property. His activities after checking the storm drains are also consistent with a belief that he had finished assessing the risk posed by the leak: he switched to the non-safety-critical work of recording billing information for the damage. The investigation did not find evidence of a natural gas alarm in the accident home, which did not have gas service but was still impacted by a leak from a gas main. It is likely that a natural gas alarm would have provided the home’s occupants with warning of accumulating natural gas and given them an opportunity to evacuate before the explosion. The NTSB has advocated wider installation and use of natural gas alarms for nearly 50 years, including following the investigation into a pair of 2024 home explosions in Jackson, Mississippi, that involved Atmos assets. As a result of that investigation, the NTSB reiterated a recommendation to the 50 states, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: See CAROL for the complete history and current status of this recommendation. The NTSB also recommended that Atmos “develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas” (P-26-10).11F Footnote: See CAROL for the complete history and current status of this recommendation.
Addressee Acronym: UT
Addressee Organization Type: S-State Government
Communication Date: 2026-03-26
Communication Type: Recommendation Reiteration
Communication Contents: From the Report, “Atmos Energy Corporation Natural Gas-Fueled Home Explosions and Fires Jackson, Mississippi, January 24, 2024, and January 27, 2024” published on March 26, 2026. Absence of Natural Gas Detection Alarms in Buildings The Bristol Boulevard accident home and the Shalimar Drive accident home did not have natural gas alarms installed. For nearly 50 years, the NTSB has been recommending natural gas alarms for the early detection of natural gas leaks. In the West Reading accident, several candy factory employees told the NTSB that they had smelled natural gas odorant and did not call 9 1 1 or the gas company but stayed in the building until the explosion occurred. Some of the employees inquired with their managers about what to do, and their managers were equally unaware of the actions to take during a suspected natural gas leak. In the two Jackson accidents, and in many of the pipeline accidents the NTSB has investigated for the last 5 decades, people smelled natural gas odorant and either did not know what actions to take, or they knew the actions necessary to address a potential natural gas emergency but did not execute them. Natural gas distribution pipeline operators must educate the public on pipeline safety through public awareness programs. It is also necessary, however, to have safeguards in place when members of the public (1) smell natural gas odorant and do not take the appropriate safety actions and (2) do not smell natural gas odorant, as was the case in the NTSB investigation of the Dallas accident, and therefore do not take appropriate safety actions. Footnote: The NTSB’s Dallas investigation determined that the occupants in the accident homes did not smell natural gas odorant because it was absorbed and depleted in the soil. Natural gas alarms are safeguards in protecting the public, which is why the NTSB has recommended their installation after many of our pipeline accident investigations. The NTSB found that natural gas alarms likely would have prevented or reduced the consequences of the Dallas and West Reading accidents, and the evidence in this investigation suggests the same. The Shalimar Drive accident home was empty at the time of that accident; however, when the explosion in the Bristol Boulevard accident home occurred, two people were inside. Therefore, the NTSB concludes that had a natural gas alarm been installed inside the Bristol Boulevard accident home, it could have alerted occupants that natural gas was present, prompting them to evacuate and report the leak, making Atmos aware that the leak had likely worsened and required corrective action. As a result of the West Reading investigation, the NTSB recommended that the 50 States, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: Safety Recommendation P-25-5 is currently classified Open—Await Response. As of this report, 7 states and the District of Columbia have provided an initial response; 43 states and the Commonwealth of Puerto Rico have not responded. Footnote: The seven states that have provided an initial response include Colorado, Connecticut, Kansas, Nevada, North Carolina, Virginia, and Wyoming. Mississippi, the state where the two Jackson accidents occurred, is one of the 43 states that have not provided an initial response. The NTSB investigation of the two Jackson accidents has again identified the critical importance of natural gas alarms to alert occupants to natural gas leaks. Therefore, the NTSB reiterates Safety Recommendation P 25-5 to 50 States, the Commonwealth of Puerto Rico, and the District of Columbia. As discussed in section 1.10.1.1, after the Avondale accident, Atmos reported that it provided the public with information, through its website, on the availability of natural gas alarms. However, Atmos can do more to safeguard the public in its distribution areas. The NTSB is aware of multiple natural gas distribution operators that have made natural gas alarms available to people in their service areas. Footnote: Visit http://www.ntsb.gov to find additional information in the public docket for this NTSB accident investigation (case number PLD24FR003). Therefore, the NTSB recommends that Atmos develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas.
Addressee Name: State of Texas
Addressee Status: Open - Await Response
Addressee Acronym: TX
Addressee Organization Type: S-State Government
Communication Date: 2025-04-08
Communication Type: Transmittal Letter
Communication Contents: 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 accidents in other modes of transportation—railroad, highway, marine, and pipeline. We determine the probable cause of the accidents and issue safety recommendations aimed at preventing future accidents. In addition, we carry out special studies concerning transportation safety and coordinate the resources of the federal government and other organizations to assist victims and their family members affected by major transportation disasters. We are providing the following information to urge the State of Texas to act on the safety recommendation in this letter because we believe your organization can help reduce the risk of future accidents. For more information about the NTSB and our recommendation process, please see the attached one-page summary. This letter also includes information about our March 18, 2025, report, UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, NTSB/PIR-25/01. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. As a result of this investigation, we identified the following safety issues: • Degradation of a retired Aldyl A service tee that was accelerated by elevated ground temperatures from a corroded and cracked steam pipe nearby. • UGI Corporation’s insufficient consideration of pipeline integrity threats, particularly Aldyl A service tees with Delrin inserts at elevated temperatures. • Presence of unmarked and unreported private assets crossing public rights-of-way, excluding them from the Pennsylvania One Call System and increasing the risk of damage to them. • Delayed evacuation of Palmer’s Building 2 despite detection of natural gas by employees and others. • Natural gas safety messaging from pipeline operator public awareness programs that may not reach certain members of the public. • Insufficient guidance on natural gas emergency procedures. • Absence of natural gas alarms in commercial buildings. • Insufficient accessibility of gas distribution line valves. Accordingly, the NTSB makes the following safety recommendation to the State of Texas (additional information regarding this recommendation can be found in the noted section of the report): • Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) (See section 2.5.1.) The NTSB is vitally interested in this recommendation because it is designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter, detailing the actions you have taken or intend to take to implement this recommendation. When replying, please refer to the safety recommendation by number (Safety Recommendation P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply, including attachments, exceeds 20 megabytes, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. All communications regarding safety recommendations are stored by the NTSB and viewable by the public. Please do not send privileged or confidential communications in response to this recommendation. Responses marked as confidential or privileged (or similar designations) will be considered nonresponsive. In the likely event that your company uses auto generated and/or preformatted confidentiality statements on letterhead or outgoing e-mails, please include a statement in your letter indicating that the information can be publicly released. If you have concerns about this protocol, please contact us at ExecutiveSecretariat@ntsb.gov. The attached letter from the NTSB Chairman provides information about the March 18, 2025, report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. The NTSB is vitally interested in these recommendations because they are designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter detailing the actions you have taken or intend to take to implement these recommendations. When replying, please refer to the safety recommendation by number (for example, P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply exceeds 20 megabytes, including attachments, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. From the report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1: 2.5.1 Natural Gas Alarms Public awareness is an effective tool to encourage adoption of safety devices like natural gas alarms. The first edition of API RP 1162 requires that public awareness programs include safety messages about the awareness of hazards and prevention measures as well as leak recognition and response but does not specifically require these programs to disseminate safety messages about natural gas alarms. UGI’s public awareness materials distributed before the accident were consistent with federal regulations, and although the materials promoted the use of smoke and carbon monoxide alarms, they did not address natural gas alarms. Following the accident, UGI now includes safety messages encouraging the purchase of natural gas alarms in its public awareness materials. The NTSB concludes that installing natural gas alarms can alert people of a gas leak so they can evacuate the area; however, natural gas customers may not be aware of the necessity of such alarms. The NTSB believes that messages about the benefits of natural gas alarms are critically important and could save lives when natural gas alarms are installed. The NTSB further believes that the natural gas industry can help shape the effectiveness of public awareness program delivery methods so that people in businesses, schools, residences, and other places of congregation are better informed, both about natural gas hazards and the necessity of natural gas alarms. The American Gas Association, which represents natural gas pipeline operators throughout the US, can facilitate industry efforts to improve public awareness program delivery methods and to improve safety, most critically through increasing the installation of natural gas alarms. Therefore, the NTSB recommends that the American Gas Association share the details of the March 24, 2023, natural gas–fueled explosion and fire in West Reading, Pennsylvania, with its members, encouraging them to evaluate the effectiveness of their current delivery methods of public awareness programs and to promote the installation of natural gas alarms in businesses, residences, and other places of congregation that they serve. Evacuation should occur immediately upon detection of the presence of natural gas. In 1976, the NTSB made its first recommendation to require natural gas detection to provide early warning of leaks. Most recently, after a 2016 building explosion in Silver Spring, Maryland, and then again after the 2018 home explosion in Dallas, we made recommendations to the ICC and the NFPA to require natural gas alarms with methane detection in residences (NTSB 2019). We recommended the ICC work with t
Addressee Acronym: TX
Addressee Organization Type: S-State Government
Communication Date: 2026-04-07
Communication Type: Recommendation Mention
Communication Contents: Pipeline Investigation Report PIR-26-02, “Enbridge Inc. Natural Gas–Fueled Home Explosion and Fatality, South Jordan, Utah, November 6, 2024” published on April 7, 2026: 2 Analysis On November 6, 2024, a natural gas–fueled home explosion fatally injured one resident and damaged nearby homes. A crack in the 4-inch-diameter Aldyl A gas main near the home allowed natural gas to leak and fuel the home explosion. The NTSB found that the crack originated on the inner surface of the pipe and aligned directly with an oblong impression on the outer surface. Investigators determined that a rock impingement likely caused the oblong impression on the outer surface of the pipe and the resulting crack. They also found that the crack growth features indicated that the crack breached the outer surface in a single abrupt event. As a result, the pipe rapidly transitioned from releasing no gas to releasing up to 48.7 scfm, as measured in the lab. Footnote: The actual leak rate may have been lower, given that the pipeline was buried in soil, which would constrain the pipe and provide back-pressure resistance to gas as it leaked from the pipe. Post-explosion, subsurface gas readings showed that the natural gas migrated about 150 feet from the leak location to the home. Although the exact timing of the leak could not be determined, the residents’ observations of physical symptoms, inability to relight the basement water heater, and an unusually high candle flame before the accident suggest that natural gas may have been present in the home for at least 3 days before the explosion. On November 6, the flammable natural gas–air mixture ignited in the southwest quadrant of the basement. The Utah Deputy State Fire Marshal identified two possible sources of the ignition: a water heater and a furnace. The water heater was turned off at the control point, so the only credible ignition source was the furnace. Footnote: The furnace control valve was found postaccident to have significant thermal damage, consistent with it being the ignition source. Before the accident, Enbridge had implemented safeguards to mitigate the consequences of leaks, including periodic leak surveys, timely response to odor complaints, and targeted replacement projects. However, none of these strategies proved effective for this scenario, because of the following issues related to the strategies: • Periodic leak surveys. Regulators require distribution leak surveys to be conducted every 5 years. Enbridge conducted its most recent leak survey on April 29, 2022—two years before the accident. However, in this accident, through-wall crack propagation occurred too rapidly, causing the leak to go undetected before the explosion. • Timely response to odor complaints. Regulators require odorization of natural gas in distribution systems to help alert the public to natural gas leaks. During interviews conducted by investigators, the NTSB determined that the local residents had not smelled natural gas odorant near the accident home, even though gas was determined to have permeated the ground in the area during postaccident surveys, indicating that the odorant had been stripped from the leaked natural gas that ultimately entered the home. Footnote: Field testing of the gas in the distribution system after the explosion found acceptable odorant concentrations. Although odorant can act as an early warning of a gas release to prevent an explosion and fire, it has been known to become depleted when traveling through soil, as it did in this accident. Previous NTSB investigations have identified occurrences of odorant depletion that allowed natural gas leaks to go undetected, resulting in explosions in Dallas, Texas, in 2018 and in Silver Spring, Maryland, in 2016. Footnote: NTSB. 2021. Atmos Energy Corporation Natural Gas–Fueled Explosion, Dallas, Texas, February 23, 2018. PAR-21/01. Washington, DC: NTSB. Footnote: NTSB. 2019. Building Explosion and Fire, Silver Spring, Maryland, August 10, 2016. PAR-19/01. Washington, DC: NTSB. • Targeted replacement projects. A 2014 California Public Utilities Commission study showed that the vintage of Aldyl A present in this accident, with stress concentrations from rock impingement, squeeze-off, bending, or deflection, were statistically predicted to fail between 22 and 235 years after installation. Footnote: California Public Utilities Commission 2014 Hazard Analysis and Mitigation Report On Aldyl A Polyethylene Gas Pipelines in California. Haine 2014. Because the estimated failure time is imprecise (a range of more than 200 years), and because some environmental conditions—such as the locations of rocks in the backfill material—are unknown, the Enbridge evaluation of the cracking threat to the 1976 vintage Aldyl A did not accurately characterize the risk of rock impingements and prevented Enbridge from identifying effective mitigative actions and targeted replacement projects. Even though Enbridge worked continuously to search for the leak after the explosion, it took them more than 21 hours to find and isolate the natural gas leak. During this time, the pipeline continued to leak natural gas into the ground, increasing the risk to nearby residents, first responders, and others operating in the area. When an underground natural gas pipeline leak occurs rapidly, it can be difficult to safeguard against. Natural gas alarms can provide an early warning of natural gas leaks inside nearby structures and can alert the building occupants to take immediate safety actions. Had in-home natural gas alarms been installed in the homes involved in this accident, they would have alerted the residents to a potential problem and prompted them to evacuate and call 911, reducing or eliminating the fatal consequences of the explosion. The NTSB has previously recommended requiring the installation of natural gas alarms in businesses, residences, and other buildings (Safety Recommendation P 25 05).
Addressee Acronym: TX
Addressee Organization Type: S-State Government
Communication Date: 2026-06-05
Communication Type: Recommendation Mention
Communication Contents: Atmos Energy Corporation Natural Gas–Fueled Home Explosion Pipeline Investigation Report PIR-26-03 published on June 5, 2026: Analysis The explosion and fire occurred after natural gas leaked from a fractured buried main, migrated through an uncapped underground sewer lateral, entered the accident home, and reached an explosive concentration near an unknown ignition source. The investigation did not identify issues with gas pressures in the area of the leak or the timeliness or efficacy of the local emergency response agencies. Postaccident bar-hole testing and excavations found only one source of natural gas: a leak in the gas main near a valve box on the eastern edge of the construction site. On-site examinations of the main found that it was fractured around most of its circumference with a thin strip of metal at the top (12 o’clock position) joining the southern section of pipe to the section still threaded into the valve body. This indicates tension—a stretching force—at the bottom of the pipe along its long axis. Tension along the bottom of the pipe is consistent with a bending stress created by an external downward force. Based on information provided to Atmos by the construction superintendent, a cement truck ran over a valve box at the leak’s location immediately before he heard and smelled natural gas being released. The investigation did not identify another plausible external force that could have damaged the main. The Materials Laboratory examination of the main found fracture characteristics typical of fast crack growth and no signs of significant corrosion or preexisting structural damage that could have contributed to the failure. The fracture was therefore consistent with a sudden application of force by the valve box to the main. Based on the fracture’s location, timing, and fast-cracking characteristics, the valve box transmitted part of the cement truck’s weight to the gas main, causing the main to fracture and leak. Examination of the gas main and valve box involved in this accident found coal tar coating the main and deposited on the bottom edge of the valve box. This indicates that the valve box was in contact with the main. The presence of coal tar alone does not indicate when the contact occurred, but the evidence is consistent with the valve box being installed in contact with the main and therefore able transmit the cement truck’s weight directly to the main near the fracture’s location. Federal regulations at 49 CFR 192.181(c)(3) require that valve boxes not be installed in a manner that transmits external loads to mains, and valve boxes are normally installed with a buffer of soil or other protection between the valve box and the assets immediately below. For example, Atmos’s newer valve boxes are installed with support and base pads to prevent load transmission. However, Atmos was not actively replacing cast iron valve boxes with this newer design. Further, the maintenance crew that removed and reinstalled the valve box about 2 months before the accident did not have a specific standard to follow for reinstalling cast iron valve boxes other than an expectation that the top of the valve box be level with the grade. The lack of a standard likely led to the common reinstallation of valve boxes in contact with mains, as described by an Atmos vice president of operations. If Atmos had adopted either a standard for safely installing cast iron valve boxes or a policy of replacing cast iron valve boxes with the newer design, the protective buffer of soil or support pad would have reduced the load transmitted to the pipe on the day of the accident. There is not enough evidence to determine whether a buffer or pad would have prevented the accident, but it would have made the infrastructure more resilient. Atmos has not reported making changes to its valve box installation practices. After the main fractured, gas propagated undetected through an uncapped underground sewer lateral into the sewer system and then into the accident home, where it reached an explosive concentration. The gas in the sewers remained undetected because Atmos personnel did not test the atmosphere in the sewers prior to the explosion. For about 35 minutes, most of the time between the initial leak and the explosion, there was only one Atmos employee on the scene: an experienced senior service technician. He was equipped with a CGI and checked nearby storm drains for the presence of gas, which was one step in Atmos’s subsurface leak investigation procedure. During his interview with the NTSB, he described planning to check the sewers, another required step, but said that he had already confirmed that there was no threat to life or property. His activities after checking the storm drains are also consistent with a belief that he had finished assessing the risk posed by the leak: he switched to the non-safety-critical work of recording billing information for the damage. The investigation did not find evidence of a natural gas alarm in the accident home, which did not have gas service but was still impacted by a leak from a gas main. It is likely that a natural gas alarm would have provided the home’s occupants with warning of accumulating natural gas and given them an opportunity to evacuate before the explosion. The NTSB has advocated wider installation and use of natural gas alarms for nearly 50 years, including following the investigation into a pair of 2024 home explosions in Jackson, Mississippi, that involved Atmos assets. As a result of that investigation, the NTSB reiterated a recommendation to the 50 states, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: See CAROL for the complete history and current status of this recommendation. The NTSB also recommended that Atmos “develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas” (P-26-10).11F Footnote: See CAROL for the complete history and current status of this recommendation.
Addressee Acronym: TX
Addressee Organization Type: S-State Government
Communication Date: 2026-03-26
Communication Type: Recommendation Reiteration
Communication Contents: From the Report, “Atmos Energy Corporation Natural Gas-Fueled Home Explosions and Fires Jackson, Mississippi, January 24, 2024, and January 27, 2024” published on March 26, 2026. Absence of Natural Gas Detection Alarms in Buildings The Bristol Boulevard accident home and the Shalimar Drive accident home did not have natural gas alarms installed. For nearly 50 years, the NTSB has been recommending natural gas alarms for the early detection of natural gas leaks. In the West Reading accident, several candy factory employees told the NTSB that they had smelled natural gas odorant and did not call 9 1 1 or the gas company but stayed in the building until the explosion occurred. Some of the employees inquired with their managers about what to do, and their managers were equally unaware of the actions to take during a suspected natural gas leak. In the two Jackson accidents, and in many of the pipeline accidents the NTSB has investigated for the last 5 decades, people smelled natural gas odorant and either did not know what actions to take, or they knew the actions necessary to address a potential natural gas emergency but did not execute them. Natural gas distribution pipeline operators must educate the public on pipeline safety through public awareness programs. It is also necessary, however, to have safeguards in place when members of the public (1) smell natural gas odorant and do not take the appropriate safety actions and (2) do not smell natural gas odorant, as was the case in the NTSB investigation of the Dallas accident, and therefore do not take appropriate safety actions. Footnote: The NTSB’s Dallas investigation determined that the occupants in the accident homes did not smell natural gas odorant because it was absorbed and depleted in the soil. Natural gas alarms are safeguards in protecting the public, which is why the NTSB has recommended their installation after many of our pipeline accident investigations. The NTSB found that natural gas alarms likely would have prevented or reduced the consequences of the Dallas and West Reading accidents, and the evidence in this investigation suggests the same. The Shalimar Drive accident home was empty at the time of that accident; however, when the explosion in the Bristol Boulevard accident home occurred, two people were inside. Therefore, the NTSB concludes that had a natural gas alarm been installed inside the Bristol Boulevard accident home, it could have alerted occupants that natural gas was present, prompting them to evacuate and report the leak, making Atmos aware that the leak had likely worsened and required corrective action. As a result of the West Reading investigation, the NTSB recommended that the 50 States, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: Safety Recommendation P-25-5 is currently classified Open—Await Response. As of this report, 7 states and the District of Columbia have provided an initial response; 43 states and the Commonwealth of Puerto Rico have not responded. Footnote: The seven states that have provided an initial response include Colorado, Connecticut, Kansas, Nevada, North Carolina, Virginia, and Wyoming. Mississippi, the state where the two Jackson accidents occurred, is one of the 43 states that have not provided an initial response. The NTSB investigation of the two Jackson accidents has again identified the critical importance of natural gas alarms to alert occupants to natural gas leaks. Therefore, the NTSB reiterates Safety Recommendation P 25-5 to 50 States, the Commonwealth of Puerto Rico, and the District of Columbia. As discussed in section 1.10.1.1, after the Avondale accident, Atmos reported that it provided the public with information, through its website, on the availability of natural gas alarms. However, Atmos can do more to safeguard the public in its distribution areas. The NTSB is aware of multiple natural gas distribution operators that have made natural gas alarms available to people in their service areas. Footnote: Visit http://www.ntsb.gov to find additional information in the public docket for this NTSB accident investigation (case number PLD24FR003). Therefore, the NTSB recommends that Atmos develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas.
Addressee Name: State of South Dakota
Addressee Status: Open - Await Response
Addressee Acronym: SD
Addressee Organization Type: S-State Government
Communication Date: 2025-04-08
Communication Type: Transmittal Letter
Communication Contents: 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 accidents in other modes of transportation—railroad, highway, marine, and pipeline. We determine the probable cause of the accidents and issue safety recommendations aimed at preventing future accidents. In addition, we carry out special studies concerning transportation safety and coordinate the resources of the federal government and other organizations to assist victims and their family members affected by major transportation disasters. We are providing the following information to urge the State of South Dakota to act on the safety recommendation in this letter because we believe your organization can help reduce the risk of future accidents. For more information about the NTSB and our recommendation process, please see the attached one-page summary. This letter also includes information about our March 18, 2025, report, UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, NTSB/PIR-25/01. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. As a result of this investigation, we identified the following safety issues: • Degradation of a retired Aldyl A service tee that was accelerated by elevated ground temperatures from a corroded and cracked steam pipe nearby. • UGI Corporation’s insufficient consideration of pipeline integrity threats, particularly Aldyl A service tees with Delrin inserts at elevated temperatures. • Presence of unmarked and unreported private assets crossing public rights-of-way, excluding them from the Pennsylvania One Call System and increasing the risk of damage to them. • Delayed evacuation of Palmer’s Building 2 despite detection of natural gas by employees and others. • Natural gas safety messaging from pipeline operator public awareness programs that may not reach certain members of the public. • Insufficient guidance on natural gas emergency procedures. • Absence of natural gas alarms in commercial buildings. • Insufficient accessibility of gas distribution line valves. Accordingly, the NTSB makes the following safety recommendation to the State of South Dakota (additional information regarding this recommendation can be found in the noted section of the report): • Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) (See section 2.5.1.) The NTSB is vitally interested in this recommendation because it is designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter, detailing the actions you have taken or intend to take to implement this recommendation. When replying, please refer to the safety recommendation by number (Safety Recommendation P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply, including attachments, exceeds 20 megabytes, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. All communications regarding safety recommendations are stored by the NTSB and viewable by the public. Please do not send privileged or confidential communications in response to this recommendation. Responses marked as confidential or privileged (or similar designations) will be considered nonresponsive. In the likely event that your company uses auto generated and/or preformatted confidentiality statements on letterhead or outgoing e-mails, please include a statement in your letter indicating that the information can be publicly released. If you have concerns about this protocol, please contact us at ExecutiveSecretariat@ntsb.gov. The attached letter from the NTSB Chairman provides information about the March 18, 2025, report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. The NTSB is vitally interested in these recommendations because they are designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter detailing the actions you have taken or intend to take to implement these recommendations. When replying, please refer to the safety recommendation by number (for example, P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply exceeds 20 megabytes, including attachments, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. From the report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1: 2.5.1 Natural Gas Alarms Public awareness is an effective tool to encourage adoption of safety devices like natural gas alarms. The first edition of API RP 1162 requires that public awareness programs include safety messages about the awareness of hazards and prevention measures as well as leak recognition and response but does not specifically require these programs to disseminate safety messages about natural gas alarms. UGI’s public awareness materials distributed before the accident were consistent with federal regulations, and although the materials promoted the use of smoke and carbon monoxide alarms, they did not address natural gas alarms. Following the accident, UGI now includes safety messages encouraging the purchase of natural gas alarms in its public awareness materials. The NTSB concludes that installing natural gas alarms can alert people of a gas leak so they can evacuate the area; however, natural gas customers may not be aware of the necessity of such alarms. The NTSB believes that messages about the benefits of natural gas alarms are critically important and could save lives when natural gas alarms are installed. The NTSB further believes that the natural gas industry can help shape the effectiveness of public awareness program delivery methods so that people in businesses, schools, residences, and other places of congregation are better informed, both about natural gas hazards and the necessity of natural gas alarms. The American Gas Association, which represents natural gas pipeline operators throughout the US, can facilitate industry efforts to improve public awareness program delivery methods and to improve safety, most critically through increasing the installation of natural gas alarms. Therefore, the NTSB recommends that the American Gas Association share the details of the March 24, 2023, natural gas–fueled explosion and fire in West Reading, Pennsylvania, with its members, encouraging them to evaluate the effectiveness of their current delivery methods of public awareness programs and to promote the installation of natural gas alarms in businesses, residences, and other places of congregation that they serve. Evacuation should occur immediately upon detection of the presence of natural gas. In 1976, the NTSB made its first recommendation to require natural gas detection to provide early warning of leaks. Most recently, after a 2016 building explosion in Silver Spring, Maryland, and then again after the 2018 home explosion in Dallas, we made recommendations to the ICC and the NFPA to require natural gas alarms with methane detection in residences (NTSB 2019). We recommended the I
Addressee Acronym: SD
Addressee Organization Type: S-State Government
Communication Date: 2026-04-07
Communication Type: Recommendation Mention
Communication Contents: Pipeline Investigation Report PIR-26-02, “Enbridge Inc. Natural Gas–Fueled Home Explosion and Fatality, South Jordan, Utah, November 6, 2024” published on April 7, 2026: 2 Analysis On November 6, 2024, a natural gas–fueled home explosion fatally injured one resident and damaged nearby homes. A crack in the 4-inch-diameter Aldyl A gas main near the home allowed natural gas to leak and fuel the home explosion. The NTSB found that the crack originated on the inner surface of the pipe and aligned directly with an oblong impression on the outer surface. Investigators determined that a rock impingement likely caused the oblong impression on the outer surface of the pipe and the resulting crack. They also found that the crack growth features indicated that the crack breached the outer surface in a single abrupt event. As a result, the pipe rapidly transitioned from releasing no gas to releasing up to 48.7 scfm, as measured in the lab. Footnote: The actual leak rate may have been lower, given that the pipeline was buried in soil, which would constrain the pipe and provide back-pressure resistance to gas as it leaked from the pipe. Post-explosion, subsurface gas readings showed that the natural gas migrated about 150 feet from the leak location to the home. Although the exact timing of the leak could not be determined, the residents’ observations of physical symptoms, inability to relight the basement water heater, and an unusually high candle flame before the accident suggest that natural gas may have been present in the home for at least 3 days before the explosion. On November 6, the flammable natural gas–air mixture ignited in the southwest quadrant of the basement. The Utah Deputy State Fire Marshal identified two possible sources of the ignition: a water heater and a furnace. The water heater was turned off at the control point, so the only credible ignition source was the furnace. Footnote: The furnace control valve was found postaccident to have significant thermal damage, consistent with it being the ignition source. Before the accident, Enbridge had implemented safeguards to mitigate the consequences of leaks, including periodic leak surveys, timely response to odor complaints, and targeted replacement projects. However, none of these strategies proved effective for this scenario, because of the following issues related to the strategies: • Periodic leak surveys. Regulators require distribution leak surveys to be conducted every 5 years. Enbridge conducted its most recent leak survey on April 29, 2022—two years before the accident. However, in this accident, through-wall crack propagation occurred too rapidly, causing the leak to go undetected before the explosion. • Timely response to odor complaints. Regulators require odorization of natural gas in distribution systems to help alert the public to natural gas leaks. During interviews conducted by investigators, the NTSB determined that the local residents had not smelled natural gas odorant near the accident home, even though gas was determined to have permeated the ground in the area during postaccident surveys, indicating that the odorant had been stripped from the leaked natural gas that ultimately entered the home. Footnote: Field testing of the gas in the distribution system after the explosion found acceptable odorant concentrations. Although odorant can act as an early warning of a gas release to prevent an explosion and fire, it has been known to become depleted when traveling through soil, as it did in this accident. Previous NTSB investigations have identified occurrences of odorant depletion that allowed natural gas leaks to go undetected, resulting in explosions in Dallas, Texas, in 2018 and in Silver Spring, Maryland, in 2016. Footnote: NTSB. 2021. Atmos Energy Corporation Natural Gas–Fueled Explosion, Dallas, Texas, February 23, 2018. PAR-21/01. Washington, DC: NTSB. Footnote: NTSB. 2019. Building Explosion and Fire, Silver Spring, Maryland, August 10, 2016. PAR-19/01. Washington, DC: NTSB. • Targeted replacement projects. A 2014 California Public Utilities Commission study showed that the vintage of Aldyl A present in this accident, with stress concentrations from rock impingement, squeeze-off, bending, or deflection, were statistically predicted to fail between 22 and 235 years after installation. Footnote: California Public Utilities Commission 2014 Hazard Analysis and Mitigation Report On Aldyl A Polyethylene Gas Pipelines in California. Haine 2014. Because the estimated failure time is imprecise (a range of more than 200 years), and because some environmental conditions—such as the locations of rocks in the backfill material—are unknown, the Enbridge evaluation of the cracking threat to the 1976 vintage Aldyl A did not accurately characterize the risk of rock impingements and prevented Enbridge from identifying effective mitigative actions and targeted replacement projects. Even though Enbridge worked continuously to search for the leak after the explosion, it took them more than 21 hours to find and isolate the natural gas leak. During this time, the pipeline continued to leak natural gas into the ground, increasing the risk to nearby residents, first responders, and others operating in the area. When an underground natural gas pipeline leak occurs rapidly, it can be difficult to safeguard against. Natural gas alarms can provide an early warning of natural gas leaks inside nearby structures and can alert the building occupants to take immediate safety actions. Had in-home natural gas alarms been installed in the homes involved in this accident, they would have alerted the residents to a potential problem and prompted them to evacuate and call 911, reducing or eliminating the fatal consequences of the explosion. The NTSB has previously recommended requiring the installation of natural gas alarms in businesses, residences, and other buildings (Safety Recommendation P 25 05).
Addressee Acronym: SD
Addressee Organization Type: S-State Government
Communication Date: 2026-06-05
Communication Type: Recommendation Mention
Communication Contents: Atmos Energy Corporation Natural Gas–Fueled Home Explosion Pipeline Investigation Report PIR-26-03 published on June 5, 2026: Analysis The explosion and fire occurred after natural gas leaked from a fractured buried main, migrated through an uncapped underground sewer lateral, entered the accident home, and reached an explosive concentration near an unknown ignition source. The investigation did not identify issues with gas pressures in the area of the leak or the timeliness or efficacy of the local emergency response agencies. Postaccident bar-hole testing and excavations found only one source of natural gas: a leak in the gas main near a valve box on the eastern edge of the construction site. On-site examinations of the main found that it was fractured around most of its circumference with a thin strip of metal at the top (12 o’clock position) joining the southern section of pipe to the section still threaded into the valve body. This indicates tension—a stretching force—at the bottom of the pipe along its long axis. Tension along the bottom of the pipe is consistent with a bending stress created by an external downward force. Based on information provided to Atmos by the construction superintendent, a cement truck ran over a valve box at the leak’s location immediately before he heard and smelled natural gas being released. The investigation did not identify another plausible external force that could have damaged the main. The Materials Laboratory examination of the main found fracture characteristics typical of fast crack growth and no signs of significant corrosion or preexisting structural damage that could have contributed to the failure. The fracture was therefore consistent with a sudden application of force by the valve box to the main. Based on the fracture’s location, timing, and fast-cracking characteristics, the valve box transmitted part of the cement truck’s weight to the gas main, causing the main to fracture and leak. Examination of the gas main and valve box involved in this accident found coal tar coating the main and deposited on the bottom edge of the valve box. This indicates that the valve box was in contact with the main. The presence of coal tar alone does not indicate when the contact occurred, but the evidence is consistent with the valve box being installed in contact with the main and therefore able transmit the cement truck’s weight directly to the main near the fracture’s location. Federal regulations at 49 CFR 192.181(c)(3) require that valve boxes not be installed in a manner that transmits external loads to mains, and valve boxes are normally installed with a buffer of soil or other protection between the valve box and the assets immediately below. For example, Atmos’s newer valve boxes are installed with support and base pads to prevent load transmission. However, Atmos was not actively replacing cast iron valve boxes with this newer design. Further, the maintenance crew that removed and reinstalled the valve box about 2 months before the accident did not have a specific standard to follow for reinstalling cast iron valve boxes other than an expectation that the top of the valve box be level with the grade. The lack of a standard likely led to the common reinstallation of valve boxes in contact with mains, as described by an Atmos vice president of operations. If Atmos had adopted either a standard for safely installing cast iron valve boxes or a policy of replacing cast iron valve boxes with the newer design, the protective buffer of soil or support pad would have reduced the load transmitted to the pipe on the day of the accident. There is not enough evidence to determine whether a buffer or pad would have prevented the accident, but it would have made the infrastructure more resilient. Atmos has not reported making changes to its valve box installation practices. After the main fractured, gas propagated undetected through an uncapped underground sewer lateral into the sewer system and then into the accident home, where it reached an explosive concentration. The gas in the sewers remained undetected because Atmos personnel did not test the atmosphere in the sewers prior to the explosion. For about 35 minutes, most of the time between the initial leak and the explosion, there was only one Atmos employee on the scene: an experienced senior service technician. He was equipped with a CGI and checked nearby storm drains for the presence of gas, which was one step in Atmos’s subsurface leak investigation procedure. During his interview with the NTSB, he described planning to check the sewers, another required step, but said that he had already confirmed that there was no threat to life or property. His activities after checking the storm drains are also consistent with a belief that he had finished assessing the risk posed by the leak: he switched to the non-safety-critical work of recording billing information for the damage. The investigation did not find evidence of a natural gas alarm in the accident home, which did not have gas service but was still impacted by a leak from a gas main. It is likely that a natural gas alarm would have provided the home’s occupants with warning of accumulating natural gas and given them an opportunity to evacuate before the explosion. The NTSB has advocated wider installation and use of natural gas alarms for nearly 50 years, including following the investigation into a pair of 2024 home explosions in Jackson, Mississippi, that involved Atmos assets. As a result of that investigation, the NTSB reiterated a recommendation to the 50 states, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: See CAROL for the complete history and current status of this recommendation. The NTSB also recommended that Atmos “develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas” (P-26-10).11F Footnote: See CAROL for the complete history and current status of this recommendation.
Addressee Acronym: SD
Addressee Organization Type: S-State Government
Communication Date: 2026-03-26
Communication Type: Recommendation Reiteration
Communication Contents: From the Report, “Atmos Energy Corporation Natural Gas-Fueled Home Explosions and Fires Jackson, Mississippi, January 24, 2024, and January 27, 2024” published on March 26, 2026. Absence of Natural Gas Detection Alarms in Buildings The Bristol Boulevard accident home and the Shalimar Drive accident home did not have natural gas alarms installed. For nearly 50 years, the NTSB has been recommending natural gas alarms for the early detection of natural gas leaks. In the West Reading accident, several candy factory employees told the NTSB that they had smelled natural gas odorant and did not call 9 1 1 or the gas company but stayed in the building until the explosion occurred. Some of the employees inquired with their managers about what to do, and their managers were equally unaware of the actions to take during a suspected natural gas leak. In the two Jackson accidents, and in many of the pipeline accidents the NTSB has investigated for the last 5 decades, people smelled natural gas odorant and either did not know what actions to take, or they knew the actions necessary to address a potential natural gas emergency but did not execute them. Natural gas distribution pipeline operators must educate the public on pipeline safety through public awareness programs. It is also necessary, however, to have safeguards in place when members of the public (1) smell natural gas odorant and do not take the appropriate safety actions and (2) do not smell natural gas odorant, as was the case in the NTSB investigation of the Dallas accident, and therefore do not take appropriate safety actions. Footnote: The NTSB’s Dallas investigation determined that the occupants in the accident homes did not smell natural gas odorant because it was absorbed and depleted in the soil. Natural gas alarms are safeguards in protecting the public, which is why the NTSB has recommended their installation after many of our pipeline accident investigations. The NTSB found that natural gas alarms likely would have prevented or reduced the consequences of the Dallas and West Reading accidents, and the evidence in this investigation suggests the same. The Shalimar Drive accident home was empty at the time of that accident; however, when the explosion in the Bristol Boulevard accident home occurred, two people were inside. Therefore, the NTSB concludes that had a natural gas alarm been installed inside the Bristol Boulevard accident home, it could have alerted occupants that natural gas was present, prompting them to evacuate and report the leak, making Atmos aware that the leak had likely worsened and required corrective action. As a result of the West Reading investigation, the NTSB recommended that the 50 States, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: Safety Recommendation P-25-5 is currently classified Open—Await Response. As of this report, 7 states and the District of Columbia have provided an initial response; 43 states and the Commonwealth of Puerto Rico have not responded. Footnote: The seven states that have provided an initial response include Colorado, Connecticut, Kansas, Nevada, North Carolina, Virginia, and Wyoming. Mississippi, the state where the two Jackson accidents occurred, is one of the 43 states that have not provided an initial response. The NTSB investigation of the two Jackson accidents has again identified the critical importance of natural gas alarms to alert occupants to natural gas leaks. Therefore, the NTSB reiterates Safety Recommendation P 25-5 to 50 States, the Commonwealth of Puerto Rico, and the District of Columbia. As discussed in section 1.10.1.1, after the Avondale accident, Atmos reported that it provided the public with information, through its website, on the availability of natural gas alarms. However, Atmos can do more to safeguard the public in its distribution areas. The NTSB is aware of multiple natural gas distribution operators that have made natural gas alarms available to people in their service areas. Footnote: Visit http://www.ntsb.gov to find additional information in the public docket for this NTSB accident investigation (case number PLD24FR003). Therefore, the NTSB recommends that Atmos develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas.
Addressee Name: State of South Carolina
Addressee Status: Open - Await Response
Addressee Acronym: SC
Addressee Organization Type: S-State Government
Communication Date: 2025-04-08
Communication Type: Transmittal Letter
Communication Contents: 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 accidents in other modes of transportation—railroad, highway, marine, and pipeline. We determine the probable cause of the accidents and issue safety recommendations aimed at preventing future accidents. In addition, we carry out special studies concerning transportation safety and coordinate the resources of the federal government and other organizations to assist victims and their family members affected by major transportation disasters. We are providing the following information to urge the State of South Carolina to act on the safety recommendation in this letter because we believe your organization can help reduce the risk of future accidents. For more information about the NTSB and our recommendation process, please see the attached one-page summary. This letter also includes information about our March 18, 2025, report, UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, NTSB/PIR-25/01. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. As a result of this investigation, we identified the following safety issues: • Degradation of a retired Aldyl A service tee that was accelerated by elevated ground temperatures from a corroded and cracked steam pipe nearby. • UGI Corporation’s insufficient consideration of pipeline integrity threats, particularly Aldyl A service tees with Delrin inserts at elevated temperatures. • Presence of unmarked and unreported private assets crossing public rights-of-way, excluding them from the Pennsylvania One Call System and increasing the risk of damage to them. • Delayed evacuation of Palmer’s Building 2 despite detection of natural gas by employees and others. • Natural gas safety messaging from pipeline operator public awareness programs that may not reach certain members of the public. • Insufficient guidance on natural gas emergency procedures. • Absence of natural gas alarms in commercial buildings. • Insufficient accessibility of gas distribution line valves. Accordingly, the NTSB makes the following safety recommendation to the State of South Carolina (additional information regarding this recommendation can be found in the noted section of the report): • Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) (See section 2.5.1.) The NTSB is vitally interested in this recommendation because it is designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter, detailing the actions you have taken or intend to take to implement this recommendation. When replying, please refer to the safety recommendation by number (Safety Recommendation P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply, including attachments, exceeds 20 megabytes, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. All communications regarding safety recommendations are stored by the NTSB and viewable by the public. Please do not send privileged or confidential communications in response to this recommendation. Responses marked as confidential or privileged (or similar designations) will be considered nonresponsive. In the likely event that your company uses auto generated and/or preformatted confidentiality statements on letterhead or outgoing e-mails, please include a statement in your letter indicating that the information can be publicly released. If you have concerns about this protocol, please contact us at ExecutiveSecretariat@ntsb.gov. The attached letter from the NTSB Chairman provides information about the March 18, 2025, report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. The NTSB is vitally interested in these recommendations because they are designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter detailing the actions you have taken or intend to take to implement these recommendations. When replying, please refer to the safety recommendation by number (for example, P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply exceeds 20 megabytes, including attachments, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. From the report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1: 2.5.1 Natural Gas Alarms Public awareness is an effective tool to encourage adoption of safety devices like natural gas alarms. The first edition of API RP 1162 requires that public awareness programs include safety messages about the awareness of hazards and prevention measures as well as leak recognition and response but does not specifically require these programs to disseminate safety messages about natural gas alarms. UGI’s public awareness materials distributed before the accident were consistent with federal regulations, and although the materials promoted the use of smoke and carbon monoxide alarms, they did not address natural gas alarms. Following the accident, UGI now includes safety messages encouraging the purchase of natural gas alarms in its public awareness materials. The NTSB concludes that installing natural gas alarms can alert people of a gas leak so they can evacuate the area; however, natural gas customers may not be aware of the necessity of such alarms. The NTSB believes that messages about the benefits of natural gas alarms are critically important and could save lives when natural gas alarms are installed. The NTSB further believes that the natural gas industry can help shape the effectiveness of public awareness program delivery methods so that people in businesses, schools, residences, and other places of congregation are better informed, both about natural gas hazards and the necessity of natural gas alarms. The American Gas Association, which represents natural gas pipeline operators throughout the US, can facilitate industry efforts to improve public awareness program delivery methods and to improve safety, most critically through increasing the installation of natural gas alarms. Therefore, the NTSB recommends that the American Gas Association share the details of the March 24, 2023, natural gas–fueled explosion and fire in West Reading, Pennsylvania, with its members, encouraging them to evaluate the effectiveness of their current delivery methods of public awareness programs and to promote the installation of natural gas alarms in businesses, residences, and other places of congregation that they serve. Evacuation should occur immediately upon detection of the presence of natural gas. In 1976, the NTSB made its first recommendation to require natural gas detection to provide early warning of leaks. Most recently, after a 2016 building explosion in Silver Spring, Maryland, and then again after the 2018 home explosion in Dallas, we made recommendations to the ICC and the NFPA to require natural gas alarms with methane detection in residences (NTSB 2019). We recommended t
Addressee Acronym: SC
Addressee Organization Type: S-State Government
Communication Date: 2026-04-07
Communication Type: Recommendation Mention
Communication Contents: Pipeline Investigation Report PIR-26-02, “Enbridge Inc. Natural Gas–Fueled Home Explosion and Fatality, South Jordan, Utah, November 6, 2024” published on April 7, 2026: 2 Analysis On November 6, 2024, a natural gas–fueled home explosion fatally injured one resident and damaged nearby homes. A crack in the 4-inch-diameter Aldyl A gas main near the home allowed natural gas to leak and fuel the home explosion. The NTSB found that the crack originated on the inner surface of the pipe and aligned directly with an oblong impression on the outer surface. Investigators determined that a rock impingement likely caused the oblong impression on the outer surface of the pipe and the resulting crack. They also found that the crack growth features indicated that the crack breached the outer surface in a single abrupt event. As a result, the pipe rapidly transitioned from releasing no gas to releasing up to 48.7 scfm, as measured in the lab. Footnote: The actual leak rate may have been lower, given that the pipeline was buried in soil, which would constrain the pipe and provide back-pressure resistance to gas as it leaked from the pipe. Post-explosion, subsurface gas readings showed that the natural gas migrated about 150 feet from the leak location to the home. Although the exact timing of the leak could not be determined, the residents’ observations of physical symptoms, inability to relight the basement water heater, and an unusually high candle flame before the accident suggest that natural gas may have been present in the home for at least 3 days before the explosion. On November 6, the flammable natural gas–air mixture ignited in the southwest quadrant of the basement. The Utah Deputy State Fire Marshal identified two possible sources of the ignition: a water heater and a furnace. The water heater was turned off at the control point, so the only credible ignition source was the furnace. Footnote: The furnace control valve was found postaccident to have significant thermal damage, consistent with it being the ignition source. Before the accident, Enbridge had implemented safeguards to mitigate the consequences of leaks, including periodic leak surveys, timely response to odor complaints, and targeted replacement projects. However, none of these strategies proved effective for this scenario, because of the following issues related to the strategies: • Periodic leak surveys. Regulators require distribution leak surveys to be conducted every 5 years. Enbridge conducted its most recent leak survey on April 29, 2022—two years before the accident. However, in this accident, through-wall crack propagation occurred too rapidly, causing the leak to go undetected before the explosion. • Timely response to odor complaints. Regulators require odorization of natural gas in distribution systems to help alert the public to natural gas leaks. During interviews conducted by investigators, the NTSB determined that the local residents had not smelled natural gas odorant near the accident home, even though gas was determined to have permeated the ground in the area during postaccident surveys, indicating that the odorant had been stripped from the leaked natural gas that ultimately entered the home. Footnote: Field testing of the gas in the distribution system after the explosion found acceptable odorant concentrations. Although odorant can act as an early warning of a gas release to prevent an explosion and fire, it has been known to become depleted when traveling through soil, as it did in this accident. Previous NTSB investigations have identified occurrences of odorant depletion that allowed natural gas leaks to go undetected, resulting in explosions in Dallas, Texas, in 2018 and in Silver Spring, Maryland, in 2016. Footnote: NTSB. 2021. Atmos Energy Corporation Natural Gas–Fueled Explosion, Dallas, Texas, February 23, 2018. PAR-21/01. Washington, DC: NTSB. Footnote: NTSB. 2019. Building Explosion and Fire, Silver Spring, Maryland, August 10, 2016. PAR-19/01. Washington, DC: NTSB. • Targeted replacement projects. A 2014 California Public Utilities Commission study showed that the vintage of Aldyl A present in this accident, with stress concentrations from rock impingement, squeeze-off, bending, or deflection, were statistically predicted to fail between 22 and 235 years after installation. Footnote: California Public Utilities Commission 2014 Hazard Analysis and Mitigation Report On Aldyl A Polyethylene Gas Pipelines in California. Haine 2014. Because the estimated failure time is imprecise (a range of more than 200 years), and because some environmental conditions—such as the locations of rocks in the backfill material—are unknown, the Enbridge evaluation of the cracking threat to the 1976 vintage Aldyl A did not accurately characterize the risk of rock impingements and prevented Enbridge from identifying effective mitigative actions and targeted replacement projects. Even though Enbridge worked continuously to search for the leak after the explosion, it took them more than 21 hours to find and isolate the natural gas leak. During this time, the pipeline continued to leak natural gas into the ground, increasing the risk to nearby residents, first responders, and others operating in the area. When an underground natural gas pipeline leak occurs rapidly, it can be difficult to safeguard against. Natural gas alarms can provide an early warning of natural gas leaks inside nearby structures and can alert the building occupants to take immediate safety actions. Had in-home natural gas alarms been installed in the homes involved in this accident, they would have alerted the residents to a potential problem and prompted them to evacuate and call 911, reducing or eliminating the fatal consequences of the explosion. The NTSB has previously recommended requiring the installation of natural gas alarms in businesses, residences, and other buildings (Safety Recommendation P 25 05).
Addressee Acronym: SC
Addressee Organization Type: S-State Government
Communication Date: 2026-06-05
Communication Type: Recommendation Mention
Communication Contents: Atmos Energy Corporation Natural Gas–Fueled Home Explosion Pipeline Investigation Report PIR-26-03 published on June 5, 2026: Analysis The explosion and fire occurred after natural gas leaked from a fractured buried main, migrated through an uncapped underground sewer lateral, entered the accident home, and reached an explosive concentration near an unknown ignition source. The investigation did not identify issues with gas pressures in the area of the leak or the timeliness or efficacy of the local emergency response agencies. Postaccident bar-hole testing and excavations found only one source of natural gas: a leak in the gas main near a valve box on the eastern edge of the construction site. On-site examinations of the main found that it was fractured around most of its circumference with a thin strip of metal at the top (12 o’clock position) joining the southern section of pipe to the section still threaded into the valve body. This indicates tension—a stretching force—at the bottom of the pipe along its long axis. Tension along the bottom of the pipe is consistent with a bending stress created by an external downward force. Based on information provided to Atmos by the construction superintendent, a cement truck ran over a valve box at the leak’s location immediately before he heard and smelled natural gas being released. The investigation did not identify another plausible external force that could have damaged the main. The Materials Laboratory examination of the main found fracture characteristics typical of fast crack growth and no signs of significant corrosion or preexisting structural damage that could have contributed to the failure. The fracture was therefore consistent with a sudden application of force by the valve box to the main. Based on the fracture’s location, timing, and fast-cracking characteristics, the valve box transmitted part of the cement truck’s weight to the gas main, causing the main to fracture and leak. Examination of the gas main and valve box involved in this accident found coal tar coating the main and deposited on the bottom edge of the valve box. This indicates that the valve box was in contact with the main. The presence of coal tar alone does not indicate when the contact occurred, but the evidence is consistent with the valve box being installed in contact with the main and therefore able transmit the cement truck’s weight directly to the main near the fracture’s location. Federal regulations at 49 CFR 192.181(c)(3) require that valve boxes not be installed in a manner that transmits external loads to mains, and valve boxes are normally installed with a buffer of soil or other protection between the valve box and the assets immediately below. For example, Atmos’s newer valve boxes are installed with support and base pads to prevent load transmission. However, Atmos was not actively replacing cast iron valve boxes with this newer design. Further, the maintenance crew that removed and reinstalled the valve box about 2 months before the accident did not have a specific standard to follow for reinstalling cast iron valve boxes other than an expectation that the top of the valve box be level with the grade. The lack of a standard likely led to the common reinstallation of valve boxes in contact with mains, as described by an Atmos vice president of operations. If Atmos had adopted either a standard for safely installing cast iron valve boxes or a policy of replacing cast iron valve boxes with the newer design, the protective buffer of soil or support pad would have reduced the load transmitted to the pipe on the day of the accident. There is not enough evidence to determine whether a buffer or pad would have prevented the accident, but it would have made the infrastructure more resilient. Atmos has not reported making changes to its valve box installation practices. After the main fractured, gas propagated undetected through an uncapped underground sewer lateral into the sewer system and then into the accident home, where it reached an explosive concentration. The gas in the sewers remained undetected because Atmos personnel did not test the atmosphere in the sewers prior to the explosion. For about 35 minutes, most of the time between the initial leak and the explosion, there was only one Atmos employee on the scene: an experienced senior service technician. He was equipped with a CGI and checked nearby storm drains for the presence of gas, which was one step in Atmos’s subsurface leak investigation procedure. During his interview with the NTSB, he described planning to check the sewers, another required step, but said that he had already confirmed that there was no threat to life or property. His activities after checking the storm drains are also consistent with a belief that he had finished assessing the risk posed by the leak: he switched to the non-safety-critical work of recording billing information for the damage. The investigation did not find evidence of a natural gas alarm in the accident home, which did not have gas service but was still impacted by a leak from a gas main. It is likely that a natural gas alarm would have provided the home’s occupants with warning of accumulating natural gas and given them an opportunity to evacuate before the explosion. The NTSB has advocated wider installation and use of natural gas alarms for nearly 50 years, including following the investigation into a pair of 2024 home explosions in Jackson, Mississippi, that involved Atmos assets. As a result of that investigation, the NTSB reiterated a recommendation to the 50 states, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: See CAROL for the complete history and current status of this recommendation. The NTSB also recommended that Atmos “develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas” (P-26-10).11F Footnote: See CAROL for the complete history and current status of this recommendation.
Addressee Acronym: SC
Addressee Organization Type: S-State Government
Communication Date: 2026-03-26
Communication Type: Recommendation Reiteration
Communication Contents: From the Report, “Atmos Energy Corporation Natural Gas-Fueled Home Explosions and Fires Jackson, Mississippi, January 24, 2024, and January 27, 2024” published on March 26, 2026. Absence of Natural Gas Detection Alarms in Buildings The Bristol Boulevard accident home and the Shalimar Drive accident home did not have natural gas alarms installed. For nearly 50 years, the NTSB has been recommending natural gas alarms for the early detection of natural gas leaks. In the West Reading accident, several candy factory employees told the NTSB that they had smelled natural gas odorant and did not call 9 1 1 or the gas company but stayed in the building until the explosion occurred. Some of the employees inquired with their managers about what to do, and their managers were equally unaware of the actions to take during a suspected natural gas leak. In the two Jackson accidents, and in many of the pipeline accidents the NTSB has investigated for the last 5 decades, people smelled natural gas odorant and either did not know what actions to take, or they knew the actions necessary to address a potential natural gas emergency but did not execute them. Natural gas distribution pipeline operators must educate the public on pipeline safety through public awareness programs. It is also necessary, however, to have safeguards in place when members of the public (1) smell natural gas odorant and do not take the appropriate safety actions and (2) do not smell natural gas odorant, as was the case in the NTSB investigation of the Dallas accident, and therefore do not take appropriate safety actions. Footnote: The NTSB’s Dallas investigation determined that the occupants in the accident homes did not smell natural gas odorant because it was absorbed and depleted in the soil. Natural gas alarms are safeguards in protecting the public, which is why the NTSB has recommended their installation after many of our pipeline accident investigations. The NTSB found that natural gas alarms likely would have prevented or reduced the consequences of the Dallas and West Reading accidents, and the evidence in this investigation suggests the same. The Shalimar Drive accident home was empty at the time of that accident; however, when the explosion in the Bristol Boulevard accident home occurred, two people were inside. Therefore, the NTSB concludes that had a natural gas alarm been installed inside the Bristol Boulevard accident home, it could have alerted occupants that natural gas was present, prompting them to evacuate and report the leak, making Atmos aware that the leak had likely worsened and required corrective action. As a result of the West Reading investigation, the NTSB recommended that the 50 States, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: Safety Recommendation P-25-5 is currently classified Open—Await Response. As of this report, 7 states and the District of Columbia have provided an initial response; 43 states and the Commonwealth of Puerto Rico have not responded. Footnote: The seven states that have provided an initial response include Colorado, Connecticut, Kansas, Nevada, North Carolina, Virginia, and Wyoming. Mississippi, the state where the two Jackson accidents occurred, is one of the 43 states that have not provided an initial response. The NTSB investigation of the two Jackson accidents has again identified the critical importance of natural gas alarms to alert occupants to natural gas leaks. Therefore, the NTSB reiterates Safety Recommendation P 25-5 to 50 States, the Commonwealth of Puerto Rico, and the District of Columbia. As discussed in section 1.10.1.1, after the Avondale accident, Atmos reported that it provided the public with information, through its website, on the availability of natural gas alarms. However, Atmos can do more to safeguard the public in its distribution areas. The NTSB is aware of multiple natural gas distribution operators that have made natural gas alarms available to people in their service areas. Footnote: Visit http://www.ntsb.gov to find additional information in the public docket for this NTSB accident investigation (case number PLD24FR003). Therefore, the NTSB recommends that Atmos develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas.
Addressee Name: State of Rhode Island
Addressee Status: Open - Await Response
Addressee Acronym: RI
Addressee Organization Type: S-State Government
Communication Date: 2025-04-08
Communication Type: Transmittal Letter
Communication Contents: 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 accidents in other modes of transportation—railroad, highway, marine, and pipeline. We determine the probable cause of the accidents and issue safety recommendations aimed at preventing future accidents. In addition, we carry out special studies concerning transportation safety and coordinate the resources of the federal government and other organizations to assist victims and their family members affected by major transportation disasters. We are providing the following information to urge the State of Rhode Island to act on the safety recommendation in this letter because we believe your organization can help reduce the risk of future accidents. For more information about the NTSB and our recommendation process, please see the attached one-page summary. This letter also includes information about our March 18, 2025, report, UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, NTSB/PIR-25/01. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. As a result of this investigation, we identified the following safety issues: • Degradation of a retired Aldyl A service tee that was accelerated by elevated ground temperatures from a corroded and cracked steam pipe nearby. • UGI Corporation’s insufficient consideration of pipeline integrity threats, particularly Aldyl A service tees with Delrin inserts at elevated temperatures. • Presence of unmarked and unreported private assets crossing public rights-of-way, excluding them from the Pennsylvania One Call System and increasing the risk of damage to them. • Delayed evacuation of Palmer’s Building 2 despite detection of natural gas by employees and others. • Natural gas safety messaging from pipeline operator public awareness programs that may not reach certain members of the public. • Insufficient guidance on natural gas emergency procedures. • Absence of natural gas alarms in commercial buildings. • Insufficient accessibility of gas distribution line valves. Accordingly, the NTSB makes the following safety recommendation to the State of Rhode Island (additional information regarding this recommendation can be found in the noted section of the report): • Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) (See section 2.5.1.) The NTSB is vitally interested in this recommendation because it is designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter, detailing the actions you have taken or intend to take to implement this recommendation. When replying, please refer to the safety recommendation by number (Safety Recommendation P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply, including attachments, exceeds 20 megabytes, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. All communications regarding safety recommendations are stored by the NTSB and viewable by the public. Please do not send privileged or confidential communications in response to this recommendation. Responses marked as confidential or privileged (or similar designations) will be considered nonresponsive. In the likely event that your company uses auto generated and/or preformatted confidentiality statements on letterhead or outgoing e-mails, please include a statement in your letter indicating that the information can be publicly released. If you have concerns about this protocol, please contact us at ExecutiveSecretariat@ntsb.gov. The attached letter from the NTSB Chairman provides information about the March 18, 2025, report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. The NTSB is vitally interested in these recommendations because they are designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter detailing the actions you have taken or intend to take to implement these recommendations. When replying, please refer to the safety recommendation by number (for example, P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply exceeds 20 megabytes, including attachments, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. From the report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1: 2.5.1 Natural Gas Alarms Public awareness is an effective tool to encourage adoption of safety devices like natural gas alarms. The first edition of API RP 1162 requires that public awareness programs include safety messages about the awareness of hazards and prevention measures as well as leak recognition and response but does not specifically require these programs to disseminate safety messages about natural gas alarms. UGI’s public awareness materials distributed before the accident were consistent with federal regulations, and although the materials promoted the use of smoke and carbon monoxide alarms, they did not address natural gas alarms. Following the accident, UGI now includes safety messages encouraging the purchase of natural gas alarms in its public awareness materials. The NTSB concludes that installing natural gas alarms can alert people of a gas leak so they can evacuate the area; however, natural gas customers may not be aware of the necessity of such alarms. The NTSB believes that messages about the benefits of natural gas alarms are critically important and could save lives when natural gas alarms are installed. The NTSB further believes that the natural gas industry can help shape the effectiveness of public awareness program delivery methods so that people in businesses, schools, residences, and other places of congregation are better informed, both about natural gas hazards and the necessity of natural gas alarms. The American Gas Association, which represents natural gas pipeline operators throughout the US, can facilitate industry efforts to improve public awareness program delivery methods and to improve safety, most critically through increasing the installation of natural gas alarms. Therefore, the NTSB recommends that the American Gas Association share the details of the March 24, 2023, natural gas–fueled explosion and fire in West Reading, Pennsylvania, with its members, encouraging them to evaluate the effectiveness of their current delivery methods of public awareness programs and to promote the installation of natural gas alarms in businesses, residences, and other places of congregation that they serve. Evacuation should occur immediately upon detection of the presence of natural gas. In 1976, the NTSB made its first recommendation to require natural gas detection to provide early warning of leaks. Most recently, after a 2016 building explosion in Silver Spring, Maryland, and then again after the 2018 home explosion in Dallas, we made recommendations to the ICC and the NFPA to require natural gas alarms with methane detection in residences (NTSB 2019). We recommended the I
Addressee Acronym: RI
Addressee Organization Type: S-State Government
Communication Date: 2026-04-07
Communication Type: Recommendation Mention
Communication Contents: Pipeline Investigation Report PIR-26-02, “Enbridge Inc. Natural Gas–Fueled Home Explosion and Fatality, South Jordan, Utah, November 6, 2024” published on April 7, 2026: 2 Analysis On November 6, 2024, a natural gas–fueled home explosion fatally injured one resident and damaged nearby homes. A crack in the 4-inch-diameter Aldyl A gas main near the home allowed natural gas to leak and fuel the home explosion. The NTSB found that the crack originated on the inner surface of the pipe and aligned directly with an oblong impression on the outer surface. Investigators determined that a rock impingement likely caused the oblong impression on the outer surface of the pipe and the resulting crack. They also found that the crack growth features indicated that the crack breached the outer surface in a single abrupt event. As a result, the pipe rapidly transitioned from releasing no gas to releasing up to 48.7 scfm, as measured in the lab. Footnote: The actual leak rate may have been lower, given that the pipeline was buried in soil, which would constrain the pipe and provide back-pressure resistance to gas as it leaked from the pipe. Post-explosion, subsurface gas readings showed that the natural gas migrated about 150 feet from the leak location to the home. Although the exact timing of the leak could not be determined, the residents’ observations of physical symptoms, inability to relight the basement water heater, and an unusually high candle flame before the accident suggest that natural gas may have been present in the home for at least 3 days before the explosion. On November 6, the flammable natural gas–air mixture ignited in the southwest quadrant of the basement. The Utah Deputy State Fire Marshal identified two possible sources of the ignition: a water heater and a furnace. The water heater was turned off at the control point, so the only credible ignition source was the furnace. Footnote: The furnace control valve was found postaccident to have significant thermal damage, consistent with it being the ignition source. Before the accident, Enbridge had implemented safeguards to mitigate the consequences of leaks, including periodic leak surveys, timely response to odor complaints, and targeted replacement projects. However, none of these strategies proved effective for this scenario, because of the following issues related to the strategies: • Periodic leak surveys. Regulators require distribution leak surveys to be conducted every 5 years. Enbridge conducted its most recent leak survey on April 29, 2022—two years before the accident. However, in this accident, through-wall crack propagation occurred too rapidly, causing the leak to go undetected before the explosion. • Timely response to odor complaints. Regulators require odorization of natural gas in distribution systems to help alert the public to natural gas leaks. During interviews conducted by investigators, the NTSB determined that the local residents had not smelled natural gas odorant near the accident home, even though gas was determined to have permeated the ground in the area during postaccident surveys, indicating that the odorant had been stripped from the leaked natural gas that ultimately entered the home. Footnote: Field testing of the gas in the distribution system after the explosion found acceptable odorant concentrations. Although odorant can act as an early warning of a gas release to prevent an explosion and fire, it has been known to become depleted when traveling through soil, as it did in this accident. Previous NTSB investigations have identified occurrences of odorant depletion that allowed natural gas leaks to go undetected, resulting in explosions in Dallas, Texas, in 2018 and in Silver Spring, Maryland, in 2016. Footnote: NTSB. 2021. Atmos Energy Corporation Natural Gas–Fueled Explosion, Dallas, Texas, February 23, 2018. PAR-21/01. Washington, DC: NTSB. Footnote: NTSB. 2019. Building Explosion and Fire, Silver Spring, Maryland, August 10, 2016. PAR-19/01. Washington, DC: NTSB. • Targeted replacement projects. A 2014 California Public Utilities Commission study showed that the vintage of Aldyl A present in this accident, with stress concentrations from rock impingement, squeeze-off, bending, or deflection, were statistically predicted to fail between 22 and 235 years after installation. Footnote: California Public Utilities Commission 2014 Hazard Analysis and Mitigation Report On Aldyl A Polyethylene Gas Pipelines in California. Haine 2014. Because the estimated failure time is imprecise (a range of more than 200 years), and because some environmental conditions—such as the locations of rocks in the backfill material—are unknown, the Enbridge evaluation of the cracking threat to the 1976 vintage Aldyl A did not accurately characterize the risk of rock impingements and prevented Enbridge from identifying effective mitigative actions and targeted replacement projects. Even though Enbridge worked continuously to search for the leak after the explosion, it took them more than 21 hours to find and isolate the natural gas leak. During this time, the pipeline continued to leak natural gas into the ground, increasing the risk to nearby residents, first responders, and others operating in the area. When an underground natural gas pipeline leak occurs rapidly, it can be difficult to safeguard against. Natural gas alarms can provide an early warning of natural gas leaks inside nearby structures and can alert the building occupants to take immediate safety actions. Had in-home natural gas alarms been installed in the homes involved in this accident, they would have alerted the residents to a potential problem and prompted them to evacuate and call 911, reducing or eliminating the fatal consequences of the explosion. The NTSB has previously recommended requiring the installation of natural gas alarms in businesses, residences, and other buildings (Safety Recommendation P 25 05).
Addressee Acronym: RI
Addressee Organization Type: S-State Government
Communication Date: 2026-06-05
Communication Type: Recommendation Mention
Communication Contents: Atmos Energy Corporation Natural Gas–Fueled Home Explosion Pipeline Investigation Report PIR-26-03 published on June 5, 2026: Analysis The explosion and fire occurred after natural gas leaked from a fractured buried main, migrated through an uncapped underground sewer lateral, entered the accident home, and reached an explosive concentration near an unknown ignition source. The investigation did not identify issues with gas pressures in the area of the leak or the timeliness or efficacy of the local emergency response agencies. Postaccident bar-hole testing and excavations found only one source of natural gas: a leak in the gas main near a valve box on the eastern edge of the construction site. On-site examinations of the main found that it was fractured around most of its circumference with a thin strip of metal at the top (12 o’clock position) joining the southern section of pipe to the section still threaded into the valve body. This indicates tension—a stretching force—at the bottom of the pipe along its long axis. Tension along the bottom of the pipe is consistent with a bending stress created by an external downward force. Based on information provided to Atmos by the construction superintendent, a cement truck ran over a valve box at the leak’s location immediately before he heard and smelled natural gas being released. The investigation did not identify another plausible external force that could have damaged the main. The Materials Laboratory examination of the main found fracture characteristics typical of fast crack growth and no signs of significant corrosion or preexisting structural damage that could have contributed to the failure. The fracture was therefore consistent with a sudden application of force by the valve box to the main. Based on the fracture’s location, timing, and fast-cracking characteristics, the valve box transmitted part of the cement truck’s weight to the gas main, causing the main to fracture and leak. Examination of the gas main and valve box involved in this accident found coal tar coating the main and deposited on the bottom edge of the valve box. This indicates that the valve box was in contact with the main. The presence of coal tar alone does not indicate when the contact occurred, but the evidence is consistent with the valve box being installed in contact with the main and therefore able transmit the cement truck’s weight directly to the main near the fracture’s location. Federal regulations at 49 CFR 192.181(c)(3) require that valve boxes not be installed in a manner that transmits external loads to mains, and valve boxes are normally installed with a buffer of soil or other protection between the valve box and the assets immediately below. For example, Atmos’s newer valve boxes are installed with support and base pads to prevent load transmission. However, Atmos was not actively replacing cast iron valve boxes with this newer design. Further, the maintenance crew that removed and reinstalled the valve box about 2 months before the accident did not have a specific standard to follow for reinstalling cast iron valve boxes other than an expectation that the top of the valve box be level with the grade. The lack of a standard likely led to the common reinstallation of valve boxes in contact with mains, as described by an Atmos vice president of operations. If Atmos had adopted either a standard for safely installing cast iron valve boxes or a policy of replacing cast iron valve boxes with the newer design, the protective buffer of soil or support pad would have reduced the load transmitted to the pipe on the day of the accident. There is not enough evidence to determine whether a buffer or pad would have prevented the accident, but it would have made the infrastructure more resilient. Atmos has not reported making changes to its valve box installation practices. After the main fractured, gas propagated undetected through an uncapped underground sewer lateral into the sewer system and then into the accident home, where it reached an explosive concentration. The gas in the sewers remained undetected because Atmos personnel did not test the atmosphere in the sewers prior to the explosion. For about 35 minutes, most of the time between the initial leak and the explosion, there was only one Atmos employee on the scene: an experienced senior service technician. He was equipped with a CGI and checked nearby storm drains for the presence of gas, which was one step in Atmos’s subsurface leak investigation procedure. During his interview with the NTSB, he described planning to check the sewers, another required step, but said that he had already confirmed that there was no threat to life or property. His activities after checking the storm drains are also consistent with a belief that he had finished assessing the risk posed by the leak: he switched to the non-safety-critical work of recording billing information for the damage. The investigation did not find evidence of a natural gas alarm in the accident home, which did not have gas service but was still impacted by a leak from a gas main. It is likely that a natural gas alarm would have provided the home’s occupants with warning of accumulating natural gas and given them an opportunity to evacuate before the explosion. The NTSB has advocated wider installation and use of natural gas alarms for nearly 50 years, including following the investigation into a pair of 2024 home explosions in Jackson, Mississippi, that involved Atmos assets. As a result of that investigation, the NTSB reiterated a recommendation to the 50 states, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: See CAROL for the complete history and current status of this recommendation. The NTSB also recommended that Atmos “develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas” (P-26-10).11F Footnote: See CAROL for the complete history and current status of this recommendation.
Addressee Acronym: RI
Addressee Organization Type: S-State Government
Communication Date: 2026-03-26
Communication Type: Recommendation Reiteration
Communication Contents: From the Report, “Atmos Energy Corporation Natural Gas-Fueled Home Explosions and Fires Jackson, Mississippi, January 24, 2024, and January 27, 2024” published on March 26, 2026. Absence of Natural Gas Detection Alarms in Buildings The Bristol Boulevard accident home and the Shalimar Drive accident home did not have natural gas alarms installed. For nearly 50 years, the NTSB has been recommending natural gas alarms for the early detection of natural gas leaks. In the West Reading accident, several candy factory employees told the NTSB that they had smelled natural gas odorant and did not call 9 1 1 or the gas company but stayed in the building until the explosion occurred. Some of the employees inquired with their managers about what to do, and their managers were equally unaware of the actions to take during a suspected natural gas leak. In the two Jackson accidents, and in many of the pipeline accidents the NTSB has investigated for the last 5 decades, people smelled natural gas odorant and either did not know what actions to take, or they knew the actions necessary to address a potential natural gas emergency but did not execute them. Natural gas distribution pipeline operators must educate the public on pipeline safety through public awareness programs. It is also necessary, however, to have safeguards in place when members of the public (1) smell natural gas odorant and do not take the appropriate safety actions and (2) do not smell natural gas odorant, as was the case in the NTSB investigation of the Dallas accident, and therefore do not take appropriate safety actions. Footnote: The NTSB’s Dallas investigation determined that the occupants in the accident homes did not smell natural gas odorant because it was absorbed and depleted in the soil. Natural gas alarms are safeguards in protecting the public, which is why the NTSB has recommended their installation after many of our pipeline accident investigations. The NTSB found that natural gas alarms likely would have prevented or reduced the consequences of the Dallas and West Reading accidents, and the evidence in this investigation suggests the same. The Shalimar Drive accident home was empty at the time of that accident; however, when the explosion in the Bristol Boulevard accident home occurred, two people were inside. Therefore, the NTSB concludes that had a natural gas alarm been installed inside the Bristol Boulevard accident home, it could have alerted occupants that natural gas was present, prompting them to evacuate and report the leak, making Atmos aware that the leak had likely worsened and required corrective action. As a result of the West Reading investigation, the NTSB recommended that the 50 States, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: Safety Recommendation P-25-5 is currently classified Open—Await Response. As of this report, 7 states and the District of Columbia have provided an initial response; 43 states and the Commonwealth of Puerto Rico have not responded. Footnote: The seven states that have provided an initial response include Colorado, Connecticut, Kansas, Nevada, North Carolina, Virginia, and Wyoming. Mississippi, the state where the two Jackson accidents occurred, is one of the 43 states that have not provided an initial response. The NTSB investigation of the two Jackson accidents has again identified the critical importance of natural gas alarms to alert occupants to natural gas leaks. Therefore, the NTSB reiterates Safety Recommendation P 25-5 to 50 States, the Commonwealth of Puerto Rico, and the District of Columbia. As discussed in section 1.10.1.1, after the Avondale accident, Atmos reported that it provided the public with information, through its website, on the availability of natural gas alarms. However, Atmos can do more to safeguard the public in its distribution areas. The NTSB is aware of multiple natural gas distribution operators that have made natural gas alarms available to people in their service areas. Footnote: Visit http://www.ntsb.gov to find additional information in the public docket for this NTSB accident investigation (case number PLD24FR003). Therefore, the NTSB recommends that Atmos develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas.
Addressee Name: Commonwealth of Pennsylvania
Addressee Status: Open - Await Response
Addressee Acronym: PA
Addressee Organization Type: S-State Government
Communication Date: 2025-04-08
Communication Type: Transmittal Letter
Communication Contents: 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 accidents in other modes of transportation—railroad, highway, marine, and pipeline. We determine the probable cause of the accidents and issue safety recommendations aimed at preventing future accidents. In addition, we carry out special studies concerning transportation safety and coordinate the resources of the federal government and other organizations to assist victims and their family members affected by major transportation disasters. We are providing the following information to urge the Commonwealth of Pennsylvania to act on the safety recommendations in this letter because we believe your organization can help reduce the risk of future accidents. For more information about the NTSB and our recommendation process, please see the attached one-page summary. This letter also includes information about our March 18, 2025, report, UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, NTSB/PIR-25/01. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. As a result of this investigation, we identified the following safety issues: • Degradation of a retired Aldyl A service tee that was accelerated by elevated ground temperatures from a corroded and cracked steam pipe nearby. • UGI Corporation’s insufficient consideration of pipeline integrity threats, particularly Aldyl A service tees with Delrin inserts at elevated temperatures. • Presence of unmarked and unreported private assets crossing public rights-of-way, excluding them from the Pennsylvania One Call System and increasing the risk of damage to them. • Delayed evacuation of Palmer’s Building 2 despite detection of natural gas by employees and others. • Natural gas safety messaging from pipeline operator public awareness programs that may not reach certain members of the public. • Insufficient guidance on natural gas emergency procedures. • Absence of natural gas alarms in commercial buildings. • Insufficient accessibility of gas distribution line valves. Accordingly, the NTSB makes the following safety recommendations to the Commonwealth of Pennsylvania (additional information regarding these recommendations can be found in the noted sections of the report): • Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) (See section 2.5.1.) • Modify your Underground Utility Line Protection Law to require all owners and operators of pipelines transporting steam or other high-temperature materials located in public rights-of-way to register their assets with the Pennsylvania One Call System. (P-25-6) (See section 2.4.) • Review your statutes and amend them to clarify that confidential security information disclosure restrictions do not apply to the National Transportation Safety Board when it is conducting an accident investigation. (P-25-7) (See section 2.7.) The NTSB is vitally interested in these recommendations because they are designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter, detailing the actions you have taken or intend to take to implement these recommendations. When replying, please refer to the safety recommendations by number (Safety Recommendations P-25-5 through -7). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply, including attachments, exceeds 20 megabytes, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. All communications regarding safety recommendations are stored by the NTSB and viewable by the public. Please do not send privileged or confidential communications in response to these recommendations. Responses marked as confidential or privileged (or similar designations) will be considered nonresponsive. In the likely event that your company uses auto generated and/or preformatted confidentiality statements on letterhead or outgoing e-mails, please include a statement in your letter indicating that the information can be publicly released. If you have concerns about this protocol, please contact us at ExecutiveSecretariat@ntsb.gov. The attached letter from the NTSB Chairman provides information about the March 18, 2025, report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. The NTSB is vitally interested in these recommendations because they are designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter detailing the actions you have taken or intend to take to implement these recommendations. When replying, please refer to the safety recommendation by number (for example, P-25-5 through P-25-7). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply exceeds 20 megabytes, including attachments, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. From the report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1: 2.5.1 Natural Gas Alarms Public awareness is an effective tool to encourage adoption of safety devices like natural gas alarms. The first edition of API RP 1162 requires that public awareness programs include safety messages about the awareness of hazards and prevention measures as well as leak recognition and response but does not specifically require these programs to disseminate safety messages about natural gas alarms. UGI’s public awareness materials distributed before the accident were consistent with federal regulations, and although the materials promoted the use of smoke and carbon monoxide alarms, they did not address natural gas alarms. Following the accident, UGI now includes safety messages encouraging the purchase of natural gas alarms in its public awareness materials. The NTSB concludes that installing natural gas alarms can alert people of a gas leak so they can evacuate the area; however, natural gas customers may not be aware of the necessity of such alarms. The NTSB believes that messages about the benefits of natural gas alarms are critically important and could save lives when natural gas alarms are installed. The NTSB further believes that the natural gas industry can help shape the effectiveness of public awareness program delivery methods so that people in businesses, schools, residences, and other places of congregation are better informed, both about natural gas hazards and the necessity of natural gas alarms. The American Gas Association, which represents natural gas pipeline operators throughout the US, can facilitate industry efforts to improve public awareness program delivery methods and to improve safety, most critically through increasing the installation of natural gas alarms. Therefore, the NTSB recommends that the American Gas Association share the details of the March 24, 2023, natural gas–fueled explosion and fire in West Reading, Pennsylvania, with its members, encouraging them to evaluate the effectiveness of their current delivery methods of public awareness programs and to promote the
Addressee Acronym: PA
Addressee Organization Type: S-State Government
Communication Date: 2026-04-07
Communication Type: Recommendation Mention
Communication Contents: Pipeline Investigation Report PIR-26-02, “Enbridge Inc. Natural Gas–Fueled Home Explosion and Fatality, South Jordan, Utah, November 6, 2024” published on April 7, 2026: 2 Analysis On November 6, 2024, a natural gas–fueled home explosion fatally injured one resident and damaged nearby homes. A crack in the 4-inch-diameter Aldyl A gas main near the home allowed natural gas to leak and fuel the home explosion. The NTSB found that the crack originated on the inner surface of the pipe and aligned directly with an oblong impression on the outer surface. Investigators determined that a rock impingement likely caused the oblong impression on the outer surface of the pipe and the resulting crack. They also found that the crack growth features indicated that the crack breached the outer surface in a single abrupt event. As a result, the pipe rapidly transitioned from releasing no gas to releasing up to 48.7 scfm, as measured in the lab. Footnote: The actual leak rate may have been lower, given that the pipeline was buried in soil, which would constrain the pipe and provide back-pressure resistance to gas as it leaked from the pipe. Post-explosion, subsurface gas readings showed that the natural gas migrated about 150 feet from the leak location to the home. Although the exact timing of the leak could not be determined, the residents’ observations of physical symptoms, inability to relight the basement water heater, and an unusually high candle flame before the accident suggest that natural gas may have been present in the home for at least 3 days before the explosion. On November 6, the flammable natural gas–air mixture ignited in the southwest quadrant of the basement. The Utah Deputy State Fire Marshal identified two possible sources of the ignition: a water heater and a furnace. The water heater was turned off at the control point, so the only credible ignition source was the furnace. Footnote: The furnace control valve was found postaccident to have significant thermal damage, consistent with it being the ignition source. Before the accident, Enbridge had implemented safeguards to mitigate the consequences of leaks, including periodic leak surveys, timely response to odor complaints, and targeted replacement projects. However, none of these strategies proved effective for this scenario, because of the following issues related to the strategies: • Periodic leak surveys. Regulators require distribution leak surveys to be conducted every 5 years. Enbridge conducted its most recent leak survey on April 29, 2022—two years before the accident. However, in this accident, through-wall crack propagation occurred too rapidly, causing the leak to go undetected before the explosion. • Timely response to odor complaints. Regulators require odorization of natural gas in distribution systems to help alert the public to natural gas leaks. During interviews conducted by investigators, the NTSB determined that the local residents had not smelled natural gas odorant near the accident home, even though gas was determined to have permeated the ground in the area during postaccident surveys, indicating that the odorant had been stripped from the leaked natural gas that ultimately entered the home. Footnote: Field testing of the gas in the distribution system after the explosion found acceptable odorant concentrations. Although odorant can act as an early warning of a gas release to prevent an explosion and fire, it has been known to become depleted when traveling through soil, as it did in this accident. Previous NTSB investigations have identified occurrences of odorant depletion that allowed natural gas leaks to go undetected, resulting in explosions in Dallas, Texas, in 2018 and in Silver Spring, Maryland, in 2016. Footnote: NTSB. 2021. Atmos Energy Corporation Natural Gas–Fueled Explosion, Dallas, Texas, February 23, 2018. PAR-21/01. Washington, DC: NTSB. Footnote: NTSB. 2019. Building Explosion and Fire, Silver Spring, Maryland, August 10, 2016. PAR-19/01. Washington, DC: NTSB. • Targeted replacement projects. A 2014 California Public Utilities Commission study showed that the vintage of Aldyl A present in this accident, with stress concentrations from rock impingement, squeeze-off, bending, or deflection, were statistically predicted to fail between 22 and 235 years after installation. Footnote: California Public Utilities Commission 2014 Hazard Analysis and Mitigation Report On Aldyl A Polyethylene Gas Pipelines in California. Haine 2014. Because the estimated failure time is imprecise (a range of more than 200 years), and because some environmental conditions—such as the locations of rocks in the backfill material—are unknown, the Enbridge evaluation of the cracking threat to the 1976 vintage Aldyl A did not accurately characterize the risk of rock impingements and prevented Enbridge from identifying effective mitigative actions and targeted replacement projects. Even though Enbridge worked continuously to search for the leak after the explosion, it took them more than 21 hours to find and isolate the natural gas leak. During this time, the pipeline continued to leak natural gas into the ground, increasing the risk to nearby residents, first responders, and others operating in the area. When an underground natural gas pipeline leak occurs rapidly, it can be difficult to safeguard against. Natural gas alarms can provide an early warning of natural gas leaks inside nearby structures and can alert the building occupants to take immediate safety actions. Had in-home natural gas alarms been installed in the homes involved in this accident, they would have alerted the residents to a potential problem and prompted them to evacuate and call 911, reducing or eliminating the fatal consequences of the explosion. The NTSB has previously recommended requiring the installation of natural gas alarms in businesses, residences, and other buildings (Safety Recommendation P 25 05).
Addressee Acronym: PA
Addressee Organization Type: S-State Government
Communication Date: 2026-06-05
Communication Type: Recommendation Mention
Communication Contents: Atmos Energy Corporation Natural Gas–Fueled Home Explosion Pipeline Investigation Report PIR-26-03 published on June 5, 2026: Analysis The explosion and fire occurred after natural gas leaked from a fractured buried main, migrated through an uncapped underground sewer lateral, entered the accident home, and reached an explosive concentration near an unknown ignition source. The investigation did not identify issues with gas pressures in the area of the leak or the timeliness or efficacy of the local emergency response agencies. Postaccident bar-hole testing and excavations found only one source of natural gas: a leak in the gas main near a valve box on the eastern edge of the construction site. On-site examinations of the main found that it was fractured around most of its circumference with a thin strip of metal at the top (12 o’clock position) joining the southern section of pipe to the section still threaded into the valve body. This indicates tension—a stretching force—at the bottom of the pipe along its long axis. Tension along the bottom of the pipe is consistent with a bending stress created by an external downward force. Based on information provided to Atmos by the construction superintendent, a cement truck ran over a valve box at the leak’s location immediately before he heard and smelled natural gas being released. The investigation did not identify another plausible external force that could have damaged the main. The Materials Laboratory examination of the main found fracture characteristics typical of fast crack growth and no signs of significant corrosion or preexisting structural damage that could have contributed to the failure. The fracture was therefore consistent with a sudden application of force by the valve box to the main. Based on the fracture’s location, timing, and fast-cracking characteristics, the valve box transmitted part of the cement truck’s weight to the gas main, causing the main to fracture and leak. Examination of the gas main and valve box involved in this accident found coal tar coating the main and deposited on the bottom edge of the valve box. This indicates that the valve box was in contact with the main. The presence of coal tar alone does not indicate when the contact occurred, but the evidence is consistent with the valve box being installed in contact with the main and therefore able transmit the cement truck’s weight directly to the main near the fracture’s location. Federal regulations at 49 CFR 192.181(c)(3) require that valve boxes not be installed in a manner that transmits external loads to mains, and valve boxes are normally installed with a buffer of soil or other protection between the valve box and the assets immediately below. For example, Atmos’s newer valve boxes are installed with support and base pads to prevent load transmission. However, Atmos was not actively replacing cast iron valve boxes with this newer design. Further, the maintenance crew that removed and reinstalled the valve box about 2 months before the accident did not have a specific standard to follow for reinstalling cast iron valve boxes other than an expectation that the top of the valve box be level with the grade. The lack of a standard likely led to the common reinstallation of valve boxes in contact with mains, as described by an Atmos vice president of operations. If Atmos had adopted either a standard for safely installing cast iron valve boxes or a policy of replacing cast iron valve boxes with the newer design, the protective buffer of soil or support pad would have reduced the load transmitted to the pipe on the day of the accident. There is not enough evidence to determine whether a buffer or pad would have prevented the accident, but it would have made the infrastructure more resilient. Atmos has not reported making changes to its valve box installation practices. After the main fractured, gas propagated undetected through an uncapped underground sewer lateral into the sewer system and then into the accident home, where it reached an explosive concentration. The gas in the sewers remained undetected because Atmos personnel did not test the atmosphere in the sewers prior to the explosion. For about 35 minutes, most of the time between the initial leak and the explosion, there was only one Atmos employee on the scene: an experienced senior service technician. He was equipped with a CGI and checked nearby storm drains for the presence of gas, which was one step in Atmos’s subsurface leak investigation procedure. During his interview with the NTSB, he described planning to check the sewers, another required step, but said that he had already confirmed that there was no threat to life or property. His activities after checking the storm drains are also consistent with a belief that he had finished assessing the risk posed by the leak: he switched to the non-safety-critical work of recording billing information for the damage. The investigation did not find evidence of a natural gas alarm in the accident home, which did not have gas service but was still impacted by a leak from a gas main. It is likely that a natural gas alarm would have provided the home’s occupants with warning of accumulating natural gas and given them an opportunity to evacuate before the explosion. The NTSB has advocated wider installation and use of natural gas alarms for nearly 50 years, including following the investigation into a pair of 2024 home explosions in Jackson, Mississippi, that involved Atmos assets. As a result of that investigation, the NTSB reiterated a recommendation to the 50 states, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: See CAROL for the complete history and current status of this recommendation. The NTSB also recommended that Atmos “develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas” (P-26-10).11F Footnote: See CAROL for the complete history and current status of this recommendation.
Addressee Acronym: PA
Addressee Organization Type: S-State Government
Communication Date: 2026-03-26
Communication Type: Recommendation Reiteration
Communication Contents: From the Report, “Atmos Energy Corporation Natural Gas-Fueled Home Explosions and Fires Jackson, Mississippi, January 24, 2024, and January 27, 2024” published on March 26, 2026. Absence of Natural Gas Detection Alarms in Buildings The Bristol Boulevard accident home and the Shalimar Drive accident home did not have natural gas alarms installed. For nearly 50 years, the NTSB has been recommending natural gas alarms for the early detection of natural gas leaks. In the West Reading accident, several candy factory employees told the NTSB that they had smelled natural gas odorant and did not call 9 1 1 or the gas company but stayed in the building until the explosion occurred. Some of the employees inquired with their managers about what to do, and their managers were equally unaware of the actions to take during a suspected natural gas leak. In the two Jackson accidents, and in many of the pipeline accidents the NTSB has investigated for the last 5 decades, people smelled natural gas odorant and either did not know what actions to take, or they knew the actions necessary to address a potential natural gas emergency but did not execute them. Natural gas distribution pipeline operators must educate the public on pipeline safety through public awareness programs. It is also necessary, however, to have safeguards in place when members of the public (1) smell natural gas odorant and do not take the appropriate safety actions and (2) do not smell natural gas odorant, as was the case in the NTSB investigation of the Dallas accident, and therefore do not take appropriate safety actions. Footnote: The NTSB’s Dallas investigation determined that the occupants in the accident homes did not smell natural gas odorant because it was absorbed and depleted in the soil. Natural gas alarms are safeguards in protecting the public, which is why the NTSB has recommended their installation after many of our pipeline accident investigations. The NTSB found that natural gas alarms likely would have prevented or reduced the consequences of the Dallas and West Reading accidents, and the evidence in this investigation suggests the same. The Shalimar Drive accident home was empty at the time of that accident; however, when the explosion in the Bristol Boulevard accident home occurred, two people were inside. Therefore, the NTSB concludes that had a natural gas alarm been installed inside the Bristol Boulevard accident home, it could have alerted occupants that natural gas was present, prompting them to evacuate and report the leak, making Atmos aware that the leak had likely worsened and required corrective action. As a result of the West Reading investigation, the NTSB recommended that the 50 States, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: Safety Recommendation P-25-5 is currently classified Open—Await Response. As of this report, 7 states and the District of Columbia have provided an initial response; 43 states and the Commonwealth of Puerto Rico have not responded. Footnote: The seven states that have provided an initial response include Colorado, Connecticut, Kansas, Nevada, North Carolina, Virginia, and Wyoming. Mississippi, the state where the two Jackson accidents occurred, is one of the 43 states that have not provided an initial response. The NTSB investigation of the two Jackson accidents has again identified the critical importance of natural gas alarms to alert occupants to natural gas leaks. Therefore, the NTSB reiterates Safety Recommendation P 25-5 to 50 States, the Commonwealth of Puerto Rico, and the District of Columbia. As discussed in section 1.10.1.1, after the Avondale accident, Atmos reported that it provided the public with information, through its website, on the availability of natural gas alarms. However, Atmos can do more to safeguard the public in its distribution areas. The NTSB is aware of multiple natural gas distribution operators that have made natural gas alarms available to people in their service areas. Footnote: Visit http://www.ntsb.gov to find additional information in the public docket for this NTSB accident investigation (case number PLD24FR003). Therefore, the NTSB recommends that Atmos develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas.
Addressee Name: State of Oregon
Addressee Status: Open - Await Response
Addressee Acronym: OR
Addressee Organization Type: S-State Government
Communication Date: 2025-04-08
Communication Type: Transmittal Letter
Communication Contents: 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 accidents in other modes of transportation—railroad, highway, marine, and pipeline. We determine the probable cause of the accidents and issue safety recommendations aimed at preventing future accidents. In addition, we carry out special studies concerning transportation safety and coordinate the resources of the federal government and other organizations to assist victims and their family members affected by major transportation disasters. We are providing the following information to urge the State of Oregon to act on the safety recommendation in this letter because we believe your organization can help reduce the risk of future accidents. For more information about the NTSB and our recommendation process, please see the attached one-page summary. This letter also includes information about our March 18, 2025, report, UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, NTSB/PIR-25/01. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. As a result of this investigation, we identified the following safety issues: • Degradation of a retired Aldyl A service tee that was accelerated by elevated ground temperatures from a corroded and cracked steam pipe nearby. • UGI Corporation’s insufficient consideration of pipeline integrity threats, particularly Aldyl A service tees with Delrin inserts at elevated temperatures. • Presence of unmarked and unreported private assets crossing public rights-of-way, excluding them from the Pennsylvania One Call System and increasing the risk of damage to them. • Delayed evacuation of Palmer’s Building 2 despite detection of natural gas by employees and others. • Natural gas safety messaging from pipeline operator public awareness programs that may not reach certain members of the public. • Insufficient guidance on natural gas emergency procedures. • Absence of natural gas alarms in commercial buildings. • Insufficient accessibility of gas distribution line valves. Accordingly, the NTSB makes the following safety recommendation to the State of Oregon (additional information regarding this recommendation can be found in the noted section of the report): • Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) (See section 2.5.1.) The NTSB is vitally interested in this recommendation because it is designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter, detailing the actions you have taken or intend to take to implement this recommendation. When replying, please refer to the safety recommendation by number (Safety Recommendation P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply, including attachments, exceeds 20 megabytes, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. All communications regarding safety recommendations are stored by the NTSB and viewable by the public. Please do not send privileged or confidential communications in response to this recommendation. Responses marked as confidential or privileged (or similar designations) will be considered nonresponsive. In the likely event that your company uses auto generated and/or preformatted confidentiality statements on letterhead or outgoing e-mails, please include a statement in your letter indicating that the information can be publicly released. If you have concerns about this protocol, please contact us at ExecutiveSecretariat@ntsb.gov. The attached letter from the NTSB Chairman provides information about the March 18, 2025, report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. The NTSB is vitally interested in these recommendations because they are designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter detailing the actions you have taken or intend to take to implement these recommendations. When replying, please refer to the safety recommendation by number (for example, P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply exceeds 20 megabytes, including attachments, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. From the report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1: 2.5.1 Natural Gas Alarms Public awareness is an effective tool to encourage adoption of safety devices like natural gas alarms. The first edition of API RP 1162 requires that public awareness programs include safety messages about the awareness of hazards and prevention measures as well as leak recognition and response but does not specifically require these programs to disseminate safety messages about natural gas alarms. UGI’s public awareness materials distributed before the accident were consistent with federal regulations, and although the materials promoted the use of smoke and carbon monoxide alarms, they did not address natural gas alarms. Following the accident, UGI now includes safety messages encouraging the purchase of natural gas alarms in its public awareness materials. The NTSB concludes that installing natural gas alarms can alert people of a gas leak so they can evacuate the area; however, natural gas customers may not be aware of the necessity of such alarms. The NTSB believes that messages about the benefits of natural gas alarms are critically important and could save lives when natural gas alarms are installed. The NTSB further believes that the natural gas industry can help shape the effectiveness of public awareness program delivery methods so that people in businesses, schools, residences, and other places of congregation are better informed, both about natural gas hazards and the necessity of natural gas alarms. The American Gas Association, which represents natural gas pipeline operators throughout the US, can facilitate industry efforts to improve public awareness program delivery methods and to improve safety, most critically through increasing the installation of natural gas alarms. Therefore, the NTSB recommends that the American Gas Association share the details of the March 24, 2023, natural gas–fueled explosion and fire in West Reading, Pennsylvania, with its members, encouraging them to evaluate the effectiveness of their current delivery methods of public awareness programs and to promote the installation of natural gas alarms in businesses, residences, and other places of congregation that they serve. Evacuation should occur immediately upon detection of the presence of natural gas. In 1976, the NTSB made its first recommendation to require natural gas detection to provide early warning of leaks. Most recently, after a 2016 building explosion in Silver Spring, Maryland, and then again after the 2018 home explosion in Dallas, we made recommendations to the ICC and the NFPA to require natural gas alarms with methane detection in residences (NTSB 2019). We recommended the ICC work with
Addressee Acronym: OR
Addressee Organization Type: S-State Government
Communication Date: 2026-04-07
Communication Type: Recommendation Mention
Communication Contents: Pipeline Investigation Report PIR-26-02, “Enbridge Inc. Natural Gas–Fueled Home Explosion and Fatality, South Jordan, Utah, November 6, 2024” published on April 7, 2026: 2 Analysis On November 6, 2024, a natural gas–fueled home explosion fatally injured one resident and damaged nearby homes. A crack in the 4-inch-diameter Aldyl A gas main near the home allowed natural gas to leak and fuel the home explosion. The NTSB found that the crack originated on the inner surface of the pipe and aligned directly with an oblong impression on the outer surface. Investigators determined that a rock impingement likely caused the oblong impression on the outer surface of the pipe and the resulting crack. They also found that the crack growth features indicated that the crack breached the outer surface in a single abrupt event. As a result, the pipe rapidly transitioned from releasing no gas to releasing up to 48.7 scfm, as measured in the lab. Footnote: The actual leak rate may have been lower, given that the pipeline was buried in soil, which would constrain the pipe and provide back-pressure resistance to gas as it leaked from the pipe. Post-explosion, subsurface gas readings showed that the natural gas migrated about 150 feet from the leak location to the home. Although the exact timing of the leak could not be determined, the residents’ observations of physical symptoms, inability to relight the basement water heater, and an unusually high candle flame before the accident suggest that natural gas may have been present in the home for at least 3 days before the explosion. On November 6, the flammable natural gas–air mixture ignited in the southwest quadrant of the basement. The Utah Deputy State Fire Marshal identified two possible sources of the ignition: a water heater and a furnace. The water heater was turned off at the control point, so the only credible ignition source was the furnace. Footnote: The furnace control valve was found postaccident to have significant thermal damage, consistent with it being the ignition source. Before the accident, Enbridge had implemented safeguards to mitigate the consequences of leaks, including periodic leak surveys, timely response to odor complaints, and targeted replacement projects. However, none of these strategies proved effective for this scenario, because of the following issues related to the strategies: • Periodic leak surveys. Regulators require distribution leak surveys to be conducted every 5 years. Enbridge conducted its most recent leak survey on April 29, 2022—two years before the accident. However, in this accident, through-wall crack propagation occurred too rapidly, causing the leak to go undetected before the explosion. • Timely response to odor complaints. Regulators require odorization of natural gas in distribution systems to help alert the public to natural gas leaks. During interviews conducted by investigators, the NTSB determined that the local residents had not smelled natural gas odorant near the accident home, even though gas was determined to have permeated the ground in the area during postaccident surveys, indicating that the odorant had been stripped from the leaked natural gas that ultimately entered the home. Footnote: Field testing of the gas in the distribution system after the explosion found acceptable odorant concentrations. Although odorant can act as an early warning of a gas release to prevent an explosion and fire, it has been known to become depleted when traveling through soil, as it did in this accident. Previous NTSB investigations have identified occurrences of odorant depletion that allowed natural gas leaks to go undetected, resulting in explosions in Dallas, Texas, in 2018 and in Silver Spring, Maryland, in 2016. Footnote: NTSB. 2021. Atmos Energy Corporation Natural Gas–Fueled Explosion, Dallas, Texas, February 23, 2018. PAR-21/01. Washington, DC: NTSB. Footnote: NTSB. 2019. Building Explosion and Fire, Silver Spring, Maryland, August 10, 2016. PAR-19/01. Washington, DC: NTSB. • Targeted replacement projects. A 2014 California Public Utilities Commission study showed that the vintage of Aldyl A present in this accident, with stress concentrations from rock impingement, squeeze-off, bending, or deflection, were statistically predicted to fail between 22 and 235 years after installation. Footnote: California Public Utilities Commission 2014 Hazard Analysis and Mitigation Report On Aldyl A Polyethylene Gas Pipelines in California. Haine 2014. Because the estimated failure time is imprecise (a range of more than 200 years), and because some environmental conditions—such as the locations of rocks in the backfill material—are unknown, the Enbridge evaluation of the cracking threat to the 1976 vintage Aldyl A did not accurately characterize the risk of rock impingements and prevented Enbridge from identifying effective mitigative actions and targeted replacement projects. Even though Enbridge worked continuously to search for the leak after the explosion, it took them more than 21 hours to find and isolate the natural gas leak. During this time, the pipeline continued to leak natural gas into the ground, increasing the risk to nearby residents, first responders, and others operating in the area. When an underground natural gas pipeline leak occurs rapidly, it can be difficult to safeguard against. Natural gas alarms can provide an early warning of natural gas leaks inside nearby structures and can alert the building occupants to take immediate safety actions. Had in-home natural gas alarms been installed in the homes involved in this accident, they would have alerted the residents to a potential problem and prompted them to evacuate and call 911, reducing or eliminating the fatal consequences of the explosion. The NTSB has previously recommended requiring the installation of natural gas alarms in businesses, residences, and other buildings (Safety Recommendation P 25 05).
Addressee Acronym: OR
Addressee Organization Type: S-State Government
Communication Date: 2026-06-05
Communication Type: Recommendation Mention
Communication Contents: Atmos Energy Corporation Natural Gas–Fueled Home Explosion Pipeline Investigation Report PIR-26-03 published on June 5, 2026: Analysis The explosion and fire occurred after natural gas leaked from a fractured buried main, migrated through an uncapped underground sewer lateral, entered the accident home, and reached an explosive concentration near an unknown ignition source. The investigation did not identify issues with gas pressures in the area of the leak or the timeliness or efficacy of the local emergency response agencies. Postaccident bar-hole testing and excavations found only one source of natural gas: a leak in the gas main near a valve box on the eastern edge of the construction site. On-site examinations of the main found that it was fractured around most of its circumference with a thin strip of metal at the top (12 o’clock position) joining the southern section of pipe to the section still threaded into the valve body. This indicates tension—a stretching force—at the bottom of the pipe along its long axis. Tension along the bottom of the pipe is consistent with a bending stress created by an external downward force. Based on information provided to Atmos by the construction superintendent, a cement truck ran over a valve box at the leak’s location immediately before he heard and smelled natural gas being released. The investigation did not identify another plausible external force that could have damaged the main. The Materials Laboratory examination of the main found fracture characteristics typical of fast crack growth and no signs of significant corrosion or preexisting structural damage that could have contributed to the failure. The fracture was therefore consistent with a sudden application of force by the valve box to the main. Based on the fracture’s location, timing, and fast-cracking characteristics, the valve box transmitted part of the cement truck’s weight to the gas main, causing the main to fracture and leak. Examination of the gas main and valve box involved in this accident found coal tar coating the main and deposited on the bottom edge of the valve box. This indicates that the valve box was in contact with the main. The presence of coal tar alone does not indicate when the contact occurred, but the evidence is consistent with the valve box being installed in contact with the main and therefore able transmit the cement truck’s weight directly to the main near the fracture’s location. Federal regulations at 49 CFR 192.181(c)(3) require that valve boxes not be installed in a manner that transmits external loads to mains, and valve boxes are normally installed with a buffer of soil or other protection between the valve box and the assets immediately below. For example, Atmos’s newer valve boxes are installed with support and base pads to prevent load transmission. However, Atmos was not actively replacing cast iron valve boxes with this newer design. Further, the maintenance crew that removed and reinstalled the valve box about 2 months before the accident did not have a specific standard to follow for reinstalling cast iron valve boxes other than an expectation that the top of the valve box be level with the grade. The lack of a standard likely led to the common reinstallation of valve boxes in contact with mains, as described by an Atmos vice president of operations. If Atmos had adopted either a standard for safely installing cast iron valve boxes or a policy of replacing cast iron valve boxes with the newer design, the protective buffer of soil or support pad would have reduced the load transmitted to the pipe on the day of the accident. There is not enough evidence to determine whether a buffer or pad would have prevented the accident, but it would have made the infrastructure more resilient. Atmos has not reported making changes to its valve box installation practices. After the main fractured, gas propagated undetected through an uncapped underground sewer lateral into the sewer system and then into the accident home, where it reached an explosive concentration. The gas in the sewers remained undetected because Atmos personnel did not test the atmosphere in the sewers prior to the explosion. For about 35 minutes, most of the time between the initial leak and the explosion, there was only one Atmos employee on the scene: an experienced senior service technician. He was equipped with a CGI and checked nearby storm drains for the presence of gas, which was one step in Atmos’s subsurface leak investigation procedure. During his interview with the NTSB, he described planning to check the sewers, another required step, but said that he had already confirmed that there was no threat to life or property. His activities after checking the storm drains are also consistent with a belief that he had finished assessing the risk posed by the leak: he switched to the non-safety-critical work of recording billing information for the damage. The investigation did not find evidence of a natural gas alarm in the accident home, which did not have gas service but was still impacted by a leak from a gas main. It is likely that a natural gas alarm would have provided the home’s occupants with warning of accumulating natural gas and given them an opportunity to evacuate before the explosion. The NTSB has advocated wider installation and use of natural gas alarms for nearly 50 years, including following the investigation into a pair of 2024 home explosions in Jackson, Mississippi, that involved Atmos assets. As a result of that investigation, the NTSB reiterated a recommendation to the 50 states, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: See CAROL for the complete history and current status of this recommendation. The NTSB also recommended that Atmos “develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas” (P-26-10).11F Footnote: See CAROL for the complete history and current status of this recommendation.
Addressee Acronym: OR
Addressee Organization Type: S-State Government
Communication Date: 2026-03-26
Communication Type: Recommendation Reiteration
Communication Contents: From the Report, “Atmos Energy Corporation Natural Gas-Fueled Home Explosions and Fires Jackson, Mississippi, January 24, 2024, and January 27, 2024” published on March 26, 2026. Absence of Natural Gas Detection Alarms in Buildings The Bristol Boulevard accident home and the Shalimar Drive accident home did not have natural gas alarms installed. For nearly 50 years, the NTSB has been recommending natural gas alarms for the early detection of natural gas leaks. In the West Reading accident, several candy factory employees told the NTSB that they had smelled natural gas odorant and did not call 9 1 1 or the gas company but stayed in the building until the explosion occurred. Some of the employees inquired with their managers about what to do, and their managers were equally unaware of the actions to take during a suspected natural gas leak. In the two Jackson accidents, and in many of the pipeline accidents the NTSB has investigated for the last 5 decades, people smelled natural gas odorant and either did not know what actions to take, or they knew the actions necessary to address a potential natural gas emergency but did not execute them. Natural gas distribution pipeline operators must educate the public on pipeline safety through public awareness programs. It is also necessary, however, to have safeguards in place when members of the public (1) smell natural gas odorant and do not take the appropriate safety actions and (2) do not smell natural gas odorant, as was the case in the NTSB investigation of the Dallas accident, and therefore do not take appropriate safety actions. Footnote: The NTSB’s Dallas investigation determined that the occupants in the accident homes did not smell natural gas odorant because it was absorbed and depleted in the soil. Natural gas alarms are safeguards in protecting the public, which is why the NTSB has recommended their installation after many of our pipeline accident investigations. The NTSB found that natural gas alarms likely would have prevented or reduced the consequences of the Dallas and West Reading accidents, and the evidence in this investigation suggests the same. The Shalimar Drive accident home was empty at the time of that accident; however, when the explosion in the Bristol Boulevard accident home occurred, two people were inside. Therefore, the NTSB concludes that had a natural gas alarm been installed inside the Bristol Boulevard accident home, it could have alerted occupants that natural gas was present, prompting them to evacuate and report the leak, making Atmos aware that the leak had likely worsened and required corrective action. As a result of the West Reading investigation, the NTSB recommended that the 50 States, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: Safety Recommendation P-25-5 is currently classified Open—Await Response. As of this report, 7 states and the District of Columbia have provided an initial response; 43 states and the Commonwealth of Puerto Rico have not responded. Footnote: The seven states that have provided an initial response include Colorado, Connecticut, Kansas, Nevada, North Carolina, Virginia, and Wyoming. Mississippi, the state where the two Jackson accidents occurred, is one of the 43 states that have not provided an initial response. The NTSB investigation of the two Jackson accidents has again identified the critical importance of natural gas alarms to alert occupants to natural gas leaks. Therefore, the NTSB reiterates Safety Recommendation P 25-5 to 50 States, the Commonwealth of Puerto Rico, and the District of Columbia. As discussed in section 1.10.1.1, after the Avondale accident, Atmos reported that it provided the public with information, through its website, on the availability of natural gas alarms. However, Atmos can do more to safeguard the public in its distribution areas. The NTSB is aware of multiple natural gas distribution operators that have made natural gas alarms available to people in their service areas. Footnote: Visit http://www.ntsb.gov to find additional information in the public docket for this NTSB accident investigation (case number PLD24FR003). Therefore, the NTSB recommends that Atmos develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas.
Addressee Name: State of Oklahoma
Addressee Status: Open - Await Response
Addressee Acronym: OK
Addressee Organization Type: S-State Government
Communication Date: 2025-04-08
Communication Type: Transmittal Letter
Communication Contents: 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 accidents in other modes of transportation—railroad, highway, marine, and pipeline. We determine the probable cause of the accidents and issue safety recommendations aimed at preventing future accidents. In addition, we carry out special studies concerning transportation safety and coordinate the resources of the federal government and other organizations to assist victims and their family members affected by major transportation disasters. We are providing the following information to urge the State of Oklahoma to act on the safety recommendation in this letter because we believe your organization can help reduce the risk of future accidents. For more information about the NTSB and our recommendation process, please see the attached one-page summary. This letter also includes information about our March 18, 2025, report, UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, NTSB/PIR-25/01. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. As a result of this investigation, we identified the following safety issues: • Degradation of a retired Aldyl A service tee that was accelerated by elevated ground temperatures from a corroded and cracked steam pipe nearby. • UGI Corporation’s insufficient consideration of pipeline integrity threats, particularly Aldyl A service tees with Delrin inserts at elevated temperatures. • Presence of unmarked and unreported private assets crossing public rights-of-way, excluding them from the Pennsylvania One Call System and increasing the risk of damage to them. • Delayed evacuation of Palmer’s Building 2 despite detection of natural gas by employees and others. • Natural gas safety messaging from pipeline operator public awareness programs that may not reach certain members of the public. • Insufficient guidance on natural gas emergency procedures. • Absence of natural gas alarms in commercial buildings. • Insufficient accessibility of gas distribution line valves. Accordingly, the NTSB makes the following safety recommendation to the State of Oklahoma (additional information regarding this recommendation can be found in the noted section of the report): • Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) (See section 2.5.1.) The NTSB is vitally interested in this recommendation because it is designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter, detailing the actions you have taken or intend to take to implement this recommendation. When replying, please refer to the safety recommendation by number (Safety Recommendation P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply, including attachments, exceeds 20 megabytes, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. All communications regarding safety recommendations are stored by the NTSB and viewable by the public. Please do not send privileged or confidential communications in response to this recommendation. Responses marked as confidential or privileged (or similar designations) will be considered nonresponsive. In the likely event that your company uses auto generated and/or preformatted confidentiality statements on letterhead or outgoing e-mails, please include a statement in your letter indicating that the information can be publicly released. If you have concerns about this protocol, please contact us at ExecutiveSecretariat@ntsb.gov. The attached letter from the NTSB Chairman provides information about the March 18, 2025, report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. The NTSB is vitally interested in these recommendations because they are designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter detailing the actions you have taken or intend to take to implement these recommendations. When replying, please refer to the safety recommendation by number (for example, P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply exceeds 20 megabytes, including attachments, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. From the report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1: 2.5.1 Natural Gas Alarms Public awareness is an effective tool to encourage adoption of safety devices like natural gas alarms. The first edition of API RP 1162 requires that public awareness programs include safety messages about the awareness of hazards and prevention measures as well as leak recognition and response but does not specifically require these programs to disseminate safety messages about natural gas alarms. UGI’s public awareness materials distributed before the accident were consistent with federal regulations, and although the materials promoted the use of smoke and carbon monoxide alarms, they did not address natural gas alarms. Following the accident, UGI now includes safety messages encouraging the purchase of natural gas alarms in its public awareness materials. The NTSB concludes that installing natural gas alarms can alert people of a gas leak so they can evacuate the area; however, natural gas customers may not be aware of the necessity of such alarms. The NTSB believes that messages about the benefits of natural gas alarms are critically important and could save lives when natural gas alarms are installed. The NTSB further believes that the natural gas industry can help shape the effectiveness of public awareness program delivery methods so that people in businesses, schools, residences, and other places of congregation are better informed, both about natural gas hazards and the necessity of natural gas alarms. The American Gas Association, which represents natural gas pipeline operators throughout the US, can facilitate industry efforts to improve public awareness program delivery methods and to improve safety, most critically through increasing the installation of natural gas alarms. Therefore, the NTSB recommends that the American Gas Association share the details of the March 24, 2023, natural gas–fueled explosion and fire in West Reading, Pennsylvania, with its members, encouraging them to evaluate the effectiveness of their current delivery methods of public awareness programs and to promote the installation of natural gas alarms in businesses, residences, and other places of congregation that they serve. Evacuation should occur immediately upon detection of the presence of natural gas. In 1976, the NTSB made its first recommendation to require natural gas detection to provide early warning of leaks. Most recently, after a 2016 building explosion in Silver Spring, Maryland, and then again after the 2018 home explosion in Dallas, we made recommendations to the ICC and the NFPA to require natural gas alarms with methane detection in residences (NTSB 2019). We recommended the ICC work
Addressee Acronym: OK
Addressee Organization Type: S-State Government
Communication Date: 2026-04-07
Communication Type: Recommendation Mention
Communication Contents: Pipeline Investigation Report PIR-26-02, “Enbridge Inc. Natural Gas–Fueled Home Explosion and Fatality, South Jordan, Utah, November 6, 2024” published on April 7, 2026: 2 Analysis On November 6, 2024, a natural gas–fueled home explosion fatally injured one resident and damaged nearby homes. A crack in the 4-inch-diameter Aldyl A gas main near the home allowed natural gas to leak and fuel the home explosion. The NTSB found that the crack originated on the inner surface of the pipe and aligned directly with an oblong impression on the outer surface. Investigators determined that a rock impingement likely caused the oblong impression on the outer surface of the pipe and the resulting crack. They also found that the crack growth features indicated that the crack breached the outer surface in a single abrupt event. As a result, the pipe rapidly transitioned from releasing no gas to releasing up to 48.7 scfm, as measured in the lab. Footnote: The actual leak rate may have been lower, given that the pipeline was buried in soil, which would constrain the pipe and provide back-pressure resistance to gas as it leaked from the pipe. Post-explosion, subsurface gas readings showed that the natural gas migrated about 150 feet from the leak location to the home. Although the exact timing of the leak could not be determined, the residents’ observations of physical symptoms, inability to relight the basement water heater, and an unusually high candle flame before the accident suggest that natural gas may have been present in the home for at least 3 days before the explosion. On November 6, the flammable natural gas–air mixture ignited in the southwest quadrant of the basement. The Utah Deputy State Fire Marshal identified two possible sources of the ignition: a water heater and a furnace. The water heater was turned off at the control point, so the only credible ignition source was the furnace. Footnote: The furnace control valve was found postaccident to have significant thermal damage, consistent with it being the ignition source. Before the accident, Enbridge had implemented safeguards to mitigate the consequences of leaks, including periodic leak surveys, timely response to odor complaints, and targeted replacement projects. However, none of these strategies proved effective for this scenario, because of the following issues related to the strategies: • Periodic leak surveys. Regulators require distribution leak surveys to be conducted every 5 years. Enbridge conducted its most recent leak survey on April 29, 2022—two years before the accident. However, in this accident, through-wall crack propagation occurred too rapidly, causing the leak to go undetected before the explosion. • Timely response to odor complaints. Regulators require odorization of natural gas in distribution systems to help alert the public to natural gas leaks. During interviews conducted by investigators, the NTSB determined that the local residents had not smelled natural gas odorant near the accident home, even though gas was determined to have permeated the ground in the area during postaccident surveys, indicating that the odorant had been stripped from the leaked natural gas that ultimately entered the home. Footnote: Field testing of the gas in the distribution system after the explosion found acceptable odorant concentrations. Although odorant can act as an early warning of a gas release to prevent an explosion and fire, it has been known to become depleted when traveling through soil, as it did in this accident. Previous NTSB investigations have identified occurrences of odorant depletion that allowed natural gas leaks to go undetected, resulting in explosions in Dallas, Texas, in 2018 and in Silver Spring, Maryland, in 2016. Footnote: NTSB. 2021. Atmos Energy Corporation Natural Gas–Fueled Explosion, Dallas, Texas, February 23, 2018. PAR-21/01. Washington, DC: NTSB. Footnote: NTSB. 2019. Building Explosion and Fire, Silver Spring, Maryland, August 10, 2016. PAR-19/01. Washington, DC: NTSB. • Targeted replacement projects. A 2014 California Public Utilities Commission study showed that the vintage of Aldyl A present in this accident, with stress concentrations from rock impingement, squeeze-off, bending, or deflection, were statistically predicted to fail between 22 and 235 years after installation. Footnote: California Public Utilities Commission 2014 Hazard Analysis and Mitigation Report On Aldyl A Polyethylene Gas Pipelines in California. Haine 2014. Because the estimated failure time is imprecise (a range of more than 200 years), and because some environmental conditions—such as the locations of rocks in the backfill material—are unknown, the Enbridge evaluation of the cracking threat to the 1976 vintage Aldyl A did not accurately characterize the risk of rock impingements and prevented Enbridge from identifying effective mitigative actions and targeted replacement projects. Even though Enbridge worked continuously to search for the leak after the explosion, it took them more than 21 hours to find and isolate the natural gas leak. During this time, the pipeline continued to leak natural gas into the ground, increasing the risk to nearby residents, first responders, and others operating in the area. When an underground natural gas pipeline leak occurs rapidly, it can be difficult to safeguard against. Natural gas alarms can provide an early warning of natural gas leaks inside nearby structures and can alert the building occupants to take immediate safety actions. Had in-home natural gas alarms been installed in the homes involved in this accident, they would have alerted the residents to a potential problem and prompted them to evacuate and call 911, reducing or eliminating the fatal consequences of the explosion. The NTSB has previously recommended requiring the installation of natural gas alarms in businesses, residences, and other buildings (Safety Recommendation P 25 05).
Addressee Acronym: OK
Addressee Organization Type: S-State Government
Communication Date: 2026-06-05
Communication Type: Recommendation Mention
Communication Contents: Atmos Energy Corporation Natural Gas–Fueled Home Explosion Pipeline Investigation Report PIR-26-03 published on June 5, 2026: Analysis The explosion and fire occurred after natural gas leaked from a fractured buried main, migrated through an uncapped underground sewer lateral, entered the accident home, and reached an explosive concentration near an unknown ignition source. The investigation did not identify issues with gas pressures in the area of the leak or the timeliness or efficacy of the local emergency response agencies. Postaccident bar-hole testing and excavations found only one source of natural gas: a leak in the gas main near a valve box on the eastern edge of the construction site. On-site examinations of the main found that it was fractured around most of its circumference with a thin strip of metal at the top (12 o’clock position) joining the southern section of pipe to the section still threaded into the valve body. This indicates tension—a stretching force—at the bottom of the pipe along its long axis. Tension along the bottom of the pipe is consistent with a bending stress created by an external downward force. Based on information provided to Atmos by the construction superintendent, a cement truck ran over a valve box at the leak’s location immediately before he heard and smelled natural gas being released. The investigation did not identify another plausible external force that could have damaged the main. The Materials Laboratory examination of the main found fracture characteristics typical of fast crack growth and no signs of significant corrosion or preexisting structural damage that could have contributed to the failure. The fracture was therefore consistent with a sudden application of force by the valve box to the main. Based on the fracture’s location, timing, and fast-cracking characteristics, the valve box transmitted part of the cement truck’s weight to the gas main, causing the main to fracture and leak. Examination of the gas main and valve box involved in this accident found coal tar coating the main and deposited on the bottom edge of the valve box. This indicates that the valve box was in contact with the main. The presence of coal tar alone does not indicate when the contact occurred, but the evidence is consistent with the valve box being installed in contact with the main and therefore able transmit the cement truck’s weight directly to the main near the fracture’s location. Federal regulations at 49 CFR 192.181(c)(3) require that valve boxes not be installed in a manner that transmits external loads to mains, and valve boxes are normally installed with a buffer of soil or other protection between the valve box and the assets immediately below. For example, Atmos’s newer valve boxes are installed with support and base pads to prevent load transmission. However, Atmos was not actively replacing cast iron valve boxes with this newer design. Further, the maintenance crew that removed and reinstalled the valve box about 2 months before the accident did not have a specific standard to follow for reinstalling cast iron valve boxes other than an expectation that the top of the valve box be level with the grade. The lack of a standard likely led to the common reinstallation of valve boxes in contact with mains, as described by an Atmos vice president of operations. If Atmos had adopted either a standard for safely installing cast iron valve boxes or a policy of replacing cast iron valve boxes with the newer design, the protective buffer of soil or support pad would have reduced the load transmitted to the pipe on the day of the accident. There is not enough evidence to determine whether a buffer or pad would have prevented the accident, but it would have made the infrastructure more resilient. Atmos has not reported making changes to its valve box installation practices. After the main fractured, gas propagated undetected through an uncapped underground sewer lateral into the sewer system and then into the accident home, where it reached an explosive concentration. The gas in the sewers remained undetected because Atmos personnel did not test the atmosphere in the sewers prior to the explosion. For about 35 minutes, most of the time between the initial leak and the explosion, there was only one Atmos employee on the scene: an experienced senior service technician. He was equipped with a CGI and checked nearby storm drains for the presence of gas, which was one step in Atmos’s subsurface leak investigation procedure. During his interview with the NTSB, he described planning to check the sewers, another required step, but said that he had already confirmed that there was no threat to life or property. His activities after checking the storm drains are also consistent with a belief that he had finished assessing the risk posed by the leak: he switched to the non-safety-critical work of recording billing information for the damage. The investigation did not find evidence of a natural gas alarm in the accident home, which did not have gas service but was still impacted by a leak from a gas main. It is likely that a natural gas alarm would have provided the home’s occupants with warning of accumulating natural gas and given them an opportunity to evacuate before the explosion. The NTSB has advocated wider installation and use of natural gas alarms for nearly 50 years, including following the investigation into a pair of 2024 home explosions in Jackson, Mississippi, that involved Atmos assets. As a result of that investigation, the NTSB reiterated a recommendation to the 50 states, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: See CAROL for the complete history and current status of this recommendation. The NTSB also recommended that Atmos “develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas” (P-26-10).11F Footnote: See CAROL for the complete history and current status of this recommendation.
Addressee Acronym: OK
Addressee Organization Type: S-State Government
Communication Date: 2026-03-26
Communication Type: Recommendation Reiteration
Communication Contents: From the Report, “Atmos Energy Corporation Natural Gas-Fueled Home Explosions and Fires Jackson, Mississippi, January 24, 2024, and January 27, 2024” published on March 26, 2026. Absence of Natural Gas Detection Alarms in Buildings The Bristol Boulevard accident home and the Shalimar Drive accident home did not have natural gas alarms installed. For nearly 50 years, the NTSB has been recommending natural gas alarms for the early detection of natural gas leaks. In the West Reading accident, several candy factory employees told the NTSB that they had smelled natural gas odorant and did not call 9 1 1 or the gas company but stayed in the building until the explosion occurred. Some of the employees inquired with their managers about what to do, and their managers were equally unaware of the actions to take during a suspected natural gas leak. In the two Jackson accidents, and in many of the pipeline accidents the NTSB has investigated for the last 5 decades, people smelled natural gas odorant and either did not know what actions to take, or they knew the actions necessary to address a potential natural gas emergency but did not execute them. Natural gas distribution pipeline operators must educate the public on pipeline safety through public awareness programs. It is also necessary, however, to have safeguards in place when members of the public (1) smell natural gas odorant and do not take the appropriate safety actions and (2) do not smell natural gas odorant, as was the case in the NTSB investigation of the Dallas accident, and therefore do not take appropriate safety actions. Footnote: The NTSB’s Dallas investigation determined that the occupants in the accident homes did not smell natural gas odorant because it was absorbed and depleted in the soil. Natural gas alarms are safeguards in protecting the public, which is why the NTSB has recommended their installation after many of our pipeline accident investigations. The NTSB found that natural gas alarms likely would have prevented or reduced the consequences of the Dallas and West Reading accidents, and the evidence in this investigation suggests the same. The Shalimar Drive accident home was empty at the time of that accident; however, when the explosion in the Bristol Boulevard accident home occurred, two people were inside. Therefore, the NTSB concludes that had a natural gas alarm been installed inside the Bristol Boulevard accident home, it could have alerted occupants that natural gas was present, prompting them to evacuate and report the leak, making Atmos aware that the leak had likely worsened and required corrective action. As a result of the West Reading investigation, the NTSB recommended that the 50 States, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: Safety Recommendation P-25-5 is currently classified Open—Await Response. As of this report, 7 states and the District of Columbia have provided an initial response; 43 states and the Commonwealth of Puerto Rico have not responded. Footnote: The seven states that have provided an initial response include Colorado, Connecticut, Kansas, Nevada, North Carolina, Virginia, and Wyoming. Mississippi, the state where the two Jackson accidents occurred, is one of the 43 states that have not provided an initial response. The NTSB investigation of the two Jackson accidents has again identified the critical importance of natural gas alarms to alert occupants to natural gas leaks. Therefore, the NTSB reiterates Safety Recommendation P 25-5 to 50 States, the Commonwealth of Puerto Rico, and the District of Columbia. As discussed in section 1.10.1.1, after the Avondale accident, Atmos reported that it provided the public with information, through its website, on the availability of natural gas alarms. However, Atmos can do more to safeguard the public in its distribution areas. The NTSB is aware of multiple natural gas distribution operators that have made natural gas alarms available to people in their service areas. Footnote: Visit http://www.ntsb.gov to find additional information in the public docket for this NTSB accident investigation (case number PLD24FR003). Therefore, the NTSB recommends that Atmos develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas.
Addressee Name: State of Ohio
Addressee Status: Open - Await Response
Addressee Acronym: OH
Addressee Organization Type: S-State Government
Communication Date: 2025-04-08
Communication Type: Transmittal Letter
Communication Contents: 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 accidents in other modes of transportation—railroad, highway, marine, and pipeline. We determine the probable cause of the accidents and issue safety recommendations aimed at preventing future accidents. In addition, we carry out special studies concerning transportation safety and coordinate the resources of the federal government and other organizations to assist victims and their family members affected by major transportation disasters. We are providing the following information to urge the State of Ohio to act on the safety recommendation in this letter because we believe your organization can help reduce the risk of future accidents. For more information about the NTSB and our recommendation process, please see the attached one-page summary. This letter also includes information about our March 18, 2025, report, UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, NTSB/PIR-25/01. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. As a result of this investigation, we identified the following safety issues: • Degradation of a retired Aldyl A service tee that was accelerated by elevated ground temperatures from a corroded and cracked steam pipe nearby. • UGI Corporation’s insufficient consideration of pipeline integrity threats, particularly Aldyl A service tees with Delrin inserts at elevated temperatures. • Presence of unmarked and unreported private assets crossing public rights-of-way, excluding them from the Pennsylvania One Call System and increasing the risk of damage to them. • Delayed evacuation of Palmer’s Building 2 despite detection of natural gas by employees and others. • Natural gas safety messaging from pipeline operator public awareness programs that may not reach certain members of the public. • Insufficient guidance on natural gas emergency procedures. • Absence of natural gas alarms in commercial buildings. • Insufficient accessibility of gas distribution line valves. Accordingly, the NTSB makes the following safety recommendation to the State of Ohio (additional information regarding this recommendation can be found in the noted section of the report): • Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) (See section 2.5.1.) The NTSB is vitally interested in this recommendation because it is designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter, detailing the actions you have taken or intend to take to implement this recommendation. When replying, please refer to the safety recommendation by number (Safety Recommendation P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply, including attachments, exceeds 20 megabytes, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. All communications regarding safety recommendations are stored by the NTSB and viewable by the public. Please do not send privileged or confidential communications in response to this recommendation. Responses marked as confidential or privileged (or similar designations) will be considered nonresponsive. In the likely event that your company uses auto generated and/or preformatted confidentiality statements on letterhead or outgoing e-mails, please include a statement in your letter indicating that the information can be publicly released. If you have concerns about this protocol, please contact us at ExecutiveSecretariat@ntsb.gov. The attached letter from the NTSB Chairman provides information about the March 18, 2025, report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. The NTSB is vitally interested in these recommendations because they are designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter detailing the actions you have taken or intend to take to implement these recommendations. When replying, please refer to the safety recommendation by number (for example, P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply exceeds 20 megabytes, including attachments, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. From the report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1: 2.5.1 Natural Gas Alarms Public awareness is an effective tool to encourage adoption of safety devices like natural gas alarms. The first edition of API RP 1162 requires that public awareness programs include safety messages about the awareness of hazards and prevention measures as well as leak recognition and response but does not specifically require these programs to disseminate safety messages about natural gas alarms. UGI’s public awareness materials distributed before the accident were consistent with federal regulations, and although the materials promoted the use of smoke and carbon monoxide alarms, they did not address natural gas alarms. Following the accident, UGI now includes safety messages encouraging the purchase of natural gas alarms in its public awareness materials. The NTSB concludes that installing natural gas alarms can alert people of a gas leak so they can evacuate the area; however, natural gas customers may not be aware of the necessity of such alarms. The NTSB believes that messages about the benefits of natural gas alarms are critically important and could save lives when natural gas alarms are installed. The NTSB further believes that the natural gas industry can help shape the effectiveness of public awareness program delivery methods so that people in businesses, schools, residences, and other places of congregation are better informed, both about natural gas hazards and the necessity of natural gas alarms. The American Gas Association, which represents natural gas pipeline operators throughout the US, can facilitate industry efforts to improve public awareness program delivery methods and to improve safety, most critically through increasing the installation of natural gas alarms. Therefore, the NTSB recommends that the American Gas Association share the details of the March 24, 2023, natural gas–fueled explosion and fire in West Reading, Pennsylvania, with its members, encouraging them to evaluate the effectiveness of their current delivery methods of public awareness programs and to promote the installation of natural gas alarms in businesses, residences, and other places of congregation that they serve. Evacuation should occur immediately upon detection of the presence of natural gas. In 1976, the NTSB made its first recommendation to require natural gas detection to provide early warning of leaks. Most recently, after a 2016 building explosion in Silver Spring, Maryland, and then again after the 2018 home explosion in Dallas, we made recommendations to the ICC and the NFPA to require natural gas alarms with methane detection in residences (NTSB 2019). We recommended the ICC work with the
Addressee Acronym: OH
Addressee Organization Type: S-State Government
Communication Date: 2026-04-07
Communication Type: Recommendation Mention
Communication Contents: Pipeline Investigation Report PIR-26-02, “Enbridge Inc. Natural Gas–Fueled Home Explosion and Fatality, South Jordan, Utah, November 6, 2024” published on April 7, 2026: 2 Analysis On November 6, 2024, a natural gas–fueled home explosion fatally injured one resident and damaged nearby homes. A crack in the 4-inch-diameter Aldyl A gas main near the home allowed natural gas to leak and fuel the home explosion. The NTSB found that the crack originated on the inner surface of the pipe and aligned directly with an oblong impression on the outer surface. Investigators determined that a rock impingement likely caused the oblong impression on the outer surface of the pipe and the resulting crack. They also found that the crack growth features indicated that the crack breached the outer surface in a single abrupt event. As a result, the pipe rapidly transitioned from releasing no gas to releasing up to 48.7 scfm, as measured in the lab. Footnote: The actual leak rate may have been lower, given that the pipeline was buried in soil, which would constrain the pipe and provide back-pressure resistance to gas as it leaked from the pipe. Post-explosion, subsurface gas readings showed that the natural gas migrated about 150 feet from the leak location to the home. Although the exact timing of the leak could not be determined, the residents’ observations of physical symptoms, inability to relight the basement water heater, and an unusually high candle flame before the accident suggest that natural gas may have been present in the home for at least 3 days before the explosion. On November 6, the flammable natural gas–air mixture ignited in the southwest quadrant of the basement. The Utah Deputy State Fire Marshal identified two possible sources of the ignition: a water heater and a furnace. The water heater was turned off at the control point, so the only credible ignition source was the furnace. Footnote: The furnace control valve was found postaccident to have significant thermal damage, consistent with it being the ignition source. Before the accident, Enbridge had implemented safeguards to mitigate the consequences of leaks, including periodic leak surveys, timely response to odor complaints, and targeted replacement projects. However, none of these strategies proved effective for this scenario, because of the following issues related to the strategies: • Periodic leak surveys. Regulators require distribution leak surveys to be conducted every 5 years. Enbridge conducted its most recent leak survey on April 29, 2022—two years before the accident. However, in this accident, through-wall crack propagation occurred too rapidly, causing the leak to go undetected before the explosion. • Timely response to odor complaints. Regulators require odorization of natural gas in distribution systems to help alert the public to natural gas leaks. During interviews conducted by investigators, the NTSB determined that the local residents had not smelled natural gas odorant near the accident home, even though gas was determined to have permeated the ground in the area during postaccident surveys, indicating that the odorant had been stripped from the leaked natural gas that ultimately entered the home. Footnote: Field testing of the gas in the distribution system after the explosion found acceptable odorant concentrations. Although odorant can act as an early warning of a gas release to prevent an explosion and fire, it has been known to become depleted when traveling through soil, as it did in this accident. Previous NTSB investigations have identified occurrences of odorant depletion that allowed natural gas leaks to go undetected, resulting in explosions in Dallas, Texas, in 2018 and in Silver Spring, Maryland, in 2016. Footnote: NTSB. 2021. Atmos Energy Corporation Natural Gas–Fueled Explosion, Dallas, Texas, February 23, 2018. PAR-21/01. Washington, DC: NTSB. Footnote: NTSB. 2019. Building Explosion and Fire, Silver Spring, Maryland, August 10, 2016. PAR-19/01. Washington, DC: NTSB. • Targeted replacement projects. A 2014 California Public Utilities Commission study showed that the vintage of Aldyl A present in this accident, with stress concentrations from rock impingement, squeeze-off, bending, or deflection, were statistically predicted to fail between 22 and 235 years after installation. Footnote: California Public Utilities Commission 2014 Hazard Analysis and Mitigation Report On Aldyl A Polyethylene Gas Pipelines in California. Haine 2014. Because the estimated failure time is imprecise (a range of more than 200 years), and because some environmental conditions—such as the locations of rocks in the backfill material—are unknown, the Enbridge evaluation of the cracking threat to the 1976 vintage Aldyl A did not accurately characterize the risk of rock impingements and prevented Enbridge from identifying effective mitigative actions and targeted replacement projects. Even though Enbridge worked continuously to search for the leak after the explosion, it took them more than 21 hours to find and isolate the natural gas leak. During this time, the pipeline continued to leak natural gas into the ground, increasing the risk to nearby residents, first responders, and others operating in the area. When an underground natural gas pipeline leak occurs rapidly, it can be difficult to safeguard against. Natural gas alarms can provide an early warning of natural gas leaks inside nearby structures and can alert the building occupants to take immediate safety actions. Had in-home natural gas alarms been installed in the homes involved in this accident, they would have alerted the residents to a potential problem and prompted them to evacuate and call 911, reducing or eliminating the fatal consequences of the explosion. The NTSB has previously recommended requiring the installation of natural gas alarms in businesses, residences, and other buildings (Safety Recommendation P 25 05).
Addressee Acronym: OH
Addressee Organization Type: S-State Government
Communication Date: 2026-06-05
Communication Type: Recommendation Mention
Communication Contents: Atmos Energy Corporation Natural Gas–Fueled Home Explosion Pipeline Investigation Report PIR-26-03 published on June 5, 2026: Analysis The explosion and fire occurred after natural gas leaked from a fractured buried main, migrated through an uncapped underground sewer lateral, entered the accident home, and reached an explosive concentration near an unknown ignition source. The investigation did not identify issues with gas pressures in the area of the leak or the timeliness or efficacy of the local emergency response agencies. Postaccident bar-hole testing and excavations found only one source of natural gas: a leak in the gas main near a valve box on the eastern edge of the construction site. On-site examinations of the main found that it was fractured around most of its circumference with a thin strip of metal at the top (12 o’clock position) joining the southern section of pipe to the section still threaded into the valve body. This indicates tension—a stretching force—at the bottom of the pipe along its long axis. Tension along the bottom of the pipe is consistent with a bending stress created by an external downward force. Based on information provided to Atmos by the construction superintendent, a cement truck ran over a valve box at the leak’s location immediately before he heard and smelled natural gas being released. The investigation did not identify another plausible external force that could have damaged the main. The Materials Laboratory examination of the main found fracture characteristics typical of fast crack growth and no signs of significant corrosion or preexisting structural damage that could have contributed to the failure. The fracture was therefore consistent with a sudden application of force by the valve box to the main. Based on the fracture’s location, timing, and fast-cracking characteristics, the valve box transmitted part of the cement truck’s weight to the gas main, causing the main to fracture and leak. Examination of the gas main and valve box involved in this accident found coal tar coating the main and deposited on the bottom edge of the valve box. This indicates that the valve box was in contact with the main. The presence of coal tar alone does not indicate when the contact occurred, but the evidence is consistent with the valve box being installed in contact with the main and therefore able transmit the cement truck’s weight directly to the main near the fracture’s location. Federal regulations at 49 CFR 192.181(c)(3) require that valve boxes not be installed in a manner that transmits external loads to mains, and valve boxes are normally installed with a buffer of soil or other protection between the valve box and the assets immediately below. For example, Atmos’s newer valve boxes are installed with support and base pads to prevent load transmission. However, Atmos was not actively replacing cast iron valve boxes with this newer design. Further, the maintenance crew that removed and reinstalled the valve box about 2 months before the accident did not have a specific standard to follow for reinstalling cast iron valve boxes other than an expectation that the top of the valve box be level with the grade. The lack of a standard likely led to the common reinstallation of valve boxes in contact with mains, as described by an Atmos vice president of operations. If Atmos had adopted either a standard for safely installing cast iron valve boxes or a policy of replacing cast iron valve boxes with the newer design, the protective buffer of soil or support pad would have reduced the load transmitted to the pipe on the day of the accident. There is not enough evidence to determine whether a buffer or pad would have prevented the accident, but it would have made the infrastructure more resilient. Atmos has not reported making changes to its valve box installation practices. After the main fractured, gas propagated undetected through an uncapped underground sewer lateral into the sewer system and then into the accident home, where it reached an explosive concentration. The gas in the sewers remained undetected because Atmos personnel did not test the atmosphere in the sewers prior to the explosion. For about 35 minutes, most of the time between the initial leak and the explosion, there was only one Atmos employee on the scene: an experienced senior service technician. He was equipped with a CGI and checked nearby storm drains for the presence of gas, which was one step in Atmos’s subsurface leak investigation procedure. During his interview with the NTSB, he described planning to check the sewers, another required step, but said that he had already confirmed that there was no threat to life or property. His activities after checking the storm drains are also consistent with a belief that he had finished assessing the risk posed by the leak: he switched to the non-safety-critical work of recording billing information for the damage. The investigation did not find evidence of a natural gas alarm in the accident home, which did not have gas service but was still impacted by a leak from a gas main. It is likely that a natural gas alarm would have provided the home’s occupants with warning of accumulating natural gas and given them an opportunity to evacuate before the explosion. The NTSB has advocated wider installation and use of natural gas alarms for nearly 50 years, including following the investigation into a pair of 2024 home explosions in Jackson, Mississippi, that involved Atmos assets. As a result of that investigation, the NTSB reiterated a recommendation to the 50 states, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: See CAROL for the complete history and current status of this recommendation. The NTSB also recommended that Atmos “develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas” (P-26-10).11F Footnote: See CAROL for the complete history and current status of this recommendation.
Addressee Acronym: OH
Addressee Organization Type: S-State Government
Communication Date: 2026-03-26
Communication Type: Recommendation Reiteration
Communication Contents: From the Report, “Atmos Energy Corporation Natural Gas-Fueled Home Explosions and Fires Jackson, Mississippi, January 24, 2024, and January 27, 2024” published on March 26, 2026. Absence of Natural Gas Detection Alarms in Buildings The Bristol Boulevard accident home and the Shalimar Drive accident home did not have natural gas alarms installed. For nearly 50 years, the NTSB has been recommending natural gas alarms for the early detection of natural gas leaks. In the West Reading accident, several candy factory employees told the NTSB that they had smelled natural gas odorant and did not call 9 1 1 or the gas company but stayed in the building until the explosion occurred. Some of the employees inquired with their managers about what to do, and their managers were equally unaware of the actions to take during a suspected natural gas leak. In the two Jackson accidents, and in many of the pipeline accidents the NTSB has investigated for the last 5 decades, people smelled natural gas odorant and either did not know what actions to take, or they knew the actions necessary to address a potential natural gas emergency but did not execute them. Natural gas distribution pipeline operators must educate the public on pipeline safety through public awareness programs. It is also necessary, however, to have safeguards in place when members of the public (1) smell natural gas odorant and do not take the appropriate safety actions and (2) do not smell natural gas odorant, as was the case in the NTSB investigation of the Dallas accident, and therefore do not take appropriate safety actions. Footnote: The NTSB’s Dallas investigation determined that the occupants in the accident homes did not smell natural gas odorant because it was absorbed and depleted in the soil. Natural gas alarms are safeguards in protecting the public, which is why the NTSB has recommended their installation after many of our pipeline accident investigations. The NTSB found that natural gas alarms likely would have prevented or reduced the consequences of the Dallas and West Reading accidents, and the evidence in this investigation suggests the same. The Shalimar Drive accident home was empty at the time of that accident; however, when the explosion in the Bristol Boulevard accident home occurred, two people were inside. Therefore, the NTSB concludes that had a natural gas alarm been installed inside the Bristol Boulevard accident home, it could have alerted occupants that natural gas was present, prompting them to evacuate and report the leak, making Atmos aware that the leak had likely worsened and required corrective action. As a result of the West Reading investigation, the NTSB recommended that the 50 States, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: Safety Recommendation P-25-5 is currently classified Open—Await Response. As of this report, 7 states and the District of Columbia have provided an initial response; 43 states and the Commonwealth of Puerto Rico have not responded. Footnote: The seven states that have provided an initial response include Colorado, Connecticut, Kansas, Nevada, North Carolina, Virginia, and Wyoming. Mississippi, the state where the two Jackson accidents occurred, is one of the 43 states that have not provided an initial response. The NTSB investigation of the two Jackson accidents has again identified the critical importance of natural gas alarms to alert occupants to natural gas leaks. Therefore, the NTSB reiterates Safety Recommendation P 25-5 to 50 States, the Commonwealth of Puerto Rico, and the District of Columbia. As discussed in section 1.10.1.1, after the Avondale accident, Atmos reported that it provided the public with information, through its website, on the availability of natural gas alarms. However, Atmos can do more to safeguard the public in its distribution areas. The NTSB is aware of multiple natural gas distribution operators that have made natural gas alarms available to people in their service areas. Footnote: Visit http://www.ntsb.gov to find additional information in the public docket for this NTSB accident investigation (case number PLD24FR003). Therefore, the NTSB recommends that Atmos develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas.
Addressee Name: State of North Dakota
Addressee Status: Open - Await Response
Addressee Acronym: ND
Addressee Organization Type: S-State Government
Communication Date: 2025-04-08
Communication Type: Transmittal Letter
Communication Contents: 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 accidents in other modes of transportation—railroad, highway, marine, and pipeline. We determine the probable cause of the accidents and issue safety recommendations aimed at preventing future accidents. In addition, we carry out special studies concerning transportation safety and coordinate the resources of the federal government and other organizations to assist victims and their family members affected by major transportation disasters. We are providing the following information to urge the State of North Dakota to act on the safety recommendation in this letter because we believe your organization can help reduce the risk of future accidents. For more information about the NTSB and our recommendation process, please see the attached one-page summary. This letter also includes information about our March 18, 2025, report, UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, NTSB/PIR-25/01. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. As a result of this investigation, we identified the following safety issues: • Degradation of a retired Aldyl A service tee that was accelerated by elevated ground temperatures from a corroded and cracked steam pipe nearby. • UGI Corporation’s insufficient consideration of pipeline integrity threats, particularly Aldyl A service tees with Delrin inserts at elevated temperatures. • Presence of unmarked and unreported private assets crossing public rights-of-way, excluding them from the Pennsylvania One Call System and increasing the risk of damage to them. • Delayed evacuation of Palmer’s Building 2 despite detection of natural gas by employees and others. • Natural gas safety messaging from pipeline operator public awareness programs that may not reach certain members of the public. • Insufficient guidance on natural gas emergency procedures. • Absence of natural gas alarms in commercial buildings. • Insufficient accessibility of gas distribution line valves. Accordingly, the NTSB makes the following safety recommendation to the State of North Dakota (additional information regarding this recommendation can be found in the noted section of the report): • Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) (See section 2.5.1.) The NTSB is vitally interested in this recommendation because it is designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter, detailing the actions you have taken or intend to take to implement this recommendation. When replying, please refer to the safety recommendation by number (Safety Recommendation P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply, including attachments, exceeds 20 megabytes, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. All communications regarding safety recommendations are stored by the NTSB and viewable by the public. Please do not send privileged or confidential communications in response to this recommendation. Responses marked as confidential or privileged (or similar designations) will be considered nonresponsive. In the likely event that your company uses auto generated and/or preformatted confidentiality statements on letterhead or outgoing e-mails, please include a statement in your letter indicating that the information can be publicly released. If you have concerns about this protocol, please contact us at ExecutiveSecretariat@ntsb.gov. The attached letter from the NTSB Chairman provides information about the March 18, 2025, report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. The NTSB is vitally interested in these recommendations because they are designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter detailing the actions you have taken or intend to take to implement these recommendations. When replying, please refer to the safety recommendation by number (for example, P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply exceeds 20 megabytes, including attachments, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. From the report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1: 2.5.1 Natural Gas Alarms Public awareness is an effective tool to encourage adoption of safety devices like natural gas alarms. The first edition of API RP 1162 requires that public awareness programs include safety messages about the awareness of hazards and prevention measures as well as leak recognition and response but does not specifically require these programs to disseminate safety messages about natural gas alarms. UGI’s public awareness materials distributed before the accident were consistent with federal regulations, and although the materials promoted the use of smoke and carbon monoxide alarms, they did not address natural gas alarms. Following the accident, UGI now includes safety messages encouraging the purchase of natural gas alarms in its public awareness materials. The NTSB concludes that installing natural gas alarms can alert people of a gas leak so they can evacuate the area; however, natural gas customers may not be aware of the necessity of such alarms. The NTSB believes that messages about the benefits of natural gas alarms are critically important and could save lives when natural gas alarms are installed. The NTSB further believes that the natural gas industry can help shape the effectiveness of public awareness program delivery methods so that people in businesses, schools, residences, and other places of congregation are better informed, both about natural gas hazards and the necessity of natural gas alarms. The American Gas Association, which represents natural gas pipeline operators throughout the US, can facilitate industry efforts to improve public awareness program delivery methods and to improve safety, most critically through increasing the installation of natural gas alarms. Therefore, the NTSB recommends that the American Gas Association share the details of the March 24, 2023, natural gas–fueled explosion and fire in West Reading, Pennsylvania, with its members, encouraging them to evaluate the effectiveness of their current delivery methods of public awareness programs and to promote the installation of natural gas alarms in businesses, residences, and other places of congregation that they serve. Evacuation should occur immediately upon detection of the presence of natural gas. In 1976, the NTSB made its first recommendation to require natural gas detection to provide early warning of leaks. Most recently, after a 2016 building explosion in Silver Spring, Maryland, and then again after the 2018 home explosion in Dallas, we made recommendations to the ICC and the NFPA to require natural gas alarms with methane detection in residences (NTSB 2019). We recommended the I
Addressee Acronym: ND
Addressee Organization Type: S-State Government
Communication Date: 2026-04-07
Communication Type: Recommendation Mention
Communication Contents: Pipeline Investigation Report PIR-26-02, “Enbridge Inc. Natural Gas–Fueled Home Explosion and Fatality, South Jordan, Utah, November 6, 2024” published on April 7, 2026: 2 Analysis On November 6, 2024, a natural gas–fueled home explosion fatally injured one resident and damaged nearby homes. A crack in the 4-inch-diameter Aldyl A gas main near the home allowed natural gas to leak and fuel the home explosion. The NTSB found that the crack originated on the inner surface of the pipe and aligned directly with an oblong impression on the outer surface. Investigators determined that a rock impingement likely caused the oblong impression on the outer surface of the pipe and the resulting crack. They also found that the crack growth features indicated that the crack breached the outer surface in a single abrupt event. As a result, the pipe rapidly transitioned from releasing no gas to releasing up to 48.7 scfm, as measured in the lab. Footnote: The actual leak rate may have been lower, given that the pipeline was buried in soil, which would constrain the pipe and provide back-pressure resistance to gas as it leaked from the pipe. Post-explosion, subsurface gas readings showed that the natural gas migrated about 150 feet from the leak location to the home. Although the exact timing of the leak could not be determined, the residents’ observations of physical symptoms, inability to relight the basement water heater, and an unusually high candle flame before the accident suggest that natural gas may have been present in the home for at least 3 days before the explosion. On November 6, the flammable natural gas–air mixture ignited in the southwest quadrant of the basement. The Utah Deputy State Fire Marshal identified two possible sources of the ignition: a water heater and a furnace. The water heater was turned off at the control point, so the only credible ignition source was the furnace. Footnote: The furnace control valve was found postaccident to have significant thermal damage, consistent with it being the ignition source. Before the accident, Enbridge had implemented safeguards to mitigate the consequences of leaks, including periodic leak surveys, timely response to odor complaints, and targeted replacement projects. However, none of these strategies proved effective for this scenario, because of the following issues related to the strategies: • Periodic leak surveys. Regulators require distribution leak surveys to be conducted every 5 years. Enbridge conducted its most recent leak survey on April 29, 2022—two years before the accident. However, in this accident, through-wall crack propagation occurred too rapidly, causing the leak to go undetected before the explosion. • Timely response to odor complaints. Regulators require odorization of natural gas in distribution systems to help alert the public to natural gas leaks. During interviews conducted by investigators, the NTSB determined that the local residents had not smelled natural gas odorant near the accident home, even though gas was determined to have permeated the ground in the area during postaccident surveys, indicating that the odorant had been stripped from the leaked natural gas that ultimately entered the home. Footnote: Field testing of the gas in the distribution system after the explosion found acceptable odorant concentrations. Although odorant can act as an early warning of a gas release to prevent an explosion and fire, it has been known to become depleted when traveling through soil, as it did in this accident. Previous NTSB investigations have identified occurrences of odorant depletion that allowed natural gas leaks to go undetected, resulting in explosions in Dallas, Texas, in 2018 and in Silver Spring, Maryland, in 2016. Footnote: NTSB. 2021. Atmos Energy Corporation Natural Gas–Fueled Explosion, Dallas, Texas, February 23, 2018. PAR-21/01. Washington, DC: NTSB. Footnote: NTSB. 2019. Building Explosion and Fire, Silver Spring, Maryland, August 10, 2016. PAR-19/01. Washington, DC: NTSB. • Targeted replacement projects. A 2014 California Public Utilities Commission study showed that the vintage of Aldyl A present in this accident, with stress concentrations from rock impingement, squeeze-off, bending, or deflection, were statistically predicted to fail between 22 and 235 years after installation. Footnote: California Public Utilities Commission 2014 Hazard Analysis and Mitigation Report On Aldyl A Polyethylene Gas Pipelines in California. Haine 2014. Because the estimated failure time is imprecise (a range of more than 200 years), and because some environmental conditions—such as the locations of rocks in the backfill material—are unknown, the Enbridge evaluation of the cracking threat to the 1976 vintage Aldyl A did not accurately characterize the risk of rock impingements and prevented Enbridge from identifying effective mitigative actions and targeted replacement projects. Even though Enbridge worked continuously to search for the leak after the explosion, it took them more than 21 hours to find and isolate the natural gas leak. During this time, the pipeline continued to leak natural gas into the ground, increasing the risk to nearby residents, first responders, and others operating in the area. When an underground natural gas pipeline leak occurs rapidly, it can be difficult to safeguard against. Natural gas alarms can provide an early warning of natural gas leaks inside nearby structures and can alert the building occupants to take immediate safety actions. Had in-home natural gas alarms been installed in the homes involved in this accident, they would have alerted the residents to a potential problem and prompted them to evacuate and call 911, reducing or eliminating the fatal consequences of the explosion. The NTSB has previously recommended requiring the installation of natural gas alarms in businesses, residences, and other buildings (Safety Recommendation P 25 05).
Addressee Acronym: ND
Addressee Organization Type: S-State Government
Communication Date: 2026-06-05
Communication Type: Recommendation Mention
Communication Contents: Atmos Energy Corporation Natural Gas–Fueled Home Explosion Pipeline Investigation Report PIR-26-03 published on June 5, 2026: Analysis The explosion and fire occurred after natural gas leaked from a fractured buried main, migrated through an uncapped underground sewer lateral, entered the accident home, and reached an explosive concentration near an unknown ignition source. The investigation did not identify issues with gas pressures in the area of the leak or the timeliness or efficacy of the local emergency response agencies. Postaccident bar-hole testing and excavations found only one source of natural gas: a leak in the gas main near a valve box on the eastern edge of the construction site. On-site examinations of the main found that it was fractured around most of its circumference with a thin strip of metal at the top (12 o’clock position) joining the southern section of pipe to the section still threaded into the valve body. This indicates tension—a stretching force—at the bottom of the pipe along its long axis. Tension along the bottom of the pipe is consistent with a bending stress created by an external downward force. Based on information provided to Atmos by the construction superintendent, a cement truck ran over a valve box at the leak’s location immediately before he heard and smelled natural gas being released. The investigation did not identify another plausible external force that could have damaged the main. The Materials Laboratory examination of the main found fracture characteristics typical of fast crack growth and no signs of significant corrosion or preexisting structural damage that could have contributed to the failure. The fracture was therefore consistent with a sudden application of force by the valve box to the main. Based on the fracture’s location, timing, and fast-cracking characteristics, the valve box transmitted part of the cement truck’s weight to the gas main, causing the main to fracture and leak. Examination of the gas main and valve box involved in this accident found coal tar coating the main and deposited on the bottom edge of the valve box. This indicates that the valve box was in contact with the main. The presence of coal tar alone does not indicate when the contact occurred, but the evidence is consistent with the valve box being installed in contact with the main and therefore able transmit the cement truck’s weight directly to the main near the fracture’s location. Federal regulations at 49 CFR 192.181(c)(3) require that valve boxes not be installed in a manner that transmits external loads to mains, and valve boxes are normally installed with a buffer of soil or other protection between the valve box and the assets immediately below. For example, Atmos’s newer valve boxes are installed with support and base pads to prevent load transmission. However, Atmos was not actively replacing cast iron valve boxes with this newer design. Further, the maintenance crew that removed and reinstalled the valve box about 2 months before the accident did not have a specific standard to follow for reinstalling cast iron valve boxes other than an expectation that the top of the valve box be level with the grade. The lack of a standard likely led to the common reinstallation of valve boxes in contact with mains, as described by an Atmos vice president of operations. If Atmos had adopted either a standard for safely installing cast iron valve boxes or a policy of replacing cast iron valve boxes with the newer design, the protective buffer of soil or support pad would have reduced the load transmitted to the pipe on the day of the accident. There is not enough evidence to determine whether a buffer or pad would have prevented the accident, but it would have made the infrastructure more resilient. Atmos has not reported making changes to its valve box installation practices. After the main fractured, gas propagated undetected through an uncapped underground sewer lateral into the sewer system and then into the accident home, where it reached an explosive concentration. The gas in the sewers remained undetected because Atmos personnel did not test the atmosphere in the sewers prior to the explosion. For about 35 minutes, most of the time between the initial leak and the explosion, there was only one Atmos employee on the scene: an experienced senior service technician. He was equipped with a CGI and checked nearby storm drains for the presence of gas, which was one step in Atmos’s subsurface leak investigation procedure. During his interview with the NTSB, he described planning to check the sewers, another required step, but said that he had already confirmed that there was no threat to life or property. His activities after checking the storm drains are also consistent with a belief that he had finished assessing the risk posed by the leak: he switched to the non-safety-critical work of recording billing information for the damage. The investigation did not find evidence of a natural gas alarm in the accident home, which did not have gas service but was still impacted by a leak from a gas main. It is likely that a natural gas alarm would have provided the home’s occupants with warning of accumulating natural gas and given them an opportunity to evacuate before the explosion. The NTSB has advocated wider installation and use of natural gas alarms for nearly 50 years, including following the investigation into a pair of 2024 home explosions in Jackson, Mississippi, that involved Atmos assets. As a result of that investigation, the NTSB reiterated a recommendation to the 50 states, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: See CAROL for the complete history and current status of this recommendation. The NTSB also recommended that Atmos “develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas” (P-26-10).11F Footnote: See CAROL for the complete history and current status of this recommendation.
Addressee Acronym: ND
Addressee Organization Type: S-State Government
Communication Date: 2026-03-26
Communication Type: Recommendation Reiteration
Communication Contents: From the Report, “Atmos Energy Corporation Natural Gas-Fueled Home Explosions and Fires Jackson, Mississippi, January 24, 2024, and January 27, 2024” published on March 26, 2026. Absence of Natural Gas Detection Alarms in Buildings The Bristol Boulevard accident home and the Shalimar Drive accident home did not have natural gas alarms installed. For nearly 50 years, the NTSB has been recommending natural gas alarms for the early detection of natural gas leaks. In the West Reading accident, several candy factory employees told the NTSB that they had smelled natural gas odorant and did not call 9 1 1 or the gas company but stayed in the building until the explosion occurred. Some of the employees inquired with their managers about what to do, and their managers were equally unaware of the actions to take during a suspected natural gas leak. In the two Jackson accidents, and in many of the pipeline accidents the NTSB has investigated for the last 5 decades, people smelled natural gas odorant and either did not know what actions to take, or they knew the actions necessary to address a potential natural gas emergency but did not execute them. Natural gas distribution pipeline operators must educate the public on pipeline safety through public awareness programs. It is also necessary, however, to have safeguards in place when members of the public (1) smell natural gas odorant and do not take the appropriate safety actions and (2) do not smell natural gas odorant, as was the case in the NTSB investigation of the Dallas accident, and therefore do not take appropriate safety actions. Footnote: The NTSB’s Dallas investigation determined that the occupants in the accident homes did not smell natural gas odorant because it was absorbed and depleted in the soil. Natural gas alarms are safeguards in protecting the public, which is why the NTSB has recommended their installation after many of our pipeline accident investigations. The NTSB found that natural gas alarms likely would have prevented or reduced the consequences of the Dallas and West Reading accidents, and the evidence in this investigation suggests the same. The Shalimar Drive accident home was empty at the time of that accident; however, when the explosion in the Bristol Boulevard accident home occurred, two people were inside. Therefore, the NTSB concludes that had a natural gas alarm been installed inside the Bristol Boulevard accident home, it could have alerted occupants that natural gas was present, prompting them to evacuate and report the leak, making Atmos aware that the leak had likely worsened and required corrective action. As a result of the West Reading investigation, the NTSB recommended that the 50 States, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: Safety Recommendation P-25-5 is currently classified Open—Await Response. As of this report, 7 states and the District of Columbia have provided an initial response; 43 states and the Commonwealth of Puerto Rico have not responded. Footnote: The seven states that have provided an initial response include Colorado, Connecticut, Kansas, Nevada, North Carolina, Virginia, and Wyoming. Mississippi, the state where the two Jackson accidents occurred, is one of the 43 states that have not provided an initial response. The NTSB investigation of the two Jackson accidents has again identified the critical importance of natural gas alarms to alert occupants to natural gas leaks. Therefore, the NTSB reiterates Safety Recommendation P 25-5 to 50 States, the Commonwealth of Puerto Rico, and the District of Columbia. As discussed in section 1.10.1.1, after the Avondale accident, Atmos reported that it provided the public with information, through its website, on the availability of natural gas alarms. However, Atmos can do more to safeguard the public in its distribution areas. The NTSB is aware of multiple natural gas distribution operators that have made natural gas alarms available to people in their service areas. Footnote: Visit http://www.ntsb.gov to find additional information in the public docket for this NTSB accident investigation (case number PLD24FR003). Therefore, the NTSB recommends that Atmos develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas.
Addressee Name: State of New Mexico
Addressee Status: Open - Await Response
Addressee Acronym: NM
Addressee Organization Type: S-State Government
Communication Date: 2025-04-08
Communication Type: Transmittal Letter
Communication Contents: 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 accidents in other modes of transportation—railroad, highway, marine, and pipeline. We determine the probable cause of the accidents and issue safety recommendations aimed at preventing future accidents. In addition, we carry out special studies concerning transportation safety and coordinate the resources of the federal government and other organizations to assist victims and their family members affected by major transportation disasters. We are providing the following information to urge the State of New Mexico to act on the safety recommendation in this letter because we believe your organization can help reduce the risk of future accidents. For more information about the NTSB and our recommendation process, please see the attached one-page summary. This letter also includes information about our March 18, 2025, report, UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, NTSB/PIR-25/01. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. As a result of this investigation, we identified the following safety issues: • Degradation of a retired Aldyl A service tee that was accelerated by elevated ground temperatures from a corroded and cracked steam pipe nearby. • UGI Corporation’s insufficient consideration of pipeline integrity threats, particularly Aldyl A service tees with Delrin inserts at elevated temperatures. • Presence of unmarked and unreported private assets crossing public rights-of-way, excluding them from the Pennsylvania One Call System and increasing the risk of damage to them. • Delayed evacuation of Palmer’s Building 2 despite detection of natural gas by employees and others. • Natural gas safety messaging from pipeline operator public awareness programs that may not reach certain members of the public. • Insufficient guidance on natural gas emergency procedures. • Absence of natural gas alarms in commercial buildings. • Insufficient accessibility of gas distribution line valves. Accordingly, the NTSB makes the following safety recommendation to the State of New Mexico (additional information regarding this recommendation can be found in the noted section of the report): • Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) (See section 2.5.1.) The NTSB is vitally interested in this recommendation because it is designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter, detailing the actions you have taken or intend to take to implement this recommendation. When replying, please refer to the safety recommendation by number (Safety Recommendation P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply, including attachments, exceeds 20 megabytes, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. All communications regarding safety recommendations are stored by the NTSB and viewable by the public. Please do not send privileged or confidential communications in response to this recommendation. Responses marked as confidential or privileged (or similar designations) will be considered nonresponsive. In the likely event that your company uses auto generated and/or preformatted confidentiality statements on letterhead or outgoing e-mails, please include a statement in your letter indicating that the information can be publicly released. If you have concerns about this protocol, please contact us at ExecutiveSecretariat@ntsb.gov. The attached letter from the NTSB Chairman provides information about the March 18, 2025, report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. The NTSB is vitally interested in these recommendations because they are designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter detailing the actions you have taken or intend to take to implement these recommendations. When replying, please refer to the safety recommendation by number (for example, P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply exceeds 20 megabytes, including attachments, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. From the report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1: 2.5.1 Natural Gas Alarms Public awareness is an effective tool to encourage adoption of safety devices like natural gas alarms. The first edition of API RP 1162 requires that public awareness programs include safety messages about the awareness of hazards and prevention measures as well as leak recognition and response but does not specifically require these programs to disseminate safety messages about natural gas alarms. UGI’s public awareness materials distributed before the accident were consistent with federal regulations, and although the materials promoted the use of smoke and carbon monoxide alarms, they did not address natural gas alarms. Following the accident, UGI now includes safety messages encouraging the purchase of natural gas alarms in its public awareness materials. The NTSB concludes that installing natural gas alarms can alert people of a gas leak so they can evacuate the area; however, natural gas customers may not be aware of the necessity of such alarms. The NTSB believes that messages about the benefits of natural gas alarms are critically important and could save lives when natural gas alarms are installed. The NTSB further believes that the natural gas industry can help shape the effectiveness of public awareness program delivery methods so that people in businesses, schools, residences, and other places of congregation are better informed, both about natural gas hazards and the necessity of natural gas alarms. The American Gas Association, which represents natural gas pipeline operators throughout the US, can facilitate industry efforts to improve public awareness program delivery methods and to improve safety, most critically through increasing the installation of natural gas alarms. Therefore, the NTSB recommends that the American Gas Association share the details of the March 24, 2023, natural gas–fueled explosion and fire in West Reading, Pennsylvania, with its members, encouraging them to evaluate the effectiveness of their current delivery methods of public awareness programs and to promote the installation of natural gas alarms in businesses, residences, and other places of congregation that they serve. Evacuation should occur immediately upon detection of the presence of natural gas. In 1976, the NTSB made its first recommendation to require natural gas detection to provide early warning of leaks. Most recently, after a 2016 building explosion in Silver Spring, Maryland, and then again after the 2018 home explosion in Dallas, we made recommendations to the ICC and the NFPA to require natural gas alarms with methane detection in residences (NTSB 2019). We recommended the ICC w
Addressee Acronym: NM
Addressee Organization Type: S-State Government
Communication Date: 2026-04-07
Communication Type: Recommendation Mention
Communication Contents: Pipeline Investigation Report PIR-26-02, “Enbridge Inc. Natural Gas–Fueled Home Explosion and Fatality, South Jordan, Utah, November 6, 2024” published on April 7, 2026: 2 Analysis On November 6, 2024, a natural gas–fueled home explosion fatally injured one resident and damaged nearby homes. A crack in the 4-inch-diameter Aldyl A gas main near the home allowed natural gas to leak and fuel the home explosion. The NTSB found that the crack originated on the inner surface of the pipe and aligned directly with an oblong impression on the outer surface. Investigators determined that a rock impingement likely caused the oblong impression on the outer surface of the pipe and the resulting crack. They also found that the crack growth features indicated that the crack breached the outer surface in a single abrupt event. As a result, the pipe rapidly transitioned from releasing no gas to releasing up to 48.7 scfm, as measured in the lab. Footnote: The actual leak rate may have been lower, given that the pipeline was buried in soil, which would constrain the pipe and provide back-pressure resistance to gas as it leaked from the pipe. Post-explosion, subsurface gas readings showed that the natural gas migrated about 150 feet from the leak location to the home. Although the exact timing of the leak could not be determined, the residents’ observations of physical symptoms, inability to relight the basement water heater, and an unusually high candle flame before the accident suggest that natural gas may have been present in the home for at least 3 days before the explosion. On November 6, the flammable natural gas–air mixture ignited in the southwest quadrant of the basement. The Utah Deputy State Fire Marshal identified two possible sources of the ignition: a water heater and a furnace. The water heater was turned off at the control point, so the only credible ignition source was the furnace. Footnote: The furnace control valve was found postaccident to have significant thermal damage, consistent with it being the ignition source. Before the accident, Enbridge had implemented safeguards to mitigate the consequences of leaks, including periodic leak surveys, timely response to odor complaints, and targeted replacement projects. However, none of these strategies proved effective for this scenario, because of the following issues related to the strategies: • Periodic leak surveys. Regulators require distribution leak surveys to be conducted every 5 years. Enbridge conducted its most recent leak survey on April 29, 2022—two years before the accident. However, in this accident, through-wall crack propagation occurred too rapidly, causing the leak to go undetected before the explosion. • Timely response to odor complaints. Regulators require odorization of natural gas in distribution systems to help alert the public to natural gas leaks. During interviews conducted by investigators, the NTSB determined that the local residents had not smelled natural gas odorant near the accident home, even though gas was determined to have permeated the ground in the area during postaccident surveys, indicating that the odorant had been stripped from the leaked natural gas that ultimately entered the home. Footnote: Field testing of the gas in the distribution system after the explosion found acceptable odorant concentrations. Although odorant can act as an early warning of a gas release to prevent an explosion and fire, it has been known to become depleted when traveling through soil, as it did in this accident. Previous NTSB investigations have identified occurrences of odorant depletion that allowed natural gas leaks to go undetected, resulting in explosions in Dallas, Texas, in 2018 and in Silver Spring, Maryland, in 2016. Footnote: NTSB. 2021. Atmos Energy Corporation Natural Gas–Fueled Explosion, Dallas, Texas, February 23, 2018. PAR-21/01. Washington, DC: NTSB. Footnote: NTSB. 2019. Building Explosion and Fire, Silver Spring, Maryland, August 10, 2016. PAR-19/01. Washington, DC: NTSB. • Targeted replacement projects. A 2014 California Public Utilities Commission study showed that the vintage of Aldyl A present in this accident, with stress concentrations from rock impingement, squeeze-off, bending, or deflection, were statistically predicted to fail between 22 and 235 years after installation. Footnote: California Public Utilities Commission 2014 Hazard Analysis and Mitigation Report On Aldyl A Polyethylene Gas Pipelines in California. Haine 2014. Because the estimated failure time is imprecise (a range of more than 200 years), and because some environmental conditions—such as the locations of rocks in the backfill material—are unknown, the Enbridge evaluation of the cracking threat to the 1976 vintage Aldyl A did not accurately characterize the risk of rock impingements and prevented Enbridge from identifying effective mitigative actions and targeted replacement projects. Even though Enbridge worked continuously to search for the leak after the explosion, it took them more than 21 hours to find and isolate the natural gas leak. During this time, the pipeline continued to leak natural gas into the ground, increasing the risk to nearby residents, first responders, and others operating in the area. When an underground natural gas pipeline leak occurs rapidly, it can be difficult to safeguard against. Natural gas alarms can provide an early warning of natural gas leaks inside nearby structures and can alert the building occupants to take immediate safety actions. Had in-home natural gas alarms been installed in the homes involved in this accident, they would have alerted the residents to a potential problem and prompted them to evacuate and call 911, reducing or eliminating the fatal consequences of the explosion. The NTSB has previously recommended requiring the installation of natural gas alarms in businesses, residences, and other buildings (Safety Recommendation P 25 05).
Addressee Acronym: NM
Addressee Organization Type: S-State Government
Communication Date: 2026-06-05
Communication Type: Recommendation Mention
Communication Contents: Atmos Energy Corporation Natural Gas–Fueled Home Explosion Pipeline Investigation Report PIR-26-03 published on June 5, 2026: Analysis The explosion and fire occurred after natural gas leaked from a fractured buried main, migrated through an uncapped underground sewer lateral, entered the accident home, and reached an explosive concentration near an unknown ignition source. The investigation did not identify issues with gas pressures in the area of the leak or the timeliness or efficacy of the local emergency response agencies. Postaccident bar-hole testing and excavations found only one source of natural gas: a leak in the gas main near a valve box on the eastern edge of the construction site. On-site examinations of the main found that it was fractured around most of its circumference with a thin strip of metal at the top (12 o’clock position) joining the southern section of pipe to the section still threaded into the valve body. This indicates tension—a stretching force—at the bottom of the pipe along its long axis. Tension along the bottom of the pipe is consistent with a bending stress created by an external downward force. Based on information provided to Atmos by the construction superintendent, a cement truck ran over a valve box at the leak’s location immediately before he heard and smelled natural gas being released. The investigation did not identify another plausible external force that could have damaged the main. The Materials Laboratory examination of the main found fracture characteristics typical of fast crack growth and no signs of significant corrosion or preexisting structural damage that could have contributed to the failure. The fracture was therefore consistent with a sudden application of force by the valve box to the main. Based on the fracture’s location, timing, and fast-cracking characteristics, the valve box transmitted part of the cement truck’s weight to the gas main, causing the main to fracture and leak. Examination of the gas main and valve box involved in this accident found coal tar coating the main and deposited on the bottom edge of the valve box. This indicates that the valve box was in contact with the main. The presence of coal tar alone does not indicate when the contact occurred, but the evidence is consistent with the valve box being installed in contact with the main and therefore able transmit the cement truck’s weight directly to the main near the fracture’s location. Federal regulations at 49 CFR 192.181(c)(3) require that valve boxes not be installed in a manner that transmits external loads to mains, and valve boxes are normally installed with a buffer of soil or other protection between the valve box and the assets immediately below. For example, Atmos’s newer valve boxes are installed with support and base pads to prevent load transmission. However, Atmos was not actively replacing cast iron valve boxes with this newer design. Further, the maintenance crew that removed and reinstalled the valve box about 2 months before the accident did not have a specific standard to follow for reinstalling cast iron valve boxes other than an expectation that the top of the valve box be level with the grade. The lack of a standard likely led to the common reinstallation of valve boxes in contact with mains, as described by an Atmos vice president of operations. If Atmos had adopted either a standard for safely installing cast iron valve boxes or a policy of replacing cast iron valve boxes with the newer design, the protective buffer of soil or support pad would have reduced the load transmitted to the pipe on the day of the accident. There is not enough evidence to determine whether a buffer or pad would have prevented the accident, but it would have made the infrastructure more resilient. Atmos has not reported making changes to its valve box installation practices. After the main fractured, gas propagated undetected through an uncapped underground sewer lateral into the sewer system and then into the accident home, where it reached an explosive concentration. The gas in the sewers remained undetected because Atmos personnel did not test the atmosphere in the sewers prior to the explosion. For about 35 minutes, most of the time between the initial leak and the explosion, there was only one Atmos employee on the scene: an experienced senior service technician. He was equipped with a CGI and checked nearby storm drains for the presence of gas, which was one step in Atmos’s subsurface leak investigation procedure. During his interview with the NTSB, he described planning to check the sewers, another required step, but said that he had already confirmed that there was no threat to life or property. His activities after checking the storm drains are also consistent with a belief that he had finished assessing the risk posed by the leak: he switched to the non-safety-critical work of recording billing information for the damage. The investigation did not find evidence of a natural gas alarm in the accident home, which did not have gas service but was still impacted by a leak from a gas main. It is likely that a natural gas alarm would have provided the home’s occupants with warning of accumulating natural gas and given them an opportunity to evacuate before the explosion. The NTSB has advocated wider installation and use of natural gas alarms for nearly 50 years, including following the investigation into a pair of 2024 home explosions in Jackson, Mississippi, that involved Atmos assets. As a result of that investigation, the NTSB reiterated a recommendation to the 50 states, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: See CAROL for the complete history and current status of this recommendation. The NTSB also recommended that Atmos “develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas” (P-26-10).11F Footnote: See CAROL for the complete history and current status of this recommendation.
Addressee Acronym: NM
Addressee Organization Type: S-State Government
Communication Date: 2026-03-26
Communication Type: Recommendation Reiteration
Communication Contents: From the Report, “Atmos Energy Corporation Natural Gas-Fueled Home Explosions and Fires Jackson, Mississippi, January 24, 2024, and January 27, 2024” published on March 26, 2026. Absence of Natural Gas Detection Alarms in Buildings The Bristol Boulevard accident home and the Shalimar Drive accident home did not have natural gas alarms installed. For nearly 50 years, the NTSB has been recommending natural gas alarms for the early detection of natural gas leaks. In the West Reading accident, several candy factory employees told the NTSB that they had smelled natural gas odorant and did not call 9 1 1 or the gas company but stayed in the building until the explosion occurred. Some of the employees inquired with their managers about what to do, and their managers were equally unaware of the actions to take during a suspected natural gas leak. In the two Jackson accidents, and in many of the pipeline accidents the NTSB has investigated for the last 5 decades, people smelled natural gas odorant and either did not know what actions to take, or they knew the actions necessary to address a potential natural gas emergency but did not execute them. Natural gas distribution pipeline operators must educate the public on pipeline safety through public awareness programs. It is also necessary, however, to have safeguards in place when members of the public (1) smell natural gas odorant and do not take the appropriate safety actions and (2) do not smell natural gas odorant, as was the case in the NTSB investigation of the Dallas accident, and therefore do not take appropriate safety actions. Footnote: The NTSB’s Dallas investigation determined that the occupants in the accident homes did not smell natural gas odorant because it was absorbed and depleted in the soil. Natural gas alarms are safeguards in protecting the public, which is why the NTSB has recommended their installation after many of our pipeline accident investigations. The NTSB found that natural gas alarms likely would have prevented or reduced the consequences of the Dallas and West Reading accidents, and the evidence in this investigation suggests the same. The Shalimar Drive accident home was empty at the time of that accident; however, when the explosion in the Bristol Boulevard accident home occurred, two people were inside. Therefore, the NTSB concludes that had a natural gas alarm been installed inside the Bristol Boulevard accident home, it could have alerted occupants that natural gas was present, prompting them to evacuate and report the leak, making Atmos aware that the leak had likely worsened and required corrective action. As a result of the West Reading investigation, the NTSB recommended that the 50 States, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: Safety Recommendation P-25-5 is currently classified Open—Await Response. As of this report, 7 states and the District of Columbia have provided an initial response; 43 states and the Commonwealth of Puerto Rico have not responded. Footnote: The seven states that have provided an initial response include Colorado, Connecticut, Kansas, Nevada, North Carolina, Virginia, and Wyoming. Mississippi, the state where the two Jackson accidents occurred, is one of the 43 states that have not provided an initial response. The NTSB investigation of the two Jackson accidents has again identified the critical importance of natural gas alarms to alert occupants to natural gas leaks. Therefore, the NTSB reiterates Safety Recommendation P 25-5 to 50 States, the Commonwealth of Puerto Rico, and the District of Columbia. As discussed in section 1.10.1.1, after the Avondale accident, Atmos reported that it provided the public with information, through its website, on the availability of natural gas alarms. However, Atmos can do more to safeguard the public in its distribution areas. The NTSB is aware of multiple natural gas distribution operators that have made natural gas alarms available to people in their service areas. Footnote: Visit http://www.ntsb.gov to find additional information in the public docket for this NTSB accident investigation (case number PLD24FR003). Therefore, the NTSB recommends that Atmos develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas.
Addressee Name: State of New Jersey
Addressee Status: Open - Await Response
Addressee Acronym: NJ
Addressee Organization Type: S-State Government
Communication Date: 2025-04-08
Communication Type: Transmittal Letter
Communication Contents: 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 accidents in other modes of transportation—railroad, highway, marine, and pipeline. We determine the probable cause of the accidents and issue safety recommendations aimed at preventing future accidents. In addition, we carry out special studies concerning transportation safety and coordinate the resources of the federal government and other organizations to assist victims and their family members affected by major transportation disasters. We are providing the following information to urge the State of New Jersey to act on the safety recommendation in this letter because we believe your organization can help reduce the risk of future accidents. For more information about the NTSB and our recommendation process, please see the attached one-page summary. This letter also includes information about our March 18, 2025, report, UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, NTSB/PIR-25/01. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. As a result of this investigation, we identified the following safety issues: • Degradation of a retired Aldyl A service tee that was accelerated by elevated ground temperatures from a corroded and cracked steam pipe nearby. • UGI Corporation’s insufficient consideration of pipeline integrity threats, particularly Aldyl A service tees with Delrin inserts at elevated temperatures. • Presence of unmarked and unreported private assets crossing public rights-of-way, excluding them from the Pennsylvania One Call System and increasing the risk of damage to them. • Delayed evacuation of Palmer’s Building 2 despite detection of natural gas by employees and others. • Natural gas safety messaging from pipeline operator public awareness programs that may not reach certain members of the public. • Insufficient guidance on natural gas emergency procedures. • Absence of natural gas alarms in commercial buildings. • Insufficient accessibility of gas distribution line valves. Accordingly, the NTSB makes the following safety recommendation to the State of New Jersey (additional information regarding this recommendation can be found in the noted section of the report): • Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) (See section 2.5.1.) The NTSB is vitally interested in this recommendation because it is designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter, detailing the actions you have taken or intend to take to implement this recommendation. When replying, please refer to the safety recommendation by number (Safety Recommendation P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply, including attachments, exceeds 20 megabytes, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. All communications regarding safety recommendations are stored by the NTSB and viewable by the public. Please do not send privileged or confidential communications in response to this recommendation. Responses marked as confidential or privileged (or similar designations) will be considered nonresponsive. In the likely event that your company uses auto generated and/or preformatted confidentiality statements on letterhead or outgoing e-mails, please include a statement in your letter indicating that the information can be publicly released. If you have concerns about this protocol, please contact us at ExecutiveSecretariat@ntsb.gov. The attached letter from the NTSB Chairman provides information about the March 18, 2025, report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. The NTSB is vitally interested in these recommendations because they are designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter detailing the actions you have taken or intend to take to implement these recommendations. When replying, please refer to the safety recommendation by number (for example, P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply exceeds 20 megabytes, including attachments, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. From the report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1: 2.5.1 Natural Gas Alarms Public awareness is an effective tool to encourage adoption of safety devices like natural gas alarms. The first edition of API RP 1162 requires that public awareness programs include safety messages about the awareness of hazards and prevention measures as well as leak recognition and response but does not specifically require these programs to disseminate safety messages about natural gas alarms. UGI’s public awareness materials distributed before the accident were consistent with federal regulations, and although the materials promoted the use of smoke and carbon monoxide alarms, they did not address natural gas alarms. Following the accident, UGI now includes safety messages encouraging the purchase of natural gas alarms in its public awareness materials. The NTSB concludes that installing natural gas alarms can alert people of a gas leak so they can evacuate the area; however, natural gas customers may not be aware of the necessity of such alarms. The NTSB believes that messages about the benefits of natural gas alarms are critically important and could save lives when natural gas alarms are installed. The NTSB further believes that the natural gas industry can help shape the effectiveness of public awareness program delivery methods so that people in businesses, schools, residences, and other places of congregation are better informed, both about natural gas hazards and the necessity of natural gas alarms. The American Gas Association, which represents natural gas pipeline operators throughout the US, can facilitate industry efforts to improve public awareness program delivery methods and to improve safety, most critically through increasing the installation of natural gas alarms. Therefore, the NTSB recommends that the American Gas Association share the details of the March 24, 2023, natural gas–fueled explosion and fire in West Reading, Pennsylvania, with its members, encouraging them to evaluate the effectiveness of their current delivery methods of public awareness programs and to promote the installation of natural gas alarms in businesses, residences, and other places of congregation that they serve. Evacuation should occur immediately upon detection of the presence of natural gas. In 1976, the NTSB made its first recommendation to require natural gas detection to provide early warning of leaks. Most recently, after a 2016 building explosion in Silver Spring, Maryland, and then again after the 2018 home explosion in Dallas, we made recommendations to the ICC and the NFPA to require natural gas alarms with methane detection in residences (NTSB 2019). We recommended the ICC w
Addressee Acronym: NJ
Addressee Organization Type: S-State Government
Communication Date: 2026-04-07
Communication Type: Recommendation Mention
Communication Contents: Pipeline Investigation Report PIR-26-02, “Enbridge Inc. Natural Gas–Fueled Home Explosion and Fatality, South Jordan, Utah, November 6, 2024” published on April 7, 2026: 2 Analysis On November 6, 2024, a natural gas–fueled home explosion fatally injured one resident and damaged nearby homes. A crack in the 4-inch-diameter Aldyl A gas main near the home allowed natural gas to leak and fuel the home explosion. The NTSB found that the crack originated on the inner surface of the pipe and aligned directly with an oblong impression on the outer surface. Investigators determined that a rock impingement likely caused the oblong impression on the outer surface of the pipe and the resulting crack. They also found that the crack growth features indicated that the crack breached the outer surface in a single abrupt event. As a result, the pipe rapidly transitioned from releasing no gas to releasing up to 48.7 scfm, as measured in the lab. Footnote: The actual leak rate may have been lower, given that the pipeline was buried in soil, which would constrain the pipe and provide back-pressure resistance to gas as it leaked from the pipe. Post-explosion, subsurface gas readings showed that the natural gas migrated about 150 feet from the leak location to the home. Although the exact timing of the leak could not be determined, the residents’ observations of physical symptoms, inability to relight the basement water heater, and an unusually high candle flame before the accident suggest that natural gas may have been present in the home for at least 3 days before the explosion. On November 6, the flammable natural gas–air mixture ignited in the southwest quadrant of the basement. The Utah Deputy State Fire Marshal identified two possible sources of the ignition: a water heater and a furnace. The water heater was turned off at the control point, so the only credible ignition source was the furnace. Footnote: The furnace control valve was found postaccident to have significant thermal damage, consistent with it being the ignition source. Before the accident, Enbridge had implemented safeguards to mitigate the consequences of leaks, including periodic leak surveys, timely response to odor complaints, and targeted replacement projects. However, none of these strategies proved effective for this scenario, because of the following issues related to the strategies: • Periodic leak surveys. Regulators require distribution leak surveys to be conducted every 5 years. Enbridge conducted its most recent leak survey on April 29, 2022—two years before the accident. However, in this accident, through-wall crack propagation occurred too rapidly, causing the leak to go undetected before the explosion. • Timely response to odor complaints. Regulators require odorization of natural gas in distribution systems to help alert the public to natural gas leaks. During interviews conducted by investigators, the NTSB determined that the local residents had not smelled natural gas odorant near the accident home, even though gas was determined to have permeated the ground in the area during postaccident surveys, indicating that the odorant had been stripped from the leaked natural gas that ultimately entered the home. Footnote: Field testing of the gas in the distribution system after the explosion found acceptable odorant concentrations. Although odorant can act as an early warning of a gas release to prevent an explosion and fire, it has been known to become depleted when traveling through soil, as it did in this accident. Previous NTSB investigations have identified occurrences of odorant depletion that allowed natural gas leaks to go undetected, resulting in explosions in Dallas, Texas, in 2018 and in Silver Spring, Maryland, in 2016. Footnote: NTSB. 2021. Atmos Energy Corporation Natural Gas–Fueled Explosion, Dallas, Texas, February 23, 2018. PAR-21/01. Washington, DC: NTSB. Footnote: NTSB. 2019. Building Explosion and Fire, Silver Spring, Maryland, August 10, 2016. PAR-19/01. Washington, DC: NTSB. • Targeted replacement projects. A 2014 California Public Utilities Commission study showed that the vintage of Aldyl A present in this accident, with stress concentrations from rock impingement, squeeze-off, bending, or deflection, were statistically predicted to fail between 22 and 235 years after installation. Footnote: California Public Utilities Commission 2014 Hazard Analysis and Mitigation Report On Aldyl A Polyethylene Gas Pipelines in California. Haine 2014. Because the estimated failure time is imprecise (a range of more than 200 years), and because some environmental conditions—such as the locations of rocks in the backfill material—are unknown, the Enbridge evaluation of the cracking threat to the 1976 vintage Aldyl A did not accurately characterize the risk of rock impingements and prevented Enbridge from identifying effective mitigative actions and targeted replacement projects. Even though Enbridge worked continuously to search for the leak after the explosion, it took them more than 21 hours to find and isolate the natural gas leak. During this time, the pipeline continued to leak natural gas into the ground, increasing the risk to nearby residents, first responders, and others operating in the area. When an underground natural gas pipeline leak occurs rapidly, it can be difficult to safeguard against. Natural gas alarms can provide an early warning of natural gas leaks inside nearby structures and can alert the building occupants to take immediate safety actions. Had in-home natural gas alarms been installed in the homes involved in this accident, they would have alerted the residents to a potential problem and prompted them to evacuate and call 911, reducing or eliminating the fatal consequences of the explosion. The NTSB has previously recommended requiring the installation of natural gas alarms in businesses, residences, and other buildings (Safety Recommendation P 25 05).
Addressee Acronym: NJ
Addressee Organization Type: S-State Government
Communication Date: 2026-06-05
Communication Type: Recommendation Mention
Communication Contents: Atmos Energy Corporation Natural Gas–Fueled Home Explosion Pipeline Investigation Report PIR-26-03 published on June 5, 2026: Analysis The explosion and fire occurred after natural gas leaked from a fractured buried main, migrated through an uncapped underground sewer lateral, entered the accident home, and reached an explosive concentration near an unknown ignition source. The investigation did not identify issues with gas pressures in the area of the leak or the timeliness or efficacy of the local emergency response agencies. Postaccident bar-hole testing and excavations found only one source of natural gas: a leak in the gas main near a valve box on the eastern edge of the construction site. On-site examinations of the main found that it was fractured around most of its circumference with a thin strip of metal at the top (12 o’clock position) joining the southern section of pipe to the section still threaded into the valve body. This indicates tension—a stretching force—at the bottom of the pipe along its long axis. Tension along the bottom of the pipe is consistent with a bending stress created by an external downward force. Based on information provided to Atmos by the construction superintendent, a cement truck ran over a valve box at the leak’s location immediately before he heard and smelled natural gas being released. The investigation did not identify another plausible external force that could have damaged the main. The Materials Laboratory examination of the main found fracture characteristics typical of fast crack growth and no signs of significant corrosion or preexisting structural damage that could have contributed to the failure. The fracture was therefore consistent with a sudden application of force by the valve box to the main. Based on the fracture’s location, timing, and fast-cracking characteristics, the valve box transmitted part of the cement truck’s weight to the gas main, causing the main to fracture and leak. Examination of the gas main and valve box involved in this accident found coal tar coating the main and deposited on the bottom edge of the valve box. This indicates that the valve box was in contact with the main. The presence of coal tar alone does not indicate when the contact occurred, but the evidence is consistent with the valve box being installed in contact with the main and therefore able transmit the cement truck’s weight directly to the main near the fracture’s location. Federal regulations at 49 CFR 192.181(c)(3) require that valve boxes not be installed in a manner that transmits external loads to mains, and valve boxes are normally installed with a buffer of soil or other protection between the valve box and the assets immediately below. For example, Atmos’s newer valve boxes are installed with support and base pads to prevent load transmission. However, Atmos was not actively replacing cast iron valve boxes with this newer design. Further, the maintenance crew that removed and reinstalled the valve box about 2 months before the accident did not have a specific standard to follow for reinstalling cast iron valve boxes other than an expectation that the top of the valve box be level with the grade. The lack of a standard likely led to the common reinstallation of valve boxes in contact with mains, as described by an Atmos vice president of operations. If Atmos had adopted either a standard for safely installing cast iron valve boxes or a policy of replacing cast iron valve boxes with the newer design, the protective buffer of soil or support pad would have reduced the load transmitted to the pipe on the day of the accident. There is not enough evidence to determine whether a buffer or pad would have prevented the accident, but it would have made the infrastructure more resilient. Atmos has not reported making changes to its valve box installation practices. After the main fractured, gas propagated undetected through an uncapped underground sewer lateral into the sewer system and then into the accident home, where it reached an explosive concentration. The gas in the sewers remained undetected because Atmos personnel did not test the atmosphere in the sewers prior to the explosion. For about 35 minutes, most of the time between the initial leak and the explosion, there was only one Atmos employee on the scene: an experienced senior service technician. He was equipped with a CGI and checked nearby storm drains for the presence of gas, which was one step in Atmos’s subsurface leak investigation procedure. During his interview with the NTSB, he described planning to check the sewers, another required step, but said that he had already confirmed that there was no threat to life or property. His activities after checking the storm drains are also consistent with a belief that he had finished assessing the risk posed by the leak: he switched to the non-safety-critical work of recording billing information for the damage. The investigation did not find evidence of a natural gas alarm in the accident home, which did not have gas service but was still impacted by a leak from a gas main. It is likely that a natural gas alarm would have provided the home’s occupants with warning of accumulating natural gas and given them an opportunity to evacuate before the explosion. The NTSB has advocated wider installation and use of natural gas alarms for nearly 50 years, including following the investigation into a pair of 2024 home explosions in Jackson, Mississippi, that involved Atmos assets. As a result of that investigation, the NTSB reiterated a recommendation to the 50 states, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: See CAROL for the complete history and current status of this recommendation. The NTSB also recommended that Atmos “develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas” (P-26-10).11F Footnote: See CAROL for the complete history and current status of this recommendation.
Addressee Acronym: NJ
Addressee Organization Type: S-State Government
Communication Date: 2026-03-26
Communication Type: Recommendation Reiteration
Communication Contents: From the Report, “Atmos Energy Corporation Natural Gas-Fueled Home Explosions and Fires Jackson, Mississippi, January 24, 2024, and January 27, 2024” published on March 26, 2026. Absence of Natural Gas Detection Alarms in Buildings The Bristol Boulevard accident home and the Shalimar Drive accident home did not have natural gas alarms installed. For nearly 50 years, the NTSB has been recommending natural gas alarms for the early detection of natural gas leaks. In the West Reading accident, several candy factory employees told the NTSB that they had smelled natural gas odorant and did not call 9 1 1 or the gas company but stayed in the building until the explosion occurred. Some of the employees inquired with their managers about what to do, and their managers were equally unaware of the actions to take during a suspected natural gas leak. In the two Jackson accidents, and in many of the pipeline accidents the NTSB has investigated for the last 5 decades, people smelled natural gas odorant and either did not know what actions to take, or they knew the actions necessary to address a potential natural gas emergency but did not execute them. Natural gas distribution pipeline operators must educate the public on pipeline safety through public awareness programs. It is also necessary, however, to have safeguards in place when members of the public (1) smell natural gas odorant and do not take the appropriate safety actions and (2) do not smell natural gas odorant, as was the case in the NTSB investigation of the Dallas accident, and therefore do not take appropriate safety actions. Footnote: The NTSB’s Dallas investigation determined that the occupants in the accident homes did not smell natural gas odorant because it was absorbed and depleted in the soil. Natural gas alarms are safeguards in protecting the public, which is why the NTSB has recommended their installation after many of our pipeline accident investigations. The NTSB found that natural gas alarms likely would have prevented or reduced the consequences of the Dallas and West Reading accidents, and the evidence in this investigation suggests the same. The Shalimar Drive accident home was empty at the time of that accident; however, when the explosion in the Bristol Boulevard accident home occurred, two people were inside. Therefore, the NTSB concludes that had a natural gas alarm been installed inside the Bristol Boulevard accident home, it could have alerted occupants that natural gas was present, prompting them to evacuate and report the leak, making Atmos aware that the leak had likely worsened and required corrective action. As a result of the West Reading investigation, the NTSB recommended that the 50 States, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: Safety Recommendation P-25-5 is currently classified Open—Await Response. As of this report, 7 states and the District of Columbia have provided an initial response; 43 states and the Commonwealth of Puerto Rico have not responded. Footnote: The seven states that have provided an initial response include Colorado, Connecticut, Kansas, Nevada, North Carolina, Virginia, and Wyoming. Mississippi, the state where the two Jackson accidents occurred, is one of the 43 states that have not provided an initial response. The NTSB investigation of the two Jackson accidents has again identified the critical importance of natural gas alarms to alert occupants to natural gas leaks. Therefore, the NTSB reiterates Safety Recommendation P 25-5 to 50 States, the Commonwealth of Puerto Rico, and the District of Columbia. As discussed in section 1.10.1.1, after the Avondale accident, Atmos reported that it provided the public with information, through its website, on the availability of natural gas alarms. However, Atmos can do more to safeguard the public in its distribution areas. The NTSB is aware of multiple natural gas distribution operators that have made natural gas alarms available to people in their service areas. Footnote: Visit http://www.ntsb.gov to find additional information in the public docket for this NTSB accident investigation (case number PLD24FR003). Therefore, the NTSB recommends that Atmos develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas.
Addressee Name: State of New Hampshire
Addressee Status: Open - Await Response
Addressee Acronym: NH
Addressee Organization Type: S-State Government
Communication Date: 2025-04-08
Communication Type: Transmittal Letter
Communication Contents: 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 accidents in other modes of transportation—railroad, highway, marine, and pipeline. We determine the probable cause of the accidents and issue safety recommendations aimed at preventing future accidents. In addition, we carry out special studies concerning transportation safety and coordinate the resources of the federal government and other organizations to assist victims and their family members affected by major transportation disasters. We are providing the following information to urge the State of New Hampshire to act on the safety recommendation in this letter because we believe your organization can help reduce the risk of future accidents. For more information about the NTSB and our recommendation process, please see the attached one-page summary. This letter also includes information about our March 18, 2025, report, UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, NTSB/PIR-25/01. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. As a result of this investigation, we identified the following safety issues: • Degradation of a retired Aldyl A service tee that was accelerated by elevated ground temperatures from a corroded and cracked steam pipe nearby. • UGI Corporation’s insufficient consideration of pipeline integrity threats, particularly Aldyl A service tees with Delrin inserts at elevated temperatures. • Presence of unmarked and unreported private assets crossing public rights-of-way, excluding them from the Pennsylvania One Call System and increasing the risk of damage to them. • Delayed evacuation of Palmer’s Building 2 despite detection of natural gas by employees and others. • Natural gas safety messaging from pipeline operator public awareness programs that may not reach certain members of the public. • Insufficient guidance on natural gas emergency procedures. • Absence of natural gas alarms in commercial buildings. • Insufficient accessibility of gas distribution line valves. Accordingly, the NTSB makes the following safety recommendation to the State of New Hampshire (additional information regarding this recommendation can be found in the noted section of the report): • Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) (See section 2.5.1.) The NTSB is vitally interested in this recommendation because it is designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter, detailing the actions you have taken or intend to take to implement this recommendation. When replying, please refer to the safety recommendation by number (Safety Recommendation P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply, including attachments, exceeds 20 megabytes, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. All communications regarding safety recommendations are stored by the NTSB and viewable by the public. Please do not send privileged or confidential communications in response to this recommendation. Responses marked as confidential or privileged (or similar designations) will be considered nonresponsive. In the likely event that your company uses auto generated and/or preformatted confidentiality statements on letterhead or outgoing e-mails, please include a statement in your letter indicating that the information can be publicly released. If you have concerns about this protocol, please contact us at ExecutiveSecretariat@ntsb.gov. The attached letter from the NTSB Chairman provides information about the March 18, 2025, report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. The NTSB is vitally interested in these recommendations because they are designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter detailing the actions you have taken or intend to take to implement these recommendations. When replying, please refer to the safety recommendation by number (for example, P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply exceeds 20 megabytes, including attachments, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. From the report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1: 2.5.1 Natural Gas Alarms Public awareness is an effective tool to encourage adoption of safety devices like natural gas alarms. The first edition of API RP 1162 requires that public awareness programs include safety messages about the awareness of hazards and prevention measures as well as leak recognition and response but does not specifically require these programs to disseminate safety messages about natural gas alarms. UGI’s public awareness materials distributed before the accident were consistent with federal regulations, and although the materials promoted the use of smoke and carbon monoxide alarms, they did not address natural gas alarms. Following the accident, UGI now includes safety messages encouraging the purchase of natural gas alarms in its public awareness materials. The NTSB concludes that installing natural gas alarms can alert people of a gas leak so they can evacuate the area; however, natural gas customers may not be aware of the necessity of such alarms. The NTSB believes that messages about the benefits of natural gas alarms are critically important and could save lives when natural gas alarms are installed. The NTSB further believes that the natural gas industry can help shape the effectiveness of public awareness program delivery methods so that people in businesses, schools, residences, and other places of congregation are better informed, both about natural gas hazards and the necessity of natural gas alarms. The American Gas Association, which represents natural gas pipeline operators throughout the US, can facilitate industry efforts to improve public awareness program delivery methods and to improve safety, most critically through increasing the installation of natural gas alarms. Therefore, the NTSB recommends that the American Gas Association share the details of the March 24, 2023, natural gas–fueled explosion and fire in West Reading, Pennsylvania, with its members, encouraging them to evaluate the effectiveness of their current delivery methods of public awareness programs and to promote the installation of natural gas alarms in businesses, residences, and other places of congregation that they serve. Evacuation should occur immediately upon detection of the presence of natural gas. In 1976, the NTSB made its first recommendation to require natural gas detection to provide early warning of leaks. Most recently, after a 2016 building explosion in Silver Spring, Maryland, and then again after the 2018 home explosion in Dallas, we made recommendations to the ICC and the NFPA to require natural gas alarms with methane detection in residences (NTSB 2019). We recommended the
Addressee Acronym: NH
Addressee Organization Type: S-State Government
Communication Date: 2026-04-07
Communication Type: Recommendation Mention
Communication Contents: Pipeline Investigation Report PIR-26-02, “Enbridge Inc. Natural Gas–Fueled Home Explosion and Fatality, South Jordan, Utah, November 6, 2024” published on April 7, 2026: 2 Analysis On November 6, 2024, a natural gas–fueled home explosion fatally injured one resident and damaged nearby homes. A crack in the 4-inch-diameter Aldyl A gas main near the home allowed natural gas to leak and fuel the home explosion. The NTSB found that the crack originated on the inner surface of the pipe and aligned directly with an oblong impression on the outer surface. Investigators determined that a rock impingement likely caused the oblong impression on the outer surface of the pipe and the resulting crack. They also found that the crack growth features indicated that the crack breached the outer surface in a single abrupt event. As a result, the pipe rapidly transitioned from releasing no gas to releasing up to 48.7 scfm, as measured in the lab. Footnote: The actual leak rate may have been lower, given that the pipeline was buried in soil, which would constrain the pipe and provide back-pressure resistance to gas as it leaked from the pipe. Post-explosion, subsurface gas readings showed that the natural gas migrated about 150 feet from the leak location to the home. Although the exact timing of the leak could not be determined, the residents’ observations of physical symptoms, inability to relight the basement water heater, and an unusually high candle flame before the accident suggest that natural gas may have been present in the home for at least 3 days before the explosion. On November 6, the flammable natural gas–air mixture ignited in the southwest quadrant of the basement. The Utah Deputy State Fire Marshal identified two possible sources of the ignition: a water heater and a furnace. The water heater was turned off at the control point, so the only credible ignition source was the furnace. Footnote: The furnace control valve was found postaccident to have significant thermal damage, consistent with it being the ignition source. Before the accident, Enbridge had implemented safeguards to mitigate the consequences of leaks, including periodic leak surveys, timely response to odor complaints, and targeted replacement projects. However, none of these strategies proved effective for this scenario, because of the following issues related to the strategies: • Periodic leak surveys. Regulators require distribution leak surveys to be conducted every 5 years. Enbridge conducted its most recent leak survey on April 29, 2022—two years before the accident. However, in this accident, through-wall crack propagation occurred too rapidly, causing the leak to go undetected before the explosion. • Timely response to odor complaints. Regulators require odorization of natural gas in distribution systems to help alert the public to natural gas leaks. During interviews conducted by investigators, the NTSB determined that the local residents had not smelled natural gas odorant near the accident home, even though gas was determined to have permeated the ground in the area during postaccident surveys, indicating that the odorant had been stripped from the leaked natural gas that ultimately entered the home. Footnote: Field testing of the gas in the distribution system after the explosion found acceptable odorant concentrations. Although odorant can act as an early warning of a gas release to prevent an explosion and fire, it has been known to become depleted when traveling through soil, as it did in this accident. Previous NTSB investigations have identified occurrences of odorant depletion that allowed natural gas leaks to go undetected, resulting in explosions in Dallas, Texas, in 2018 and in Silver Spring, Maryland, in 2016. Footnote: NTSB. 2021. Atmos Energy Corporation Natural Gas–Fueled Explosion, Dallas, Texas, February 23, 2018. PAR-21/01. Washington, DC: NTSB. Footnote: NTSB. 2019. Building Explosion and Fire, Silver Spring, Maryland, August 10, 2016. PAR-19/01. Washington, DC: NTSB. • Targeted replacement projects. A 2014 California Public Utilities Commission study showed that the vintage of Aldyl A present in this accident, with stress concentrations from rock impingement, squeeze-off, bending, or deflection, were statistically predicted to fail between 22 and 235 years after installation. Footnote: California Public Utilities Commission 2014 Hazard Analysis and Mitigation Report On Aldyl A Polyethylene Gas Pipelines in California. Haine 2014. Because the estimated failure time is imprecise (a range of more than 200 years), and because some environmental conditions—such as the locations of rocks in the backfill material—are unknown, the Enbridge evaluation of the cracking threat to the 1976 vintage Aldyl A did not accurately characterize the risk of rock impingements and prevented Enbridge from identifying effective mitigative actions and targeted replacement projects. Even though Enbridge worked continuously to search for the leak after the explosion, it took them more than 21 hours to find and isolate the natural gas leak. During this time, the pipeline continued to leak natural gas into the ground, increasing the risk to nearby residents, first responders, and others operating in the area. When an underground natural gas pipeline leak occurs rapidly, it can be difficult to safeguard against. Natural gas alarms can provide an early warning of natural gas leaks inside nearby structures and can alert the building occupants to take immediate safety actions. Had in-home natural gas alarms been installed in the homes involved in this accident, they would have alerted the residents to a potential problem and prompted them to evacuate and call 911, reducing or eliminating the fatal consequences of the explosion. The NTSB has previously recommended requiring the installation of natural gas alarms in businesses, residences, and other buildings (Safety Recommendation P 25 05).
Addressee Acronym: NH
Addressee Organization Type: S-State Government
Communication Date: 2026-06-05
Communication Type: Recommendation Mention
Communication Contents: Atmos Energy Corporation Natural Gas–Fueled Home Explosion Pipeline Investigation Report PIR-26-03 published on June 5, 2026: Analysis The explosion and fire occurred after natural gas leaked from a fractured buried main, migrated through an uncapped underground sewer lateral, entered the accident home, and reached an explosive concentration near an unknown ignition source. The investigation did not identify issues with gas pressures in the area of the leak or the timeliness or efficacy of the local emergency response agencies. Postaccident bar-hole testing and excavations found only one source of natural gas: a leak in the gas main near a valve box on the eastern edge of the construction site. On-site examinations of the main found that it was fractured around most of its circumference with a thin strip of metal at the top (12 o’clock position) joining the southern section of pipe to the section still threaded into the valve body. This indicates tension—a stretching force—at the bottom of the pipe along its long axis. Tension along the bottom of the pipe is consistent with a bending stress created by an external downward force. Based on information provided to Atmos by the construction superintendent, a cement truck ran over a valve box at the leak’s location immediately before he heard and smelled natural gas being released. The investigation did not identify another plausible external force that could have damaged the main. The Materials Laboratory examination of the main found fracture characteristics typical of fast crack growth and no signs of significant corrosion or preexisting structural damage that could have contributed to the failure. The fracture was therefore consistent with a sudden application of force by the valve box to the main. Based on the fracture’s location, timing, and fast-cracking characteristics, the valve box transmitted part of the cement truck’s weight to the gas main, causing the main to fracture and leak. Examination of the gas main and valve box involved in this accident found coal tar coating the main and deposited on the bottom edge of the valve box. This indicates that the valve box was in contact with the main. The presence of coal tar alone does not indicate when the contact occurred, but the evidence is consistent with the valve box being installed in contact with the main and therefore able transmit the cement truck’s weight directly to the main near the fracture’s location. Federal regulations at 49 CFR 192.181(c)(3) require that valve boxes not be installed in a manner that transmits external loads to mains, and valve boxes are normally installed with a buffer of soil or other protection between the valve box and the assets immediately below. For example, Atmos’s newer valve boxes are installed with support and base pads to prevent load transmission. However, Atmos was not actively replacing cast iron valve boxes with this newer design. Further, the maintenance crew that removed and reinstalled the valve box about 2 months before the accident did not have a specific standard to follow for reinstalling cast iron valve boxes other than an expectation that the top of the valve box be level with the grade. The lack of a standard likely led to the common reinstallation of valve boxes in contact with mains, as described by an Atmos vice president of operations. If Atmos had adopted either a standard for safely installing cast iron valve boxes or a policy of replacing cast iron valve boxes with the newer design, the protective buffer of soil or support pad would have reduced the load transmitted to the pipe on the day of the accident. There is not enough evidence to determine whether a buffer or pad would have prevented the accident, but it would have made the infrastructure more resilient. Atmos has not reported making changes to its valve box installation practices. After the main fractured, gas propagated undetected through an uncapped underground sewer lateral into the sewer system and then into the accident home, where it reached an explosive concentration. The gas in the sewers remained undetected because Atmos personnel did not test the atmosphere in the sewers prior to the explosion. For about 35 minutes, most of the time between the initial leak and the explosion, there was only one Atmos employee on the scene: an experienced senior service technician. He was equipped with a CGI and checked nearby storm drains for the presence of gas, which was one step in Atmos’s subsurface leak investigation procedure. During his interview with the NTSB, he described planning to check the sewers, another required step, but said that he had already confirmed that there was no threat to life or property. His activities after checking the storm drains are also consistent with a belief that he had finished assessing the risk posed by the leak: he switched to the non-safety-critical work of recording billing information for the damage. The investigation did not find evidence of a natural gas alarm in the accident home, which did not have gas service but was still impacted by a leak from a gas main. It is likely that a natural gas alarm would have provided the home’s occupants with warning of accumulating natural gas and given them an opportunity to evacuate before the explosion. The NTSB has advocated wider installation and use of natural gas alarms for nearly 50 years, including following the investigation into a pair of 2024 home explosions in Jackson, Mississippi, that involved Atmos assets. As a result of that investigation, the NTSB reiterated a recommendation to the 50 states, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: See CAROL for the complete history and current status of this recommendation. The NTSB also recommended that Atmos “develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas” (P-26-10).11F Footnote: See CAROL for the complete history and current status of this recommendation.
Addressee Acronym: NH
Addressee Organization Type: S-State Government
Communication Date: 2026-03-26
Communication Type: Recommendation Reiteration
Communication Contents: From the Report, “Atmos Energy Corporation Natural Gas-Fueled Home Explosions and Fires Jackson, Mississippi, January 24, 2024, and January 27, 2024” published on March 26, 2026. Absence of Natural Gas Detection Alarms in Buildings The Bristol Boulevard accident home and the Shalimar Drive accident home did not have natural gas alarms installed. For nearly 50 years, the NTSB has been recommending natural gas alarms for the early detection of natural gas leaks. In the West Reading accident, several candy factory employees told the NTSB that they had smelled natural gas odorant and did not call 9 1 1 or the gas company but stayed in the building until the explosion occurred. Some of the employees inquired with their managers about what to do, and their managers were equally unaware of the actions to take during a suspected natural gas leak. In the two Jackson accidents, and in many of the pipeline accidents the NTSB has investigated for the last 5 decades, people smelled natural gas odorant and either did not know what actions to take, or they knew the actions necessary to address a potential natural gas emergency but did not execute them. Natural gas distribution pipeline operators must educate the public on pipeline safety through public awareness programs. It is also necessary, however, to have safeguards in place when members of the public (1) smell natural gas odorant and do not take the appropriate safety actions and (2) do not smell natural gas odorant, as was the case in the NTSB investigation of the Dallas accident, and therefore do not take appropriate safety actions. Footnote: The NTSB’s Dallas investigation determined that the occupants in the accident homes did not smell natural gas odorant because it was absorbed and depleted in the soil. Natural gas alarms are safeguards in protecting the public, which is why the NTSB has recommended their installation after many of our pipeline accident investigations. The NTSB found that natural gas alarms likely would have prevented or reduced the consequences of the Dallas and West Reading accidents, and the evidence in this investigation suggests the same. The Shalimar Drive accident home was empty at the time of that accident; however, when the explosion in the Bristol Boulevard accident home occurred, two people were inside. Therefore, the NTSB concludes that had a natural gas alarm been installed inside the Bristol Boulevard accident home, it could have alerted occupants that natural gas was present, prompting them to evacuate and report the leak, making Atmos aware that the leak had likely worsened and required corrective action. As a result of the West Reading investigation, the NTSB recommended that the 50 States, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: Safety Recommendation P-25-5 is currently classified Open—Await Response. As of this report, 7 states and the District of Columbia have provided an initial response; 43 states and the Commonwealth of Puerto Rico have not responded. Footnote: The seven states that have provided an initial response include Colorado, Connecticut, Kansas, Nevada, North Carolina, Virginia, and Wyoming. Mississippi, the state where the two Jackson accidents occurred, is one of the 43 states that have not provided an initial response. The NTSB investigation of the two Jackson accidents has again identified the critical importance of natural gas alarms to alert occupants to natural gas leaks. Therefore, the NTSB reiterates Safety Recommendation P 25-5 to 50 States, the Commonwealth of Puerto Rico, and the District of Columbia. As discussed in section 1.10.1.1, after the Avondale accident, Atmos reported that it provided the public with information, through its website, on the availability of natural gas alarms. However, Atmos can do more to safeguard the public in its distribution areas. The NTSB is aware of multiple natural gas distribution operators that have made natural gas alarms available to people in their service areas. Footnote: Visit http://www.ntsb.gov to find additional information in the public docket for this NTSB accident investigation (case number PLD24FR003). Therefore, the NTSB recommends that Atmos develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas.
Addressee Name: State of Nebraska
Addressee Status: Open - Await Response
Addressee Acronym: NE
Addressee Organization Type: S-State Government
Communication Date: 2025-04-08
Communication Type: Transmittal Letter
Communication Contents: 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 accidents in other modes of transportation—railroad, highway, marine, and pipeline. We determine the probable cause of the accidents and issue safety recommendations aimed at preventing future accidents. In addition, we carry out special studies concerning transportation safety and coordinate the resources of the federal government and other organizations to assist victims and their family members affected by major transportation disasters. We are providing the following information to urge the State of Nebraska to act on the safety recommendation in this letter because we believe your organization can help reduce the risk of future accidents. For more information about the NTSB and our recommendation process, please see the attached one-page summary. This letter also includes information about our March 18, 2025, report, UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, NTSB/PIR-25/01. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. As a result of this investigation, we identified the following safety issues: • Degradation of a retired Aldyl A service tee that was accelerated by elevated ground temperatures from a corroded and cracked steam pipe nearby. • UGI Corporation’s insufficient consideration of pipeline integrity threats, particularly Aldyl A service tees with Delrin inserts at elevated temperatures. • Presence of unmarked and unreported private assets crossing public rights-of-way, excluding them from the Pennsylvania One Call System and increasing the risk of damage to them. • Delayed evacuation of Palmer’s Building 2 despite detection of natural gas by employees and others. • Natural gas safety messaging from pipeline operator public awareness programs that may not reach certain members of the public. • Insufficient guidance on natural gas emergency procedures. • Absence of natural gas alarms in commercial buildings. • Insufficient accessibility of gas distribution line valves. Accordingly, the NTSB makes the following safety recommendation to the State of Nebraska (additional information regarding this recommendation can be found in the noted section of the report): • Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) (See section 2.5.1.) The NTSB is vitally interested in this recommendation because it is designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter, detailing the actions you have taken or intend to take to implement this recommendation. When replying, please refer to the safety recommendation by number (Safety Recommendation P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply, including attachments, exceeds 20 megabytes, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. All communications regarding safety recommendations are stored by the NTSB and viewable by the public. Please do not send privileged or confidential communications in response to this recommendation. Responses marked as confidential or privileged (or similar designations) will be considered nonresponsive. In the likely event that your company uses auto generated and/or preformatted confidentiality statements on letterhead or outgoing e-mails, please include a statement in your letter indicating that the information can be publicly released. If you have concerns about this protocol, please contact us at ExecutiveSecretariat@ntsb.gov. The attached letter from the NTSB Chairman provides information about the March 18, 2025, report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. The NTSB is vitally interested in these recommendations because they are designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter detailing the actions you have taken or intend to take to implement these recommendations. When replying, please refer to the safety recommendation by number (for example, P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply exceeds 20 megabytes, including attachments, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. From the report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1: 2.5.1 Natural Gas Alarms Public awareness is an effective tool to encourage adoption of safety devices like natural gas alarms. The first edition of API RP 1162 requires that public awareness programs include safety messages about the awareness of hazards and prevention measures as well as leak recognition and response but does not specifically require these programs to disseminate safety messages about natural gas alarms. UGI’s public awareness materials distributed before the accident were consistent with federal regulations, and although the materials promoted the use of smoke and carbon monoxide alarms, they did not address natural gas alarms. Following the accident, UGI now includes safety messages encouraging the purchase of natural gas alarms in its public awareness materials. The NTSB concludes that installing natural gas alarms can alert people of a gas leak so they can evacuate the area; however, natural gas customers may not be aware of the necessity of such alarms. The NTSB believes that messages about the benefits of natural gas alarms are critically important and could save lives when natural gas alarms are installed. The NTSB further believes that the natural gas industry can help shape the effectiveness of public awareness program delivery methods so that people in businesses, schools, residences, and other places of congregation are better informed, both about natural gas hazards and the necessity of natural gas alarms. The American Gas Association, which represents natural gas pipeline operators throughout the US, can facilitate industry efforts to improve public awareness program delivery methods and to improve safety, most critically through increasing the installation of natural gas alarms. Therefore, the NTSB recommends that the American Gas Association share the details of the March 24, 2023, natural gas–fueled explosion and fire in West Reading, Pennsylvania, with its members, encouraging them to evaluate the effectiveness of their current delivery methods of public awareness programs and to promote the installation of natural gas alarms in businesses, residences, and other places of congregation that they serve. Evacuation should occur immediately upon detection of the presence of natural gas. In 1976, the NTSB made its first recommendation to require natural gas detection to provide early warning of leaks. Most recently, after a 2016 building explosion in Silver Spring, Maryland, and then again after the 2018 home explosion in Dallas, we made recommendations to the ICC and the NFPA to require natural gas alarms with methane detection in residences (NTSB 2019). We recommended the ICC work
Addressee Acronym: NE
Addressee Organization Type: S-State Government
Communication Date: 2026-04-07
Communication Type: Recommendation Mention
Communication Contents: Pipeline Investigation Report PIR-26-02, “Enbridge Inc. Natural Gas–Fueled Home Explosion and Fatality, South Jordan, Utah, November 6, 2024” published on April 7, 2026: 2 Analysis On November 6, 2024, a natural gas–fueled home explosion fatally injured one resident and damaged nearby homes. A crack in the 4-inch-diameter Aldyl A gas main near the home allowed natural gas to leak and fuel the home explosion. The NTSB found that the crack originated on the inner surface of the pipe and aligned directly with an oblong impression on the outer surface. Investigators determined that a rock impingement likely caused the oblong impression on the outer surface of the pipe and the resulting crack. They also found that the crack growth features indicated that the crack breached the outer surface in a single abrupt event. As a result, the pipe rapidly transitioned from releasing no gas to releasing up to 48.7 scfm, as measured in the lab. Footnote: The actual leak rate may have been lower, given that the pipeline was buried in soil, which would constrain the pipe and provide back-pressure resistance to gas as it leaked from the pipe. Post-explosion, subsurface gas readings showed that the natural gas migrated about 150 feet from the leak location to the home. Although the exact timing of the leak could not be determined, the residents’ observations of physical symptoms, inability to relight the basement water heater, and an unusually high candle flame before the accident suggest that natural gas may have been present in the home for at least 3 days before the explosion. On November 6, the flammable natural gas–air mixture ignited in the southwest quadrant of the basement. The Utah Deputy State Fire Marshal identified two possible sources of the ignition: a water heater and a furnace. The water heater was turned off at the control point, so the only credible ignition source was the furnace. Footnote: The furnace control valve was found postaccident to have significant thermal damage, consistent with it being the ignition source. Before the accident, Enbridge had implemented safeguards to mitigate the consequences of leaks, including periodic leak surveys, timely response to odor complaints, and targeted replacement projects. However, none of these strategies proved effective for this scenario, because of the following issues related to the strategies: • Periodic leak surveys. Regulators require distribution leak surveys to be conducted every 5 years. Enbridge conducted its most recent leak survey on April 29, 2022—two years before the accident. However, in this accident, through-wall crack propagation occurred too rapidly, causing the leak to go undetected before the explosion. • Timely response to odor complaints. Regulators require odorization of natural gas in distribution systems to help alert the public to natural gas leaks. During interviews conducted by investigators, the NTSB determined that the local residents had not smelled natural gas odorant near the accident home, even though gas was determined to have permeated the ground in the area during postaccident surveys, indicating that the odorant had been stripped from the leaked natural gas that ultimately entered the home. Footnote: Field testing of the gas in the distribution system after the explosion found acceptable odorant concentrations. Although odorant can act as an early warning of a gas release to prevent an explosion and fire, it has been known to become depleted when traveling through soil, as it did in this accident. Previous NTSB investigations have identified occurrences of odorant depletion that allowed natural gas leaks to go undetected, resulting in explosions in Dallas, Texas, in 2018 and in Silver Spring, Maryland, in 2016. Footnote: NTSB. 2021. Atmos Energy Corporation Natural Gas–Fueled Explosion, Dallas, Texas, February 23, 2018. PAR-21/01. Washington, DC: NTSB. Footnote: NTSB. 2019. Building Explosion and Fire, Silver Spring, Maryland, August 10, 2016. PAR-19/01. Washington, DC: NTSB. • Targeted replacement projects. A 2014 California Public Utilities Commission study showed that the vintage of Aldyl A present in this accident, with stress concentrations from rock impingement, squeeze-off, bending, or deflection, were statistically predicted to fail between 22 and 235 years after installation. Footnote: California Public Utilities Commission 2014 Hazard Analysis and Mitigation Report On Aldyl A Polyethylene Gas Pipelines in California. Haine 2014. Because the estimated failure time is imprecise (a range of more than 200 years), and because some environmental conditions—such as the locations of rocks in the backfill material—are unknown, the Enbridge evaluation of the cracking threat to the 1976 vintage Aldyl A did not accurately characterize the risk of rock impingements and prevented Enbridge from identifying effective mitigative actions and targeted replacement projects. Even though Enbridge worked continuously to search for the leak after the explosion, it took them more than 21 hours to find and isolate the natural gas leak. During this time, the pipeline continued to leak natural gas into the ground, increasing the risk to nearby residents, first responders, and others operating in the area. When an underground natural gas pipeline leak occurs rapidly, it can be difficult to safeguard against. Natural gas alarms can provide an early warning of natural gas leaks inside nearby structures and can alert the building occupants to take immediate safety actions. Had in-home natural gas alarms been installed in the homes involved in this accident, they would have alerted the residents to a potential problem and prompted them to evacuate and call 911, reducing or eliminating the fatal consequences of the explosion. The NTSB has previously recommended requiring the installation of natural gas alarms in businesses, residences, and other buildings (Safety Recommendation P 25 05).
Addressee Acronym: NE
Addressee Organization Type: S-State Government
Communication Date: 2026-06-05
Communication Type: Recommendation Mention
Communication Contents: Atmos Energy Corporation Natural Gas–Fueled Home Explosion Pipeline Investigation Report PIR-26-03 published on June 5, 2026: Analysis The explosion and fire occurred after natural gas leaked from a fractured buried main, migrated through an uncapped underground sewer lateral, entered the accident home, and reached an explosive concentration near an unknown ignition source. The investigation did not identify issues with gas pressures in the area of the leak or the timeliness or efficacy of the local emergency response agencies. Postaccident bar-hole testing and excavations found only one source of natural gas: a leak in the gas main near a valve box on the eastern edge of the construction site. On-site examinations of the main found that it was fractured around most of its circumference with a thin strip of metal at the top (12 o’clock position) joining the southern section of pipe to the section still threaded into the valve body. This indicates tension—a stretching force—at the bottom of the pipe along its long axis. Tension along the bottom of the pipe is consistent with a bending stress created by an external downward force. Based on information provided to Atmos by the construction superintendent, a cement truck ran over a valve box at the leak’s location immediately before he heard and smelled natural gas being released. The investigation did not identify another plausible external force that could have damaged the main. The Materials Laboratory examination of the main found fracture characteristics typical of fast crack growth and no signs of significant corrosion or preexisting structural damage that could have contributed to the failure. The fracture was therefore consistent with a sudden application of force by the valve box to the main. Based on the fracture’s location, timing, and fast-cracking characteristics, the valve box transmitted part of the cement truck’s weight to the gas main, causing the main to fracture and leak. Examination of the gas main and valve box involved in this accident found coal tar coating the main and deposited on the bottom edge of the valve box. This indicates that the valve box was in contact with the main. The presence of coal tar alone does not indicate when the contact occurred, but the evidence is consistent with the valve box being installed in contact with the main and therefore able transmit the cement truck’s weight directly to the main near the fracture’s location. Federal regulations at 49 CFR 192.181(c)(3) require that valve boxes not be installed in a manner that transmits external loads to mains, and valve boxes are normally installed with a buffer of soil or other protection between the valve box and the assets immediately below. For example, Atmos’s newer valve boxes are installed with support and base pads to prevent load transmission. However, Atmos was not actively replacing cast iron valve boxes with this newer design. Further, the maintenance crew that removed and reinstalled the valve box about 2 months before the accident did not have a specific standard to follow for reinstalling cast iron valve boxes other than an expectation that the top of the valve box be level with the grade. The lack of a standard likely led to the common reinstallation of valve boxes in contact with mains, as described by an Atmos vice president of operations. If Atmos had adopted either a standard for safely installing cast iron valve boxes or a policy of replacing cast iron valve boxes with the newer design, the protective buffer of soil or support pad would have reduced the load transmitted to the pipe on the day of the accident. There is not enough evidence to determine whether a buffer or pad would have prevented the accident, but it would have made the infrastructure more resilient. Atmos has not reported making changes to its valve box installation practices. After the main fractured, gas propagated undetected through an uncapped underground sewer lateral into the sewer system and then into the accident home, where it reached an explosive concentration. The gas in the sewers remained undetected because Atmos personnel did not test the atmosphere in the sewers prior to the explosion. For about 35 minutes, most of the time between the initial leak and the explosion, there was only one Atmos employee on the scene: an experienced senior service technician. He was equipped with a CGI and checked nearby storm drains for the presence of gas, which was one step in Atmos’s subsurface leak investigation procedure. During his interview with the NTSB, he described planning to check the sewers, another required step, but said that he had already confirmed that there was no threat to life or property. His activities after checking the storm drains are also consistent with a belief that he had finished assessing the risk posed by the leak: he switched to the non-safety-critical work of recording billing information for the damage. The investigation did not find evidence of a natural gas alarm in the accident home, which did not have gas service but was still impacted by a leak from a gas main. It is likely that a natural gas alarm would have provided the home’s occupants with warning of accumulating natural gas and given them an opportunity to evacuate before the explosion. The NTSB has advocated wider installation and use of natural gas alarms for nearly 50 years, including following the investigation into a pair of 2024 home explosions in Jackson, Mississippi, that involved Atmos assets. As a result of that investigation, the NTSB reiterated a recommendation to the 50 states, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: See CAROL for the complete history and current status of this recommendation. The NTSB also recommended that Atmos “develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas” (P-26-10).11F Footnote: See CAROL for the complete history and current status of this recommendation.
Addressee Acronym: NE
Addressee Organization Type: S-State Government
Communication Date: 2026-03-26
Communication Type: Recommendation Reiteration
Communication Contents: From the Report, “Atmos Energy Corporation Natural Gas-Fueled Home Explosions and Fires Jackson, Mississippi, January 24, 2024, and January 27, 2024” published on March 26, 2026. Absence of Natural Gas Detection Alarms in Buildings The Bristol Boulevard accident home and the Shalimar Drive accident home did not have natural gas alarms installed. For nearly 50 years, the NTSB has been recommending natural gas alarms for the early detection of natural gas leaks. In the West Reading accident, several candy factory employees told the NTSB that they had smelled natural gas odorant and did not call 9 1 1 or the gas company but stayed in the building until the explosion occurred. Some of the employees inquired with their managers about what to do, and their managers were equally unaware of the actions to take during a suspected natural gas leak. In the two Jackson accidents, and in many of the pipeline accidents the NTSB has investigated for the last 5 decades, people smelled natural gas odorant and either did not know what actions to take, or they knew the actions necessary to address a potential natural gas emergency but did not execute them. Natural gas distribution pipeline operators must educate the public on pipeline safety through public awareness programs. It is also necessary, however, to have safeguards in place when members of the public (1) smell natural gas odorant and do not take the appropriate safety actions and (2) do not smell natural gas odorant, as was the case in the NTSB investigation of the Dallas accident, and therefore do not take appropriate safety actions. Footnote: The NTSB’s Dallas investigation determined that the occupants in the accident homes did not smell natural gas odorant because it was absorbed and depleted in the soil. Natural gas alarms are safeguards in protecting the public, which is why the NTSB has recommended their installation after many of our pipeline accident investigations. The NTSB found that natural gas alarms likely would have prevented or reduced the consequences of the Dallas and West Reading accidents, and the evidence in this investigation suggests the same. The Shalimar Drive accident home was empty at the time of that accident; however, when the explosion in the Bristol Boulevard accident home occurred, two people were inside. Therefore, the NTSB concludes that had a natural gas alarm been installed inside the Bristol Boulevard accident home, it could have alerted occupants that natural gas was present, prompting them to evacuate and report the leak, making Atmos aware that the leak had likely worsened and required corrective action. As a result of the West Reading investigation, the NTSB recommended that the 50 States, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: Safety Recommendation P-25-5 is currently classified Open—Await Response. As of this report, 7 states and the District of Columbia have provided an initial response; 43 states and the Commonwealth of Puerto Rico have not responded. Footnote: The seven states that have provided an initial response include Colorado, Connecticut, Kansas, Nevada, North Carolina, Virginia, and Wyoming. Mississippi, the state where the two Jackson accidents occurred, is one of the 43 states that have not provided an initial response. The NTSB investigation of the two Jackson accidents has again identified the critical importance of natural gas alarms to alert occupants to natural gas leaks. Therefore, the NTSB reiterates Safety Recommendation P 25-5 to 50 States, the Commonwealth of Puerto Rico, and the District of Columbia. As discussed in section 1.10.1.1, after the Avondale accident, Atmos reported that it provided the public with information, through its website, on the availability of natural gas alarms. However, Atmos can do more to safeguard the public in its distribution areas. The NTSB is aware of multiple natural gas distribution operators that have made natural gas alarms available to people in their service areas. Footnote: Visit http://www.ntsb.gov to find additional information in the public docket for this NTSB accident investigation (case number PLD24FR003). Therefore, the NTSB recommends that Atmos develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas.
Addressee Name: State of Montana
Addressee Status: Open - Await Response
Addressee Acronym: MT
Addressee Organization Type: S-State Government
Communication Date: 2025-04-08
Communication Type: Transmittal Letter
Communication Contents: 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 accidents in other modes of transportation—railroad, highway, marine, and pipeline. We determine the probable cause of the accidents and issue safety recommendations aimed at preventing future accidents. In addition, we carry out special studies concerning transportation safety and coordinate the resources of the federal government and other organizations to assist victims and their family members affected by major transportation disasters. We are providing the following information to urge the State of Montana to act on the safety recommendation in this letter because we believe your organization can help reduce the risk of future accidents. For more information about the NTSB and our recommendation process, please see the attached one-page summary. This letter also includes information about our March 18, 2025, report, UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, NTSB/PIR-25/01. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. As a result of this investigation, we identified the following safety issues: • Degradation of a retired Aldyl A service tee that was accelerated by elevated ground temperatures from a corroded and cracked steam pipe nearby. • UGI Corporation’s insufficient consideration of pipeline integrity threats, particularly Aldyl A service tees with Delrin inserts at elevated temperatures. • Presence of unmarked and unreported private assets crossing public rights-of-way, excluding them from the Pennsylvania One Call System and increasing the risk of damage to them. • Delayed evacuation of Palmer’s Building 2 despite detection of natural gas by employees and others. • Natural gas safety messaging from pipeline operator public awareness programs that may not reach certain members of the public. • Insufficient guidance on natural gas emergency procedures. • Absence of natural gas alarms in commercial buildings. • Insufficient accessibility of gas distribution line valves. Accordingly, the NTSB makes the following safety recommendation to the State of Montana (additional information regarding this recommendation can be found in the noted section of the report): • Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) (See section 2.5.1.) The NTSB is vitally interested in this recommendation because it is designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter, detailing the actions you have taken or intend to take to implement this recommendation. When replying, please refer to the safety recommendation by number (Safety Recommendation P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply, including attachments, exceeds 20 megabytes, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. All communications regarding safety recommendations are stored by the NTSB and viewable by the public. Please do not send privileged or confidential communications in response to this recommendation. Responses marked as confidential or privileged (or similar designations) will be considered nonresponsive. In the likely event that your company uses auto generated and/or preformatted confidentiality statements on letterhead or outgoing e-mails, please include a statement in your letter indicating that the information can be publicly released. If you have concerns about this protocol, please contact us at ExecutiveSecretariat@ntsb.gov. The attached letter from the NTSB Chairman provides information about the March 18, 2025, report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. The NTSB is vitally interested in these recommendations because they are designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter detailing the actions you have taken or intend to take to implement these recommendations. When replying, please refer to the safety recommendation by number (for example, P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply exceeds 20 megabytes, including attachments, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response.
Addressee Acronym: MT
Addressee Organization Type: S-State Government
Communication Date: 2026-04-07
Communication Type: Recommendation Mention
Communication Contents: Pipeline Investigation Report PIR-26-02, “Enbridge Inc. Natural Gas–Fueled Home Explosion and Fatality, South Jordan, Utah, November 6, 2024” published on April 7, 2026: 2 Analysis On November 6, 2024, a natural gas–fueled home explosion fatally injured one resident and damaged nearby homes. A crack in the 4-inch-diameter Aldyl A gas main near the home allowed natural gas to leak and fuel the home explosion. The NTSB found that the crack originated on the inner surface of the pipe and aligned directly with an oblong impression on the outer surface. Investigators determined that a rock impingement likely caused the oblong impression on the outer surface of the pipe and the resulting crack. They also found that the crack growth features indicated that the crack breached the outer surface in a single abrupt event. As a result, the pipe rapidly transitioned from releasing no gas to releasing up to 48.7 scfm, as measured in the lab. Footnote: The actual leak rate may have been lower, given that the pipeline was buried in soil, which would constrain the pipe and provide back-pressure resistance to gas as it leaked from the pipe. Post-explosion, subsurface gas readings showed that the natural gas migrated about 150 feet from the leak location to the home. Although the exact timing of the leak could not be determined, the residents’ observations of physical symptoms, inability to relight the basement water heater, and an unusually high candle flame before the accident suggest that natural gas may have been present in the home for at least 3 days before the explosion. On November 6, the flammable natural gas–air mixture ignited in the southwest quadrant of the basement. The Utah Deputy State Fire Marshal identified two possible sources of the ignition: a water heater and a furnace. The water heater was turned off at the control point, so the only credible ignition source was the furnace. Footnote: The furnace control valve was found postaccident to have significant thermal damage, consistent with it being the ignition source. Before the accident, Enbridge had implemented safeguards to mitigate the consequences of leaks, including periodic leak surveys, timely response to odor complaints, and targeted replacement projects. However, none of these strategies proved effective for this scenario, because of the following issues related to the strategies: • Periodic leak surveys. Regulators require distribution leak surveys to be conducted every 5 years. Enbridge conducted its most recent leak survey on April 29, 2022—two years before the accident. However, in this accident, through-wall crack propagation occurred too rapidly, causing the leak to go undetected before the explosion. • Timely response to odor complaints. Regulators require odorization of natural gas in distribution systems to help alert the public to natural gas leaks. During interviews conducted by investigators, the NTSB determined that the local residents had not smelled natural gas odorant near the accident home, even though gas was determined to have permeated the ground in the area during postaccident surveys, indicating that the odorant had been stripped from the leaked natural gas that ultimately entered the home. Footnote: Field testing of the gas in the distribution system after the explosion found acceptable odorant concentrations. Although odorant can act as an early warning of a gas release to prevent an explosion and fire, it has been known to become depleted when traveling through soil, as it did in this accident. Previous NTSB investigations have identified occurrences of odorant depletion that allowed natural gas leaks to go undetected, resulting in explosions in Dallas, Texas, in 2018 and in Silver Spring, Maryland, in 2016. Footnote: NTSB. 2021. Atmos Energy Corporation Natural Gas–Fueled Explosion, Dallas, Texas, February 23, 2018. PAR-21/01. Washington, DC: NTSB. Footnote: NTSB. 2019. Building Explosion and Fire, Silver Spring, Maryland, August 10, 2016. PAR-19/01. Washington, DC: NTSB. • Targeted replacement projects. A 2014 California Public Utilities Commission study showed that the vintage of Aldyl A present in this accident, with stress concentrations from rock impingement, squeeze-off, bending, or deflection, were statistically predicted to fail between 22 and 235 years after installation. Footnote: California Public Utilities Commission 2014 Hazard Analysis and Mitigation Report On Aldyl A Polyethylene Gas Pipelines in California. Haine 2014. Because the estimated failure time is imprecise (a range of more than 200 years), and because some environmental conditions—such as the locations of rocks in the backfill material—are unknown, the Enbridge evaluation of the cracking threat to the 1976 vintage Aldyl A did not accurately characterize the risk of rock impingements and prevented Enbridge from identifying effective mitigative actions and targeted replacement projects. Even though Enbridge worked continuously to search for the leak after the explosion, it took them more than 21 hours to find and isolate the natural gas leak. During this time, the pipeline continued to leak natural gas into the ground, increasing the risk to nearby residents, first responders, and others operating in the area. When an underground natural gas pipeline leak occurs rapidly, it can be difficult to safeguard against. Natural gas alarms can provide an early warning of natural gas leaks inside nearby structures and can alert the building occupants to take immediate safety actions. Had in-home natural gas alarms been installed in the homes involved in this accident, they would have alerted the residents to a potential problem and prompted them to evacuate and call 911, reducing or eliminating the fatal consequences of the explosion. The NTSB has previously recommended requiring the installation of natural gas alarms in businesses, residences, and other buildings (Safety Recommendation P 25 05).
Addressee Acronym: MT
Addressee Organization Type: S-State Government
Communication Date: 2026-06-05
Communication Type: Recommendation Mention
Communication Contents: Atmos Energy Corporation Natural Gas–Fueled Home Explosion Pipeline Investigation Report PIR-26-03 published on June 5, 2026: Analysis The explosion and fire occurred after natural gas leaked from a fractured buried main, migrated through an uncapped underground sewer lateral, entered the accident home, and reached an explosive concentration near an unknown ignition source. The investigation did not identify issues with gas pressures in the area of the leak or the timeliness or efficacy of the local emergency response agencies. Postaccident bar-hole testing and excavations found only one source of natural gas: a leak in the gas main near a valve box on the eastern edge of the construction site. On-site examinations of the main found that it was fractured around most of its circumference with a thin strip of metal at the top (12 o’clock position) joining the southern section of pipe to the section still threaded into the valve body. This indicates tension—a stretching force—at the bottom of the pipe along its long axis. Tension along the bottom of the pipe is consistent with a bending stress created by an external downward force. Based on information provided to Atmos by the construction superintendent, a cement truck ran over a valve box at the leak’s location immediately before he heard and smelled natural gas being released. The investigation did not identify another plausible external force that could have damaged the main. The Materials Laboratory examination of the main found fracture characteristics typical of fast crack growth and no signs of significant corrosion or preexisting structural damage that could have contributed to the failure. The fracture was therefore consistent with a sudden application of force by the valve box to the main. Based on the fracture’s location, timing, and fast-cracking characteristics, the valve box transmitted part of the cement truck’s weight to the gas main, causing the main to fracture and leak. Examination of the gas main and valve box involved in this accident found coal tar coating the main and deposited on the bottom edge of the valve box. This indicates that the valve box was in contact with the main. The presence of coal tar alone does not indicate when the contact occurred, but the evidence is consistent with the valve box being installed in contact with the main and therefore able transmit the cement truck’s weight directly to the main near the fracture’s location. Federal regulations at 49 CFR 192.181(c)(3) require that valve boxes not be installed in a manner that transmits external loads to mains, and valve boxes are normally installed with a buffer of soil or other protection between the valve box and the assets immediately below. For example, Atmos’s newer valve boxes are installed with support and base pads to prevent load transmission. However, Atmos was not actively replacing cast iron valve boxes with this newer design. Further, the maintenance crew that removed and reinstalled the valve box about 2 months before the accident did not have a specific standard to follow for reinstalling cast iron valve boxes other than an expectation that the top of the valve box be level with the grade. The lack of a standard likely led to the common reinstallation of valve boxes in contact with mains, as described by an Atmos vice president of operations. If Atmos had adopted either a standard for safely installing cast iron valve boxes or a policy of replacing cast iron valve boxes with the newer design, the protective buffer of soil or support pad would have reduced the load transmitted to the pipe on the day of the accident. There is not enough evidence to determine whether a buffer or pad would have prevented the accident, but it would have made the infrastructure more resilient. Atmos has not reported making changes to its valve box installation practices. After the main fractured, gas propagated undetected through an uncapped underground sewer lateral into the sewer system and then into the accident home, where it reached an explosive concentration. The gas in the sewers remained undetected because Atmos personnel did not test the atmosphere in the sewers prior to the explosion. For about 35 minutes, most of the time between the initial leak and the explosion, there was only one Atmos employee on the scene: an experienced senior service technician. He was equipped with a CGI and checked nearby storm drains for the presence of gas, which was one step in Atmos’s subsurface leak investigation procedure. During his interview with the NTSB, he described planning to check the sewers, another required step, but said that he had already confirmed that there was no threat to life or property. His activities after checking the storm drains are also consistent with a belief that he had finished assessing the risk posed by the leak: he switched to the non-safety-critical work of recording billing information for the damage. The investigation did not find evidence of a natural gas alarm in the accident home, which did not have gas service but was still impacted by a leak from a gas main. It is likely that a natural gas alarm would have provided the home’s occupants with warning of accumulating natural gas and given them an opportunity to evacuate before the explosion. The NTSB has advocated wider installation and use of natural gas alarms for nearly 50 years, including following the investigation into a pair of 2024 home explosions in Jackson, Mississippi, that involved Atmos assets. As a result of that investigation, the NTSB reiterated a recommendation to the 50 states, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: See CAROL for the complete history and current status of this recommendation. The NTSB also recommended that Atmos “develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas” (P-26-10).11F Footnote: See CAROL for the complete history and current status of this recommendation.
Addressee Acronym: MT
Addressee Organization Type: S-State Government
Communication Date: 2026-03-26
Communication Type: Recommendation Reiteration
Communication Contents: From the Report, “Atmos Energy Corporation Natural Gas-Fueled Home Explosions and Fires Jackson, Mississippi, January 24, 2024, and January 27, 2024” published on March 26, 2026. Absence of Natural Gas Detection Alarms in Buildings The Bristol Boulevard accident home and the Shalimar Drive accident home did not have natural gas alarms installed. For nearly 50 years, the NTSB has been recommending natural gas alarms for the early detection of natural gas leaks. In the West Reading accident, several candy factory employees told the NTSB that they had smelled natural gas odorant and did not call 9 1 1 or the gas company but stayed in the building until the explosion occurred. Some of the employees inquired with their managers about what to do, and their managers were equally unaware of the actions to take during a suspected natural gas leak. In the two Jackson accidents, and in many of the pipeline accidents the NTSB has investigated for the last 5 decades, people smelled natural gas odorant and either did not know what actions to take, or they knew the actions necessary to address a potential natural gas emergency but did not execute them. Natural gas distribution pipeline operators must educate the public on pipeline safety through public awareness programs. It is also necessary, however, to have safeguards in place when members of the public (1) smell natural gas odorant and do not take the appropriate safety actions and (2) do not smell natural gas odorant, as was the case in the NTSB investigation of the Dallas accident, and therefore do not take appropriate safety actions. Footnote: The NTSB’s Dallas investigation determined that the occupants in the accident homes did not smell natural gas odorant because it was absorbed and depleted in the soil. Natural gas alarms are safeguards in protecting the public, which is why the NTSB has recommended their installation after many of our pipeline accident investigations. The NTSB found that natural gas alarms likely would have prevented or reduced the consequences of the Dallas and West Reading accidents, and the evidence in this investigation suggests the same. The Shalimar Drive accident home was empty at the time of that accident; however, when the explosion in the Bristol Boulevard accident home occurred, two people were inside. Therefore, the NTSB concludes that had a natural gas alarm been installed inside the Bristol Boulevard accident home, it could have alerted occupants that natural gas was present, prompting them to evacuate and report the leak, making Atmos aware that the leak had likely worsened and required corrective action. As a result of the West Reading investigation, the NTSB recommended that the 50 States, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: Safety Recommendation P-25-5 is currently classified Open—Await Response. As of this report, 7 states and the District of Columbia have provided an initial response; 43 states and the Commonwealth of Puerto Rico have not responded. Footnote: The seven states that have provided an initial response include Colorado, Connecticut, Kansas, Nevada, North Carolina, Virginia, and Wyoming. Mississippi, the state where the two Jackson accidents occurred, is one of the 43 states that have not provided an initial response. The NTSB investigation of the two Jackson accidents has again identified the critical importance of natural gas alarms to alert occupants to natural gas leaks. Therefore, the NTSB reiterates Safety Recommendation P 25-5 to 50 States, the Commonwealth of Puerto Rico, and the District of Columbia. As discussed in section 1.10.1.1, after the Avondale accident, Atmos reported that it provided the public with information, through its website, on the availability of natural gas alarms. However, Atmos can do more to safeguard the public in its distribution areas. The NTSB is aware of multiple natural gas distribution operators that have made natural gas alarms available to people in their service areas. Footnote: Visit http://www.ntsb.gov to find additional information in the public docket for this NTSB accident investigation (case number PLD24FR003). Therefore, the NTSB recommends that Atmos develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas.
Addressee Name: State of Missouri
Addressee Status: Open - Await Response
Addressee Acronym: MO
Addressee Organization Type: S-State Government
Communication Date: 2025-04-08
Communication Type: Transmittal Letter
Communication Contents: 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 accidents in other modes of transportation—railroad, highway, marine, and pipeline. We determine the probable cause of the accidents and issue safety recommendations aimed at preventing future accidents. In addition, we carry out special studies concerning transportation safety and coordinate the resources of the federal government and other organizations to assist victims and their family members affected by major transportation disasters. We are providing the following information to urge the State of Missouri to act on the safety recommendation in this letter because we believe your organization can help reduce the risk of future accidents. For more information about the NTSB and our recommendation process, please see the attached one-page summary. This letter also includes information about our March 18, 2025, report, UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, NTSB/PIR-25/01. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. As a result of this investigation, we identified the following safety issues: • Degradation of a retired Aldyl A service tee that was accelerated by elevated ground temperatures from a corroded and cracked steam pipe nearby. • UGI Corporation’s insufficient consideration of pipeline integrity threats, particularly Aldyl A service tees with Delrin inserts at elevated temperatures. • Presence of unmarked and unreported private assets crossing public rights-of-way, excluding them from the Pennsylvania One Call System and increasing the risk of damage to them. • Delayed evacuation of Palmer’s Building 2 despite detection of natural gas by employees and others. • Natural gas safety messaging from pipeline operator public awareness programs that may not reach certain members of the public. • Insufficient guidance on natural gas emergency procedures. • Absence of natural gas alarms in commercial buildings. • Insufficient accessibility of gas distribution line valves. Accordingly, the NTSB makes the following safety recommendation to the State of Missouri (additional information regarding this recommendation can be found in the noted section of the report): • Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) (See section 2.5.1.) The NTSB is vitally interested in this recommendation because it is designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter, detailing the actions you have taken or intend to take to implement this recommendation. When replying, please refer to the safety recommendation by number (Safety Recommendation P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply, including attachments, exceeds 20 megabytes, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. All communications regarding safety recommendations are stored by the NTSB and viewable by the public. Please do not send privileged or confidential communications in response to this recommendation. Responses marked as confidential or privileged (or similar designations) will be considered nonresponsive. In the likely event that your company uses auto generated and/or preformatted confidentiality statements on letterhead or outgoing e-mails, please include a statement in your letter indicating that the information can be publicly released. If you have concerns about this protocol, please contact us at ExecutiveSecretariat@ntsb.gov. The attached letter from the NTSB Chairman provides information about the March 18, 2025, report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. The NTSB is vitally interested in these recommendations because they are designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter detailing the actions you have taken or intend to take to implement these recommendations. When replying, please refer to the safety recommendation by number (for example, P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply exceeds 20 megabytes, including attachments, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. From the report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1: 2.5.1 Natural Gas Alarms Public awareness is an effective tool to encourage adoption of safety devices like natural gas alarms. The first edition of API RP 1162 requires that public awareness programs include safety messages about the awareness of hazards and prevention measures as well as leak recognition and response but does not specifically require these programs to disseminate safety messages about natural gas alarms. UGI’s public awareness materials distributed before the accident were consistent with federal regulations, and although the materials promoted the use of smoke and carbon monoxide alarms, they did not address natural gas alarms. Following the accident, UGI now includes safety messages encouraging the purchase of natural gas alarms in its public awareness materials. The NTSB concludes that installing natural gas alarms can alert people of a gas leak so they can evacuate the area; however, natural gas customers may not be aware of the necessity of such alarms. The NTSB believes that messages about the benefits of natural gas alarms are critically important and could save lives when natural gas alarms are installed. The NTSB further believes that the natural gas industry can help shape the effectiveness of public awareness program delivery methods so that people in businesses, schools, residences, and other places of congregation are better informed, both about natural gas hazards and the necessity of natural gas alarms. The American Gas Association, which represents natural gas pipeline operators throughout the US, can facilitate industry efforts to improve public awareness program delivery methods and to improve safety, most critically through increasing the installation of natural gas alarms. Therefore, the NTSB recommends that the American Gas Association share the details of the March 24, 2023, natural gas–fueled explosion and fire in West Reading, Pennsylvania, with its members, encouraging them to evaluate the effectiveness of their current delivery methods of public awareness programs and to promote the installation of natural gas alarms in businesses, residences, and other places of congregation that they serve. Evacuation should occur immediately upon detection of the presence of natural gas. In 1976, the NTSB made its first recommendation to require natural gas detection to provide early warning of leaks. Most recently, after a 2016 building explosion in Silver Spring, Maryland, and then again after the 2018 home explosion in Dallas, we made recommendations to the ICC and the NFPA to require natural gas alarms with methane detection in residences (NTSB 2019). We recommended the ICC work
Addressee Acronym: MO
Addressee Organization Type: S-State Government
Communication Date: 2026-04-07
Communication Type: Recommendation Mention
Communication Contents: Pipeline Investigation Report PIR-26-02, “Enbridge Inc. Natural Gas–Fueled Home Explosion and Fatality, South Jordan, Utah, November 6, 2024” published on April 7, 2026: 2 Analysis On November 6, 2024, a natural gas–fueled home explosion fatally injured one resident and damaged nearby homes. A crack in the 4-inch-diameter Aldyl A gas main near the home allowed natural gas to leak and fuel the home explosion. The NTSB found that the crack originated on the inner surface of the pipe and aligned directly with an oblong impression on the outer surface. Investigators determined that a rock impingement likely caused the oblong impression on the outer surface of the pipe and the resulting crack. They also found that the crack growth features indicated that the crack breached the outer surface in a single abrupt event. As a result, the pipe rapidly transitioned from releasing no gas to releasing up to 48.7 scfm, as measured in the lab. Footnote: The actual leak rate may have been lower, given that the pipeline was buried in soil, which would constrain the pipe and provide back-pressure resistance to gas as it leaked from the pipe. Post-explosion, subsurface gas readings showed that the natural gas migrated about 150 feet from the leak location to the home. Although the exact timing of the leak could not be determined, the residents’ observations of physical symptoms, inability to relight the basement water heater, and an unusually high candle flame before the accident suggest that natural gas may have been present in the home for at least 3 days before the explosion. On November 6, the flammable natural gas–air mixture ignited in the southwest quadrant of the basement. The Utah Deputy State Fire Marshal identified two possible sources of the ignition: a water heater and a furnace. The water heater was turned off at the control point, so the only credible ignition source was the furnace. Footnote: The furnace control valve was found postaccident to have significant thermal damage, consistent with it being the ignition source. Before the accident, Enbridge had implemented safeguards to mitigate the consequences of leaks, including periodic leak surveys, timely response to odor complaints, and targeted replacement projects. However, none of these strategies proved effective for this scenario, because of the following issues related to the strategies: • Periodic leak surveys. Regulators require distribution leak surveys to be conducted every 5 years. Enbridge conducted its most recent leak survey on April 29, 2022—two years before the accident. However, in this accident, through-wall crack propagation occurred too rapidly, causing the leak to go undetected before the explosion. • Timely response to odor complaints. Regulators require odorization of natural gas in distribution systems to help alert the public to natural gas leaks. During interviews conducted by investigators, the NTSB determined that the local residents had not smelled natural gas odorant near the accident home, even though gas was determined to have permeated the ground in the area during postaccident surveys, indicating that the odorant had been stripped from the leaked natural gas that ultimately entered the home. Footnote: Field testing of the gas in the distribution system after the explosion found acceptable odorant concentrations. Although odorant can act as an early warning of a gas release to prevent an explosion and fire, it has been known to become depleted when traveling through soil, as it did in this accident. Previous NTSB investigations have identified occurrences of odorant depletion that allowed natural gas leaks to go undetected, resulting in explosions in Dallas, Texas, in 2018 and in Silver Spring, Maryland, in 2016. Footnote: NTSB. 2021. Atmos Energy Corporation Natural Gas–Fueled Explosion, Dallas, Texas, February 23, 2018. PAR-21/01. Washington, DC: NTSB. Footnote: NTSB. 2019. Building Explosion and Fire, Silver Spring, Maryland, August 10, 2016. PAR-19/01. Washington, DC: NTSB. • Targeted replacement projects. A 2014 California Public Utilities Commission study showed that the vintage of Aldyl A present in this accident, with stress concentrations from rock impingement, squeeze-off, bending, or deflection, were statistically predicted to fail between 22 and 235 years after installation. Footnote: California Public Utilities Commission 2014 Hazard Analysis and Mitigation Report On Aldyl A Polyethylene Gas Pipelines in California. Haine 2014. Because the estimated failure time is imprecise (a range of more than 200 years), and because some environmental conditions—such as the locations of rocks in the backfill material—are unknown, the Enbridge evaluation of the cracking threat to the 1976 vintage Aldyl A did not accurately characterize the risk of rock impingements and prevented Enbridge from identifying effective mitigative actions and targeted replacement projects. Even though Enbridge worked continuously to search for the leak after the explosion, it took them more than 21 hours to find and isolate the natural gas leak. During this time, the pipeline continued to leak natural gas into the ground, increasing the risk to nearby residents, first responders, and others operating in the area. When an underground natural gas pipeline leak occurs rapidly, it can be difficult to safeguard against. Natural gas alarms can provide an early warning of natural gas leaks inside nearby structures and can alert the building occupants to take immediate safety actions. Had in-home natural gas alarms been installed in the homes involved in this accident, they would have alerted the residents to a potential problem and prompted them to evacuate and call 911, reducing or eliminating the fatal consequences of the explosion. The NTSB has previously recommended requiring the installation of natural gas alarms in businesses, residences, and other buildings (Safety Recommendation P 25 05).
Addressee Acronym: MO
Addressee Organization Type: S-State Government
Communication Date: 2026-06-05
Communication Type: Recommendation Mention
Communication Contents: Atmos Energy Corporation Natural Gas–Fueled Home Explosion Pipeline Investigation Report PIR-26-03 published on June 5, 2026: Analysis The explosion and fire occurred after natural gas leaked from a fractured buried main, migrated through an uncapped underground sewer lateral, entered the accident home, and reached an explosive concentration near an unknown ignition source. The investigation did not identify issues with gas pressures in the area of the leak or the timeliness or efficacy of the local emergency response agencies. Postaccident bar-hole testing and excavations found only one source of natural gas: a leak in the gas main near a valve box on the eastern edge of the construction site. On-site examinations of the main found that it was fractured around most of its circumference with a thin strip of metal at the top (12 o’clock position) joining the southern section of pipe to the section still threaded into the valve body. This indicates tension—a stretching force—at the bottom of the pipe along its long axis. Tension along the bottom of the pipe is consistent with a bending stress created by an external downward force. Based on information provided to Atmos by the construction superintendent, a cement truck ran over a valve box at the leak’s location immediately before he heard and smelled natural gas being released. The investigation did not identify another plausible external force that could have damaged the main. The Materials Laboratory examination of the main found fracture characteristics typical of fast crack growth and no signs of significant corrosion or preexisting structural damage that could have contributed to the failure. The fracture was therefore consistent with a sudden application of force by the valve box to the main. Based on the fracture’s location, timing, and fast-cracking characteristics, the valve box transmitted part of the cement truck’s weight to the gas main, causing the main to fracture and leak. Examination of the gas main and valve box involved in this accident found coal tar coating the main and deposited on the bottom edge of the valve box. This indicates that the valve box was in contact with the main. The presence of coal tar alone does not indicate when the contact occurred, but the evidence is consistent with the valve box being installed in contact with the main and therefore able transmit the cement truck’s weight directly to the main near the fracture’s location. Federal regulations at 49 CFR 192.181(c)(3) require that valve boxes not be installed in a manner that transmits external loads to mains, and valve boxes are normally installed with a buffer of soil or other protection between the valve box and the assets immediately below. For example, Atmos’s newer valve boxes are installed with support and base pads to prevent load transmission. However, Atmos was not actively replacing cast iron valve boxes with this newer design. Further, the maintenance crew that removed and reinstalled the valve box about 2 months before the accident did not have a specific standard to follow for reinstalling cast iron valve boxes other than an expectation that the top of the valve box be level with the grade. The lack of a standard likely led to the common reinstallation of valve boxes in contact with mains, as described by an Atmos vice president of operations. If Atmos had adopted either a standard for safely installing cast iron valve boxes or a policy of replacing cast iron valve boxes with the newer design, the protective buffer of soil or support pad would have reduced the load transmitted to the pipe on the day of the accident. There is not enough evidence to determine whether a buffer or pad would have prevented the accident, but it would have made the infrastructure more resilient. Atmos has not reported making changes to its valve box installation practices. After the main fractured, gas propagated undetected through an uncapped underground sewer lateral into the sewer system and then into the accident home, where it reached an explosive concentration. The gas in the sewers remained undetected because Atmos personnel did not test the atmosphere in the sewers prior to the explosion. For about 35 minutes, most of the time between the initial leak and the explosion, there was only one Atmos employee on the scene: an experienced senior service technician. He was equipped with a CGI and checked nearby storm drains for the presence of gas, which was one step in Atmos’s subsurface leak investigation procedure. During his interview with the NTSB, he described planning to check the sewers, another required step, but said that he had already confirmed that there was no threat to life or property. His activities after checking the storm drains are also consistent with a belief that he had finished assessing the risk posed by the leak: he switched to the non-safety-critical work of recording billing information for the damage. The investigation did not find evidence of a natural gas alarm in the accident home, which did not have gas service but was still impacted by a leak from a gas main. It is likely that a natural gas alarm would have provided the home’s occupants with warning of accumulating natural gas and given them an opportunity to evacuate before the explosion. The NTSB has advocated wider installation and use of natural gas alarms for nearly 50 years, including following the investigation into a pair of 2024 home explosions in Jackson, Mississippi, that involved Atmos assets. As a result of that investigation, the NTSB reiterated a recommendation to the 50 states, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: See CAROL for the complete history and current status of this recommendation. The NTSB also recommended that Atmos “develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas” (P-26-10).11F Footnote: See CAROL for the complete history and current status of this recommendation.
Addressee Acronym: MO
Addressee Organization Type: S-State Government
Communication Date: 2026-03-26
Communication Type: Recommendation Reiteration
Communication Contents: From the Report, “Atmos Energy Corporation Natural Gas-Fueled Home Explosions and Fires Jackson, Mississippi, January 24, 2024, and January 27, 2024” published on March 26, 2026. Absence of Natural Gas Detection Alarms in Buildings The Bristol Boulevard accident home and the Shalimar Drive accident home did not have natural gas alarms installed. For nearly 50 years, the NTSB has been recommending natural gas alarms for the early detection of natural gas leaks. In the West Reading accident, several candy factory employees told the NTSB that they had smelled natural gas odorant and did not call 9 1 1 or the gas company but stayed in the building until the explosion occurred. Some of the employees inquired with their managers about what to do, and their managers were equally unaware of the actions to take during a suspected natural gas leak. In the two Jackson accidents, and in many of the pipeline accidents the NTSB has investigated for the last 5 decades, people smelled natural gas odorant and either did not know what actions to take, or they knew the actions necessary to address a potential natural gas emergency but did not execute them. Natural gas distribution pipeline operators must educate the public on pipeline safety through public awareness programs. It is also necessary, however, to have safeguards in place when members of the public (1) smell natural gas odorant and do not take the appropriate safety actions and (2) do not smell natural gas odorant, as was the case in the NTSB investigation of the Dallas accident, and therefore do not take appropriate safety actions. Footnote: The NTSB’s Dallas investigation determined that the occupants in the accident homes did not smell natural gas odorant because it was absorbed and depleted in the soil. Natural gas alarms are safeguards in protecting the public, which is why the NTSB has recommended their installation after many of our pipeline accident investigations. The NTSB found that natural gas alarms likely would have prevented or reduced the consequences of the Dallas and West Reading accidents, and the evidence in this investigation suggests the same. The Shalimar Drive accident home was empty at the time of that accident; however, when the explosion in the Bristol Boulevard accident home occurred, two people were inside. Therefore, the NTSB concludes that had a natural gas alarm been installed inside the Bristol Boulevard accident home, it could have alerted occupants that natural gas was present, prompting them to evacuate and report the leak, making Atmos aware that the leak had likely worsened and required corrective action. As a result of the West Reading investigation, the NTSB recommended that the 50 States, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: Safety Recommendation P-25-5 is currently classified Open—Await Response. As of this report, 7 states and the District of Columbia have provided an initial response; 43 states and the Commonwealth of Puerto Rico have not responded. Footnote: The seven states that have provided an initial response include Colorado, Connecticut, Kansas, Nevada, North Carolina, Virginia, and Wyoming. Mississippi, the state where the two Jackson accidents occurred, is one of the 43 states that have not provided an initial response. The NTSB investigation of the two Jackson accidents has again identified the critical importance of natural gas alarms to alert occupants to natural gas leaks. Therefore, the NTSB reiterates Safety Recommendation P 25-5 to 50 States, the Commonwealth of Puerto Rico, and the District of Columbia. As discussed in section 1.10.1.1, after the Avondale accident, Atmos reported that it provided the public with information, through its website, on the availability of natural gas alarms. However, Atmos can do more to safeguard the public in its distribution areas. The NTSB is aware of multiple natural gas distribution operators that have made natural gas alarms available to people in their service areas. Footnote: Visit http://www.ntsb.gov to find additional information in the public docket for this NTSB accident investigation (case number PLD24FR003). Therefore, the NTSB recommends that Atmos develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas.
Addressee Name: State of Michigan
Addressee Status: Open - Await Response
Addressee Acronym: MI
Addressee Organization Type: S-State Government
Communication Date: 2025-04-08
Communication Type: Transmittal Letter
Communication Contents: 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 accidents in other modes of transportation—railroad, highway, marine, and pipeline. We determine the probable cause of the accidents and issue safety recommendations aimed at preventing future accidents. In addition, we carry out special studies concerning transportation safety and coordinate the resources of the federal government and other organizations to assist victims and their family members affected by major transportation disasters. We are providing the following information to urge the State of Michigan to act on the safety recommendation in this letter because we believe your organization can help reduce the risk of future accidents. For more information about the NTSB and our recommendation process, please see the attached one-page summary. This letter also includes information about our March 18, 2025, report, UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, NTSB/PIR-25/01. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. As a result of this investigation, we identified the following safety issues: • Degradation of a retired Aldyl A service tee that was accelerated by elevated ground temperatures from a corroded and cracked steam pipe nearby. • UGI Corporation’s insufficient consideration of pipeline integrity threats, particularly Aldyl A service tees with Delrin inserts at elevated temperatures. • Presence of unmarked and unreported private assets crossing public rights-of-way, excluding them from the Pennsylvania One Call System and increasing the risk of damage to them. • Delayed evacuation of Palmer’s Building 2 despite detection of natural gas by employees and others. • Natural gas safety messaging from pipeline operator public awareness programs that may not reach certain members of the public. • Insufficient guidance on natural gas emergency procedures. • Absence of natural gas alarms in commercial buildings. • Insufficient accessibility of gas distribution line valves. Accordingly, the NTSB makes the following safety recommendation to the State of Michigan (additional information regarding this recommendation can be found in the noted section of the report): • Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) (See section 2.5.1.) The NTSB is vitally interested in this recommendation because it is designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter, detailing the actions you have taken or intend to take to implement this recommendation. When replying, please refer to the safety recommendation by number (Safety Recommendation P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply, including attachments, exceeds 20 megabytes, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. All communications regarding safety recommendations are stored by the NTSB and viewable by the public. Please do not send privileged or confidential communications in response to this recommendation. Responses marked as confidential or privileged (or similar designations) will be considered nonresponsive. In the likely event that your company uses auto generated and/or preformatted confidentiality statements on letterhead or outgoing e-mails, please include a statement in your letter indicating that the information can be publicly released. If you have concerns about this protocol, please contact us at ExecutiveSecretariat@ntsb.gov. The attached letter from the NTSB Chairman provides information about the March 18, 2025, report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. The NTSB is vitally interested in these recommendations because they are designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter detailing the actions you have taken or intend to take to implement these recommendations. When replying, please refer to the safety recommendation by number (for example, P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply exceeds 20 megabytes, including attachments, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. From the report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1: 2.5.1 Natural Gas Alarms Public awareness is an effective tool to encourage adoption of safety devices like natural gas alarms. The first edition of API RP 1162 requires that public awareness programs include safety messages about the awareness of hazards and prevention measures as well as leak recognition and response but does not specifically require these programs to disseminate safety messages about natural gas alarms. UGI’s public awareness materials distributed before the accident were consistent with federal regulations, and although the materials promoted the use of smoke and carbon monoxide alarms, they did not address natural gas alarms. Following the accident, UGI now includes safety messages encouraging the purchase of natural gas alarms in its public awareness materials. The NTSB concludes that installing natural gas alarms can alert people of a gas leak so they can evacuate the area; however, natural gas customers may not be aware of the necessity of such alarms. The NTSB believes that messages about the benefits of natural gas alarms are critically important and could save lives when natural gas alarms are installed. The NTSB further believes that the natural gas industry can help shape the effectiveness of public awareness program delivery methods so that people in businesses, schools, residences, and other places of congregation are better informed, both about natural gas hazards and the necessity of natural gas alarms. The American Gas Association, which represents natural gas pipeline operators throughout the US, can facilitate industry efforts to improve public awareness program delivery methods and to improve safety, most critically through increasing the installation of natural gas alarms. Therefore, the NTSB recommends that the American Gas Association share the details of the March 24, 2023, natural gas–fueled explosion and fire in West Reading, Pennsylvania, with its members, encouraging them to evaluate the effectiveness of their current delivery methods of public awareness programs and to promote the installation of natural gas alarms in businesses, residences, and other places of congregation that they serve. Evacuation should occur immediately upon detection of the presence of natural gas. In 1976, the NTSB made its first recommendation to require natural gas detection to provide early warning of leaks. Most recently, after a 2016 building explosion in Silver Spring, Maryland, and then again after the 2018 home explosion in Dallas, we made recommendations to the ICC and the NFPA to require natural gas alarms with methane detection in residences (NTSB 2019). We recommended the ICC work
Addressee Acronym: MI
Addressee Organization Type: S-State Government
Communication Date: 2026-04-07
Communication Type: Recommendation Mention
Communication Contents: Pipeline Investigation Report PIR-26-02, “Enbridge Inc. Natural Gas–Fueled Home Explosion and Fatality, South Jordan, Utah, November 6, 2024” published on April 7, 2026: 2 Analysis On November 6, 2024, a natural gas–fueled home explosion fatally injured one resident and damaged nearby homes. A crack in the 4-inch-diameter Aldyl A gas main near the home allowed natural gas to leak and fuel the home explosion. The NTSB found that the crack originated on the inner surface of the pipe and aligned directly with an oblong impression on the outer surface. Investigators determined that a rock impingement likely caused the oblong impression on the outer surface of the pipe and the resulting crack. They also found that the crack growth features indicated that the crack breached the outer surface in a single abrupt event. As a result, the pipe rapidly transitioned from releasing no gas to releasing up to 48.7 scfm, as measured in the lab. Footnote: The actual leak rate may have been lower, given that the pipeline was buried in soil, which would constrain the pipe and provide back-pressure resistance to gas as it leaked from the pipe. Post-explosion, subsurface gas readings showed that the natural gas migrated about 150 feet from the leak location to the home. Although the exact timing of the leak could not be determined, the residents’ observations of physical symptoms, inability to relight the basement water heater, and an unusually high candle flame before the accident suggest that natural gas may have been present in the home for at least 3 days before the explosion. On November 6, the flammable natural gas–air mixture ignited in the southwest quadrant of the basement. The Utah Deputy State Fire Marshal identified two possible sources of the ignition: a water heater and a furnace. The water heater was turned off at the control point, so the only credible ignition source was the furnace. Footnote: The furnace control valve was found postaccident to have significant thermal damage, consistent with it being the ignition source. Before the accident, Enbridge had implemented safeguards to mitigate the consequences of leaks, including periodic leak surveys, timely response to odor complaints, and targeted replacement projects. However, none of these strategies proved effective for this scenario, because of the following issues related to the strategies: • Periodic leak surveys. Regulators require distribution leak surveys to be conducted every 5 years. Enbridge conducted its most recent leak survey on April 29, 2022—two years before the accident. However, in this accident, through-wall crack propagation occurred too rapidly, causing the leak to go undetected before the explosion. • Timely response to odor complaints. Regulators require odorization of natural gas in distribution systems to help alert the public to natural gas leaks. During interviews conducted by investigators, the NTSB determined that the local residents had not smelled natural gas odorant near the accident home, even though gas was determined to have permeated the ground in the area during postaccident surveys, indicating that the odorant had been stripped from the leaked natural gas that ultimately entered the home. Footnote: Field testing of the gas in the distribution system after the explosion found acceptable odorant concentrations. Although odorant can act as an early warning of a gas release to prevent an explosion and fire, it has been known to become depleted when traveling through soil, as it did in this accident. Previous NTSB investigations have identified occurrences of odorant depletion that allowed natural gas leaks to go undetected, resulting in explosions in Dallas, Texas, in 2018 and in Silver Spring, Maryland, in 2016. Footnote: NTSB. 2021. Atmos Energy Corporation Natural Gas–Fueled Explosion, Dallas, Texas, February 23, 2018. PAR-21/01. Washington, DC: NTSB. Footnote: NTSB. 2019. Building Explosion and Fire, Silver Spring, Maryland, August 10, 2016. PAR-19/01. Washington, DC: NTSB. • Targeted replacement projects. A 2014 California Public Utilities Commission study showed that the vintage of Aldyl A present in this accident, with stress concentrations from rock impingement, squeeze-off, bending, or deflection, were statistically predicted to fail between 22 and 235 years after installation. Footnote: California Public Utilities Commission 2014 Hazard Analysis and Mitigation Report On Aldyl A Polyethylene Gas Pipelines in California. Haine 2014. Because the estimated failure time is imprecise (a range of more than 200 years), and because some environmental conditions—such as the locations of rocks in the backfill material—are unknown, the Enbridge evaluation of the cracking threat to the 1976 vintage Aldyl A did not accurately characterize the risk of rock impingements and prevented Enbridge from identifying effective mitigative actions and targeted replacement projects. Even though Enbridge worked continuously to search for the leak after the explosion, it took them more than 21 hours to find and isolate the natural gas leak. During this time, the pipeline continued to leak natural gas into the ground, increasing the risk to nearby residents, first responders, and others operating in the area. When an underground natural gas pipeline leak occurs rapidly, it can be difficult to safeguard against. Natural gas alarms can provide an early warning of natural gas leaks inside nearby structures and can alert the building occupants to take immediate safety actions. Had in-home natural gas alarms been installed in the homes involved in this accident, they would have alerted the residents to a potential problem and prompted them to evacuate and call 911, reducing or eliminating the fatal consequences of the explosion. The NTSB has previously recommended requiring the installation of natural gas alarms in businesses, residences, and other buildings (Safety Recommendation P 25 05).
Addressee Acronym: MI
Addressee Organization Type: S-State Government
Communication Date: 2026-06-05
Communication Type: Recommendation Mention
Communication Contents: Atmos Energy Corporation Natural Gas–Fueled Home Explosion Pipeline Investigation Report PIR-26-03 published on June 5, 2026: Analysis The explosion and fire occurred after natural gas leaked from a fractured buried main, migrated through an uncapped underground sewer lateral, entered the accident home, and reached an explosive concentration near an unknown ignition source. The investigation did not identify issues with gas pressures in the area of the leak or the timeliness or efficacy of the local emergency response agencies. Postaccident bar-hole testing and excavations found only one source of natural gas: a leak in the gas main near a valve box on the eastern edge of the construction site. On-site examinations of the main found that it was fractured around most of its circumference with a thin strip of metal at the top (12 o’clock position) joining the southern section of pipe to the section still threaded into the valve body. This indicates tension—a stretching force—at the bottom of the pipe along its long axis. Tension along the bottom of the pipe is consistent with a bending stress created by an external downward force. Based on information provided to Atmos by the construction superintendent, a cement truck ran over a valve box at the leak’s location immediately before he heard and smelled natural gas being released. The investigation did not identify another plausible external force that could have damaged the main. The Materials Laboratory examination of the main found fracture characteristics typical of fast crack growth and no signs of significant corrosion or preexisting structural damage that could have contributed to the failure. The fracture was therefore consistent with a sudden application of force by the valve box to the main. Based on the fracture’s location, timing, and fast-cracking characteristics, the valve box transmitted part of the cement truck’s weight to the gas main, causing the main to fracture and leak. Examination of the gas main and valve box involved in this accident found coal tar coating the main and deposited on the bottom edge of the valve box. This indicates that the valve box was in contact with the main. The presence of coal tar alone does not indicate when the contact occurred, but the evidence is consistent with the valve box being installed in contact with the main and therefore able transmit the cement truck’s weight directly to the main near the fracture’s location. Federal regulations at 49 CFR 192.181(c)(3) require that valve boxes not be installed in a manner that transmits external loads to mains, and valve boxes are normally installed with a buffer of soil or other protection between the valve box and the assets immediately below. For example, Atmos’s newer valve boxes are installed with support and base pads to prevent load transmission. However, Atmos was not actively replacing cast iron valve boxes with this newer design. Further, the maintenance crew that removed and reinstalled the valve box about 2 months before the accident did not have a specific standard to follow for reinstalling cast iron valve boxes other than an expectation that the top of the valve box be level with the grade. The lack of a standard likely led to the common reinstallation of valve boxes in contact with mains, as described by an Atmos vice president of operations. If Atmos had adopted either a standard for safely installing cast iron valve boxes or a policy of replacing cast iron valve boxes with the newer design, the protective buffer of soil or support pad would have reduced the load transmitted to the pipe on the day of the accident. There is not enough evidence to determine whether a buffer or pad would have prevented the accident, but it would have made the infrastructure more resilient. Atmos has not reported making changes to its valve box installation practices. After the main fractured, gas propagated undetected through an uncapped underground sewer lateral into the sewer system and then into the accident home, where it reached an explosive concentration. The gas in the sewers remained undetected because Atmos personnel did not test the atmosphere in the sewers prior to the explosion. For about 35 minutes, most of the time between the initial leak and the explosion, there was only one Atmos employee on the scene: an experienced senior service technician. He was equipped with a CGI and checked nearby storm drains for the presence of gas, which was one step in Atmos’s subsurface leak investigation procedure. During his interview with the NTSB, he described planning to check the sewers, another required step, but said that he had already confirmed that there was no threat to life or property. His activities after checking the storm drains are also consistent with a belief that he had finished assessing the risk posed by the leak: he switched to the non-safety-critical work of recording billing information for the damage. The investigation did not find evidence of a natural gas alarm in the accident home, which did not have gas service but was still impacted by a leak from a gas main. It is likely that a natural gas alarm would have provided the home’s occupants with warning of accumulating natural gas and given them an opportunity to evacuate before the explosion. The NTSB has advocated wider installation and use of natural gas alarms for nearly 50 years, including following the investigation into a pair of 2024 home explosions in Jackson, Mississippi, that involved Atmos assets. As a result of that investigation, the NTSB reiterated a recommendation to the 50 states, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: See CAROL for the complete history and current status of this recommendation. The NTSB also recommended that Atmos “develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas” (P-26-10).11F Footnote: See CAROL for the complete history and current status of this recommendation.
Addressee Acronym: MI
Addressee Organization Type: S-State Government
Communication Date: 2026-03-26
Communication Type: Recommendation Reiteration
Communication Contents: From the Report, “Atmos Energy Corporation Natural Gas-Fueled Home Explosions and Fires Jackson, Mississippi, January 24, 2024, and January 27, 2024” published on March 26, 2026. Absence of Natural Gas Detection Alarms in Buildings The Bristol Boulevard accident home and the Shalimar Drive accident home did not have natural gas alarms installed. For nearly 50 years, the NTSB has been recommending natural gas alarms for the early detection of natural gas leaks. In the West Reading accident, several candy factory employees told the NTSB that they had smelled natural gas odorant and did not call 9 1 1 or the gas company but stayed in the building until the explosion occurred. Some of the employees inquired with their managers about what to do, and their managers were equally unaware of the actions to take during a suspected natural gas leak. In the two Jackson accidents, and in many of the pipeline accidents the NTSB has investigated for the last 5 decades, people smelled natural gas odorant and either did not know what actions to take, or they knew the actions necessary to address a potential natural gas emergency but did not execute them. Natural gas distribution pipeline operators must educate the public on pipeline safety through public awareness programs. It is also necessary, however, to have safeguards in place when members of the public (1) smell natural gas odorant and do not take the appropriate safety actions and (2) do not smell natural gas odorant, as was the case in the NTSB investigation of the Dallas accident, and therefore do not take appropriate safety actions. Footnote: The NTSB’s Dallas investigation determined that the occupants in the accident homes did not smell natural gas odorant because it was absorbed and depleted in the soil. Natural gas alarms are safeguards in protecting the public, which is why the NTSB has recommended their installation after many of our pipeline accident investigations. The NTSB found that natural gas alarms likely would have prevented or reduced the consequences of the Dallas and West Reading accidents, and the evidence in this investigation suggests the same. The Shalimar Drive accident home was empty at the time of that accident; however, when the explosion in the Bristol Boulevard accident home occurred, two people were inside. Therefore, the NTSB concludes that had a natural gas alarm been installed inside the Bristol Boulevard accident home, it could have alerted occupants that natural gas was present, prompting them to evacuate and report the leak, making Atmos aware that the leak had likely worsened and required corrective action. As a result of the West Reading investigation, the NTSB recommended that the 50 States, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: Safety Recommendation P-25-5 is currently classified Open—Await Response. As of this report, 7 states and the District of Columbia have provided an initial response; 43 states and the Commonwealth of Puerto Rico have not responded. Footnote: The seven states that have provided an initial response include Colorado, Connecticut, Kansas, Nevada, North Carolina, Virginia, and Wyoming. Mississippi, the state where the two Jackson accidents occurred, is one of the 43 states that have not provided an initial response. The NTSB investigation of the two Jackson accidents has again identified the critical importance of natural gas alarms to alert occupants to natural gas leaks. Therefore, the NTSB reiterates Safety Recommendation P 25-5 to 50 States, the Commonwealth of Puerto Rico, and the District of Columbia. As discussed in section 1.10.1.1, after the Avondale accident, Atmos reported that it provided the public with information, through its website, on the availability of natural gas alarms. However, Atmos can do more to safeguard the public in its distribution areas. The NTSB is aware of multiple natural gas distribution operators that have made natural gas alarms available to people in their service areas. Footnote: Visit http://www.ntsb.gov to find additional information in the public docket for this NTSB accident investigation (case number PLD24FR003). Therefore, the NTSB recommends that Atmos develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas.
Addressee Name: Commonwealth of Massachusetts
Addressee Status: Open - Await Response
Addressee Acronym: MA
Addressee Organization Type: S-State Government
Communication Date: 2025-04-08
Communication Type: Transmittal Letter
Communication Contents: 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 accidents in other modes of transportation—railroad, highway, marine, and pipeline. We determine the probable cause of the accidents and issue safety recommendations aimed at preventing future accidents. In addition, we carry out special studies concerning transportation safety and coordinate the resources of the federal government and other organizations to assist victims and their family members affected by major transportation disasters. We are providing the following information to urge the Commonwealth of Massachusetts to act on the safety recommendation in this letter because we believe your organization can help reduce the risk of future accidents. For more information about the NTSB and our recommendation process, please see the attached one-page summary. This letter also includes information about our March 18, 2025, report, UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, NTSB/PIR-25/01. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. As a result of this investigation, we identified the following safety issues: • Degradation of a retired Aldyl A service tee that was accelerated by elevated ground temperatures from a corroded and cracked steam pipe nearby. • UGI Corporation’s insufficient consideration of pipeline integrity threats, particularly Aldyl A service tees with Delrin inserts at elevated temperatures. • Presence of unmarked and unreported private assets crossing public rights-of-way, excluding them from the Pennsylvania One Call System and increasing the risk of damage to them. • Delayed evacuation of Palmer’s Building 2 despite detection of natural gas by employees and others. • Natural gas safety messaging from pipeline operator public awareness programs that may not reach certain members of the public. • Insufficient guidance on natural gas emergency procedures. • Absence of natural gas alarms in commercial buildings. • Insufficient accessibility of gas distribution line valves. Accordingly, the NTSB makes the following safety recommendation to the Commonwealth of Massachusetts (additional information regarding this recommendation can be found in the noted section of the report): • Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) (See section 2.5.1.) The NTSB is vitally interested in this recommendation because it is designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter, detailing the actions you have taken or intend to take to implement this recommendation. When replying, please refer to the safety recommendation by number (Safety Recommendation P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply, including attachments, exceeds 20 megabytes, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. All communications regarding safety recommendations are stored by the NTSB and viewable by the public. Please do not send privileged or confidential communications in response to this recommendation. Responses marked as confidential or privileged (or similar designations) will be considered nonresponsive. In the likely event that your company uses auto generated and/or preformatted confidentiality statements on letterhead or outgoing e-mails, please include a statement in your letter indicating that the information can be publicly released. If you have concerns about this protocol, please contact us at ExecutiveSecretariat@ntsb.gov. The attached letter from the NTSB Chairman provides information about the March 18, 2025, report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. The NTSB is vitally interested in these recommendations because they are designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter detailing the actions you have taken or intend to take to implement these recommendations. When replying, please refer to the safety recommendation by number (for example, P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply exceeds 20 megabytes, including attachments, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. From the report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1: 2.5.1 Natural Gas Alarms Public awareness is an effective tool to encourage adoption of safety devices like natural gas alarms. The first edition of API RP 1162 requires that public awareness programs include safety messages about the awareness of hazards and prevention measures as well as leak recognition and response but does not specifically require these programs to disseminate safety messages about natural gas alarms. UGI’s public awareness materials distributed before the accident were consistent with federal regulations, and although the materials promoted the use of smoke and carbon monoxide alarms, they did not address natural gas alarms. Following the accident, UGI now includes safety messages encouraging the purchase of natural gas alarms in its public awareness materials. The NTSB concludes that installing natural gas alarms can alert people of a gas leak so they can evacuate the area; however, natural gas customers may not be aware of the necessity of such alarms. The NTSB believes that messages about the benefits of natural gas alarms are critically important and could save lives when natural gas alarms are installed. The NTSB further believes that the natural gas industry can help shape the effectiveness of public awareness program delivery methods so that people in businesses, schools, residences, and other places of congregation are better informed, both about natural gas hazards and the necessity of natural gas alarms. The American Gas Association, which represents natural gas pipeline operators throughout the US, can facilitate industry efforts to improve public awareness program delivery methods and to improve safety, most critically through increasing the installation of natural gas alarms. Therefore, the NTSB recommends that the American Gas Association share the details of the March 24, 2023, natural gas–fueled explosion and fire in West Reading, Pennsylvania, with its members, encouraging them to evaluate the effectiveness of their current delivery methods of public awareness programs and to promote the installation of natural gas alarms in businesses, residences, and other places of congregation that they serve. Evacuation should occur immediately upon detection of the presence of natural gas. In 1976, the NTSB made its first recommendation to require natural gas detection to provide early warning of leaks. Most recently, after a 2016 building explosion in Silver Spring, Maryland, and then again after the 2018 home explosion in Dallas, we made recommendations to the ICC and the NFPA to require natural gas alarms with methane detection in residences (NTSB 2019). We r
Addressee Acronym: MA
Addressee Organization Type: S-State Government
Communication Date: 2026-04-07
Communication Type: Recommendation Mention
Communication Contents: Pipeline Investigation Report PIR-26-02, “Enbridge Inc. Natural Gas–Fueled Home Explosion and Fatality, South Jordan, Utah, November 6, 2024” published on April 7, 2026: 2 Analysis On November 6, 2024, a natural gas–fueled home explosion fatally injured one resident and damaged nearby homes. A crack in the 4-inch-diameter Aldyl A gas main near the home allowed natural gas to leak and fuel the home explosion. The NTSB found that the crack originated on the inner surface of the pipe and aligned directly with an oblong impression on the outer surface. Investigators determined that a rock impingement likely caused the oblong impression on the outer surface of the pipe and the resulting crack. They also found that the crack growth features indicated that the crack breached the outer surface in a single abrupt event. As a result, the pipe rapidly transitioned from releasing no gas to releasing up to 48.7 scfm, as measured in the lab. Footnote: The actual leak rate may have been lower, given that the pipeline was buried in soil, which would constrain the pipe and provide back-pressure resistance to gas as it leaked from the pipe. Post-explosion, subsurface gas readings showed that the natural gas migrated about 150 feet from the leak location to the home. Although the exact timing of the leak could not be determined, the residents’ observations of physical symptoms, inability to relight the basement water heater, and an unusually high candle flame before the accident suggest that natural gas may have been present in the home for at least 3 days before the explosion. On November 6, the flammable natural gas–air mixture ignited in the southwest quadrant of the basement. The Utah Deputy State Fire Marshal identified two possible sources of the ignition: a water heater and a furnace. The water heater was turned off at the control point, so the only credible ignition source was the furnace. Footnote: The furnace control valve was found postaccident to have significant thermal damage, consistent with it being the ignition source. Before the accident, Enbridge had implemented safeguards to mitigate the consequences of leaks, including periodic leak surveys, timely response to odor complaints, and targeted replacement projects. However, none of these strategies proved effective for this scenario, because of the following issues related to the strategies: • Periodic leak surveys. Regulators require distribution leak surveys to be conducted every 5 years. Enbridge conducted its most recent leak survey on April 29, 2022—two years before the accident. However, in this accident, through-wall crack propagation occurred too rapidly, causing the leak to go undetected before the explosion. • Timely response to odor complaints. Regulators require odorization of natural gas in distribution systems to help alert the public to natural gas leaks. During interviews conducted by investigators, the NTSB determined that the local residents had not smelled natural gas odorant near the accident home, even though gas was determined to have permeated the ground in the area during postaccident surveys, indicating that the odorant had been stripped from the leaked natural gas that ultimately entered the home. Footnote: Field testing of the gas in the distribution system after the explosion found acceptable odorant concentrations. Although odorant can act as an early warning of a gas release to prevent an explosion and fire, it has been known to become depleted when traveling through soil, as it did in this accident. Previous NTSB investigations have identified occurrences of odorant depletion that allowed natural gas leaks to go undetected, resulting in explosions in Dallas, Texas, in 2018 and in Silver Spring, Maryland, in 2016. Footnote: NTSB. 2021. Atmos Energy Corporation Natural Gas–Fueled Explosion, Dallas, Texas, February 23, 2018. PAR-21/01. Washington, DC: NTSB. Footnote: NTSB. 2019. Building Explosion and Fire, Silver Spring, Maryland, August 10, 2016. PAR-19/01. Washington, DC: NTSB. • Targeted replacement projects. A 2014 California Public Utilities Commission study showed that the vintage of Aldyl A present in this accident, with stress concentrations from rock impingement, squeeze-off, bending, or deflection, were statistically predicted to fail between 22 and 235 years after installation. Footnote: California Public Utilities Commission 2014 Hazard Analysis and Mitigation Report On Aldyl A Polyethylene Gas Pipelines in California. Haine 2014. Because the estimated failure time is imprecise (a range of more than 200 years), and because some environmental conditions—such as the locations of rocks in the backfill material—are unknown, the Enbridge evaluation of the cracking threat to the 1976 vintage Aldyl A did not accurately characterize the risk of rock impingements and prevented Enbridge from identifying effective mitigative actions and targeted replacement projects. Even though Enbridge worked continuously to search for the leak after the explosion, it took them more than 21 hours to find and isolate the natural gas leak. During this time, the pipeline continued to leak natural gas into the ground, increasing the risk to nearby residents, first responders, and others operating in the area. When an underground natural gas pipeline leak occurs rapidly, it can be difficult to safeguard against. Natural gas alarms can provide an early warning of natural gas leaks inside nearby structures and can alert the building occupants to take immediate safety actions. Had in-home natural gas alarms been installed in the homes involved in this accident, they would have alerted the residents to a potential problem and prompted them to evacuate and call 911, reducing or eliminating the fatal consequences of the explosion. The NTSB has previously recommended requiring the installation of natural gas alarms in businesses, residences, and other buildings (Safety Recommendation P 25 05).
Addressee Acronym: MA
Addressee Organization Type: S-State Government
Communication Date: 2026-06-05
Communication Type: Recommendation Mention
Communication Contents: Atmos Energy Corporation Natural Gas–Fueled Home Explosion Pipeline Investigation Report PIR-26-03 published on June 5, 2026: Analysis The explosion and fire occurred after natural gas leaked from a fractured buried main, migrated through an uncapped underground sewer lateral, entered the accident home, and reached an explosive concentration near an unknown ignition source. The investigation did not identify issues with gas pressures in the area of the leak or the timeliness or efficacy of the local emergency response agencies. Postaccident bar-hole testing and excavations found only one source of natural gas: a leak in the gas main near a valve box on the eastern edge of the construction site. On-site examinations of the main found that it was fractured around most of its circumference with a thin strip of metal at the top (12 o’clock position) joining the southern section of pipe to the section still threaded into the valve body. This indicates tension—a stretching force—at the bottom of the pipe along its long axis. Tension along the bottom of the pipe is consistent with a bending stress created by an external downward force. Based on information provided to Atmos by the construction superintendent, a cement truck ran over a valve box at the leak’s location immediately before he heard and smelled natural gas being released. The investigation did not identify another plausible external force that could have damaged the main. The Materials Laboratory examination of the main found fracture characteristics typical of fast crack growth and no signs of significant corrosion or preexisting structural damage that could have contributed to the failure. The fracture was therefore consistent with a sudden application of force by the valve box to the main. Based on the fracture’s location, timing, and fast-cracking characteristics, the valve box transmitted part of the cement truck’s weight to the gas main, causing the main to fracture and leak. Examination of the gas main and valve box involved in this accident found coal tar coating the main and deposited on the bottom edge of the valve box. This indicates that the valve box was in contact with the main. The presence of coal tar alone does not indicate when the contact occurred, but the evidence is consistent with the valve box being installed in contact with the main and therefore able transmit the cement truck’s weight directly to the main near the fracture’s location. Federal regulations at 49 CFR 192.181(c)(3) require that valve boxes not be installed in a manner that transmits external loads to mains, and valve boxes are normally installed with a buffer of soil or other protection between the valve box and the assets immediately below. For example, Atmos’s newer valve boxes are installed with support and base pads to prevent load transmission. However, Atmos was not actively replacing cast iron valve boxes with this newer design. Further, the maintenance crew that removed and reinstalled the valve box about 2 months before the accident did not have a specific standard to follow for reinstalling cast iron valve boxes other than an expectation that the top of the valve box be level with the grade. The lack of a standard likely led to the common reinstallation of valve boxes in contact with mains, as described by an Atmos vice president of operations. If Atmos had adopted either a standard for safely installing cast iron valve boxes or a policy of replacing cast iron valve boxes with the newer design, the protective buffer of soil or support pad would have reduced the load transmitted to the pipe on the day of the accident. There is not enough evidence to determine whether a buffer or pad would have prevented the accident, but it would have made the infrastructure more resilient. Atmos has not reported making changes to its valve box installation practices. After the main fractured, gas propagated undetected through an uncapped underground sewer lateral into the sewer system and then into the accident home, where it reached an explosive concentration. The gas in the sewers remained undetected because Atmos personnel did not test the atmosphere in the sewers prior to the explosion. For about 35 minutes, most of the time between the initial leak and the explosion, there was only one Atmos employee on the scene: an experienced senior service technician. He was equipped with a CGI and checked nearby storm drains for the presence of gas, which was one step in Atmos’s subsurface leak investigation procedure. During his interview with the NTSB, he described planning to check the sewers, another required step, but said that he had already confirmed that there was no threat to life or property. His activities after checking the storm drains are also consistent with a belief that he had finished assessing the risk posed by the leak: he switched to the non-safety-critical work of recording billing information for the damage. The investigation did not find evidence of a natural gas alarm in the accident home, which did not have gas service but was still impacted by a leak from a gas main. It is likely that a natural gas alarm would have provided the home’s occupants with warning of accumulating natural gas and given them an opportunity to evacuate before the explosion. The NTSB has advocated wider installation and use of natural gas alarms for nearly 50 years, including following the investigation into a pair of 2024 home explosions in Jackson, Mississippi, that involved Atmos assets. As a result of that investigation, the NTSB reiterated a recommendation to the 50 states, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: See CAROL for the complete history and current status of this recommendation. The NTSB also recommended that Atmos “develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas” (P-26-10).11F Footnote: See CAROL for the complete history and current status of this recommendation.
Addressee Acronym: MA
Addressee Organization Type: S-State Government
Communication Date: 2026-03-26
Communication Type: Recommendation Reiteration
Communication Contents: From the Report, “Atmos Energy Corporation Natural Gas-Fueled Home Explosions and Fires Jackson, Mississippi, January 24, 2024, and January 27, 2024” published on March 26, 2026. Absence of Natural Gas Detection Alarms in Buildings The Bristol Boulevard accident home and the Shalimar Drive accident home did not have natural gas alarms installed. For nearly 50 years, the NTSB has been recommending natural gas alarms for the early detection of natural gas leaks. In the West Reading accident, several candy factory employees told the NTSB that they had smelled natural gas odorant and did not call 9 1 1 or the gas company but stayed in the building until the explosion occurred. Some of the employees inquired with their managers about what to do, and their managers were equally unaware of the actions to take during a suspected natural gas leak. In the two Jackson accidents, and in many of the pipeline accidents the NTSB has investigated for the last 5 decades, people smelled natural gas odorant and either did not know what actions to take, or they knew the actions necessary to address a potential natural gas emergency but did not execute them. Natural gas distribution pipeline operators must educate the public on pipeline safety through public awareness programs. It is also necessary, however, to have safeguards in place when members of the public (1) smell natural gas odorant and do not take the appropriate safety actions and (2) do not smell natural gas odorant, as was the case in the NTSB investigation of the Dallas accident, and therefore do not take appropriate safety actions. Footnote: The NTSB’s Dallas investigation determined that the occupants in the accident homes did not smell natural gas odorant because it was absorbed and depleted in the soil. Natural gas alarms are safeguards in protecting the public, which is why the NTSB has recommended their installation after many of our pipeline accident investigations. The NTSB found that natural gas alarms likely would have prevented or reduced the consequences of the Dallas and West Reading accidents, and the evidence in this investigation suggests the same. The Shalimar Drive accident home was empty at the time of that accident; however, when the explosion in the Bristol Boulevard accident home occurred, two people were inside. Therefore, the NTSB concludes that had a natural gas alarm been installed inside the Bristol Boulevard accident home, it could have alerted occupants that natural gas was present, prompting them to evacuate and report the leak, making Atmos aware that the leak had likely worsened and required corrective action. As a result of the West Reading investigation, the NTSB recommended that the 50 States, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: Safety Recommendation P-25-5 is currently classified Open—Await Response. As of this report, 7 states and the District of Columbia have provided an initial response; 43 states and the Commonwealth of Puerto Rico have not responded. Footnote: The seven states that have provided an initial response include Colorado, Connecticut, Kansas, Nevada, North Carolina, Virginia, and Wyoming. Mississippi, the state where the two Jackson accidents occurred, is one of the 43 states that have not provided an initial response. The NTSB investigation of the two Jackson accidents has again identified the critical importance of natural gas alarms to alert occupants to natural gas leaks. Therefore, the NTSB reiterates Safety Recommendation P 25-5 to 50 States, the Commonwealth of Puerto Rico, and the District of Columbia. As discussed in section 1.10.1.1, after the Avondale accident, Atmos reported that it provided the public with information, through its website, on the availability of natural gas alarms. However, Atmos can do more to safeguard the public in its distribution areas. The NTSB is aware of multiple natural gas distribution operators that have made natural gas alarms available to people in their service areas. Footnote: Visit http://www.ntsb.gov to find additional information in the public docket for this NTSB accident investigation (case number PLD24FR003). Therefore, the NTSB recommends that Atmos develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas.
Addressee Name: State of Maryland
Addressee Status: Open - Await Response
Addressee Acronym: MD
Addressee Organization Type: S-State Government
Communication Date: 2025-04-08
Communication Type: Transmittal Letter
Communication Contents: 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 accidents in other modes of transportation—railroad, highway, marine, and pipeline. We determine the probable cause of the accidents and issue safety recommendations aimed at preventing future accidents. In addition, we carry out special studies concerning transportation safety and coordinate the resources of the federal government and other organizations to assist victims and their family members affected by major transportation disasters. We are providing the following information to urge the State of Maryland to act on the safety recommendation in this letter because we believe your organization can help reduce the risk of future accidents. For more information about the NTSB and our recommendation process, please see the attached one-page summary. This letter also includes information about our March 18, 2025, report, UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, NTSB/PIR-25/01. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. As a result of this investigation, we identified the following safety issues: • Degradation of a retired Aldyl A service tee that was accelerated by elevated ground temperatures from a corroded and cracked steam pipe nearby. • UGI Corporation’s insufficient consideration of pipeline integrity threats, particularly Aldyl A service tees with Delrin inserts at elevated temperatures. • Presence of unmarked and unreported private assets crossing public rights-of-way, excluding them from the Pennsylvania One Call System and increasing the risk of damage to them. • Delayed evacuation of Palmer’s Building 2 despite detection of natural gas by employees and others. • Natural gas safety messaging from pipeline operator public awareness programs that may not reach certain members of the public. • Insufficient guidance on natural gas emergency procedures. • Absence of natural gas alarms in commercial buildings. • Insufficient accessibility of gas distribution line valves. Accordingly, the NTSB makes the following safety recommendation to the State of Maryland (additional information regarding this recommendation can be found in the noted section of the report): • Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) (See section 2.5.1.) The NTSB is vitally interested in this recommendation because it is designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter, detailing the actions you have taken or intend to take to implement this recommendation. When replying, please refer to the safety recommendation by number (Safety Recommendation P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply, including attachments, exceeds 20 megabytes, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. All communications regarding safety recommendations are stored by the NTSB and viewable by the public. Please do not send privileged or confidential communications in response to this recommendation. Responses marked as confidential or privileged (or similar designations) will be considered nonresponsive. In the likely event that your company uses auto generated and/or preformatted confidentiality statements on letterhead or outgoing e-mails, please include a statement in your letter indicating that the information can be publicly released. If you have concerns about this protocol, please contact us at ExecutiveSecretariat@ntsb.gov. The attached letter from the NTSB Chairman provides information about the March 18, 2025, report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. The NTSB is vitally interested in these recommendations because they are designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter detailing the actions you have taken or intend to take to implement these recommendations. When replying, please refer to the safety recommendation by number (for example, P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply exceeds 20 megabytes, including attachments, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. From the report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1: 2.5.1 Natural Gas Alarms Public awareness is an effective tool to encourage adoption of safety devices like natural gas alarms. The first edition of API RP 1162 requires that public awareness programs include safety messages about the awareness of hazards and prevention measures as well as leak recognition and response but does not specifically require these programs to disseminate safety messages about natural gas alarms. UGI’s public awareness materials distributed before the accident were consistent with federal regulations, and although the materials promoted the use of smoke and carbon monoxide alarms, they did not address natural gas alarms. Following the accident, UGI now includes safety messages encouraging the purchase of natural gas alarms in its public awareness materials. The NTSB concludes that installing natural gas alarms can alert people of a gas leak so they can evacuate the area; however, natural gas customers may not be aware of the necessity of such alarms. The NTSB believes that messages about the benefits of natural gas alarms are critically important and could save lives when natural gas alarms are installed. The NTSB further believes that the natural gas industry can help shape the effectiveness of public awareness program delivery methods so that people in businesses, schools, residences, and other places of congregation are better informed, both about natural gas hazards and the necessity of natural gas alarms. The American Gas Association, which represents natural gas pipeline operators throughout the US, can facilitate industry efforts to improve public awareness program delivery methods and to improve safety, most critically through increasing the installation of natural gas alarms. Therefore, the NTSB recommends that the American Gas Association share the details of the March 24, 2023, natural gas–fueled explosion and fire in West Reading, Pennsylvania, with its members, encouraging them to evaluate the effectiveness of their current delivery methods of public awareness programs and to promote the installation of natural gas alarms in businesses, residences, and other places of congregation that they serve. Evacuation should occur immediately upon detection of the presence of natural gas. In 1976, the NTSB made its first recommendation to require natural gas detection to provide early warning of leaks. Most recently, after a 2016 building explosion in Silver Spring, Maryland, and then again after the 2018 home explosion in Dallas, we made recommendations to the ICC and the NFPA to require natural gas alarms with methane detection in residences (NTSB 2019). We recommended the ICC work
Addressee Acronym: MD
Addressee Organization Type: S-State Government
Communication Date: 2026-04-07
Communication Type: Recommendation Mention
Communication Contents: Pipeline Investigation Report PIR-26-02, “Enbridge Inc. Natural Gas–Fueled Home Explosion and Fatality, South Jordan, Utah, November 6, 2024” published on April 7, 2026: 2 Analysis On November 6, 2024, a natural gas–fueled home explosion fatally injured one resident and damaged nearby homes. A crack in the 4-inch-diameter Aldyl A gas main near the home allowed natural gas to leak and fuel the home explosion. The NTSB found that the crack originated on the inner surface of the pipe and aligned directly with an oblong impression on the outer surface. Investigators determined that a rock impingement likely caused the oblong impression on the outer surface of the pipe and the resulting crack. They also found that the crack growth features indicated that the crack breached the outer surface in a single abrupt event. As a result, the pipe rapidly transitioned from releasing no gas to releasing up to 48.7 scfm, as measured in the lab. Footnote: The actual leak rate may have been lower, given that the pipeline was buried in soil, which would constrain the pipe and provide back-pressure resistance to gas as it leaked from the pipe. Post-explosion, subsurface gas readings showed that the natural gas migrated about 150 feet from the leak location to the home. Although the exact timing of the leak could not be determined, the residents’ observations of physical symptoms, inability to relight the basement water heater, and an unusually high candle flame before the accident suggest that natural gas may have been present in the home for at least 3 days before the explosion. On November 6, the flammable natural gas–air mixture ignited in the southwest quadrant of the basement. The Utah Deputy State Fire Marshal identified two possible sources of the ignition: a water heater and a furnace. The water heater was turned off at the control point, so the only credible ignition source was the furnace. Footnote: The furnace control valve was found postaccident to have significant thermal damage, consistent with it being the ignition source. Before the accident, Enbridge had implemented safeguards to mitigate the consequences of leaks, including periodic leak surveys, timely response to odor complaints, and targeted replacement projects. However, none of these strategies proved effective for this scenario, because of the following issues related to the strategies: • Periodic leak surveys. Regulators require distribution leak surveys to be conducted every 5 years. Enbridge conducted its most recent leak survey on April 29, 2022—two years before the accident. However, in this accident, through-wall crack propagation occurred too rapidly, causing the leak to go undetected before the explosion. • Timely response to odor complaints. Regulators require odorization of natural gas in distribution systems to help alert the public to natural gas leaks. During interviews conducted by investigators, the NTSB determined that the local residents had not smelled natural gas odorant near the accident home, even though gas was determined to have permeated the ground in the area during postaccident surveys, indicating that the odorant had been stripped from the leaked natural gas that ultimately entered the home. Footnote: Field testing of the gas in the distribution system after the explosion found acceptable odorant concentrations. Although odorant can act as an early warning of a gas release to prevent an explosion and fire, it has been known to become depleted when traveling through soil, as it did in this accident. Previous NTSB investigations have identified occurrences of odorant depletion that allowed natural gas leaks to go undetected, resulting in explosions in Dallas, Texas, in 2018 and in Silver Spring, Maryland, in 2016. Footnote: NTSB. 2021. Atmos Energy Corporation Natural Gas–Fueled Explosion, Dallas, Texas, February 23, 2018. PAR-21/01. Washington, DC: NTSB. Footnote: NTSB. 2019. Building Explosion and Fire, Silver Spring, Maryland, August 10, 2016. PAR-19/01. Washington, DC: NTSB. • Targeted replacement projects. A 2014 California Public Utilities Commission study showed that the vintage of Aldyl A present in this accident, with stress concentrations from rock impingement, squeeze-off, bending, or deflection, were statistically predicted to fail between 22 and 235 years after installation. Footnote: California Public Utilities Commission 2014 Hazard Analysis and Mitigation Report On Aldyl A Polyethylene Gas Pipelines in California. Haine 2014. Because the estimated failure time is imprecise (a range of more than 200 years), and because some environmental conditions—such as the locations of rocks in the backfill material—are unknown, the Enbridge evaluation of the cracking threat to the 1976 vintage Aldyl A did not accurately characterize the risk of rock impingements and prevented Enbridge from identifying effective mitigative actions and targeted replacement projects. Even though Enbridge worked continuously to search for the leak after the explosion, it took them more than 21 hours to find and isolate the natural gas leak. During this time, the pipeline continued to leak natural gas into the ground, increasing the risk to nearby residents, first responders, and others operating in the area. When an underground natural gas pipeline leak occurs rapidly, it can be difficult to safeguard against. Natural gas alarms can provide an early warning of natural gas leaks inside nearby structures and can alert the building occupants to take immediate safety actions. Had in-home natural gas alarms been installed in the homes involved in this accident, they would have alerted the residents to a potential problem and prompted them to evacuate and call 911, reducing or eliminating the fatal consequences of the explosion. The NTSB has previously recommended requiring the installation of natural gas alarms in businesses, residences, and other buildings (Safety Recommendation P 25 05).
Addressee Acronym: MD
Addressee Organization Type: S-State Government
Communication Date: 2026-06-05
Communication Type: Recommendation Mention
Communication Contents: Atmos Energy Corporation Natural Gas–Fueled Home Explosion Pipeline Investigation Report PIR-26-03 published on June 5, 2026: Analysis The explosion and fire occurred after natural gas leaked from a fractured buried main, migrated through an uncapped underground sewer lateral, entered the accident home, and reached an explosive concentration near an unknown ignition source. The investigation did not identify issues with gas pressures in the area of the leak or the timeliness or efficacy of the local emergency response agencies. Postaccident bar-hole testing and excavations found only one source of natural gas: a leak in the gas main near a valve box on the eastern edge of the construction site. On-site examinations of the main found that it was fractured around most of its circumference with a thin strip of metal at the top (12 o’clock position) joining the southern section of pipe to the section still threaded into the valve body. This indicates tension—a stretching force—at the bottom of the pipe along its long axis. Tension along the bottom of the pipe is consistent with a bending stress created by an external downward force. Based on information provided to Atmos by the construction superintendent, a cement truck ran over a valve box at the leak’s location immediately before he heard and smelled natural gas being released. The investigation did not identify another plausible external force that could have damaged the main. The Materials Laboratory examination of the main found fracture characteristics typical of fast crack growth and no signs of significant corrosion or preexisting structural damage that could have contributed to the failure. The fracture was therefore consistent with a sudden application of force by the valve box to the main. Based on the fracture’s location, timing, and fast-cracking characteristics, the valve box transmitted part of the cement truck’s weight to the gas main, causing the main to fracture and leak. Examination of the gas main and valve box involved in this accident found coal tar coating the main and deposited on the bottom edge of the valve box. This indicates that the valve box was in contact with the main. The presence of coal tar alone does not indicate when the contact occurred, but the evidence is consistent with the valve box being installed in contact with the main and therefore able transmit the cement truck’s weight directly to the main near the fracture’s location. Federal regulations at 49 CFR 192.181(c)(3) require that valve boxes not be installed in a manner that transmits external loads to mains, and valve boxes are normally installed with a buffer of soil or other protection between the valve box and the assets immediately below. For example, Atmos’s newer valve boxes are installed with support and base pads to prevent load transmission. However, Atmos was not actively replacing cast iron valve boxes with this newer design. Further, the maintenance crew that removed and reinstalled the valve box about 2 months before the accident did not have a specific standard to follow for reinstalling cast iron valve boxes other than an expectation that the top of the valve box be level with the grade. The lack of a standard likely led to the common reinstallation of valve boxes in contact with mains, as described by an Atmos vice president of operations. If Atmos had adopted either a standard for safely installing cast iron valve boxes or a policy of replacing cast iron valve boxes with the newer design, the protective buffer of soil or support pad would have reduced the load transmitted to the pipe on the day of the accident. There is not enough evidence to determine whether a buffer or pad would have prevented the accident, but it would have made the infrastructure more resilient. Atmos has not reported making changes to its valve box installation practices. After the main fractured, gas propagated undetected through an uncapped underground sewer lateral into the sewer system and then into the accident home, where it reached an explosive concentration. The gas in the sewers remained undetected because Atmos personnel did not test the atmosphere in the sewers prior to the explosion. For about 35 minutes, most of the time between the initial leak and the explosion, there was only one Atmos employee on the scene: an experienced senior service technician. He was equipped with a CGI and checked nearby storm drains for the presence of gas, which was one step in Atmos’s subsurface leak investigation procedure. During his interview with the NTSB, he described planning to check the sewers, another required step, but said that he had already confirmed that there was no threat to life or property. His activities after checking the storm drains are also consistent with a belief that he had finished assessing the risk posed by the leak: he switched to the non-safety-critical work of recording billing information for the damage. The investigation did not find evidence of a natural gas alarm in the accident home, which did not have gas service but was still impacted by a leak from a gas main. It is likely that a natural gas alarm would have provided the home’s occupants with warning of accumulating natural gas and given them an opportunity to evacuate before the explosion. The NTSB has advocated wider installation and use of natural gas alarms for nearly 50 years, including following the investigation into a pair of 2024 home explosions in Jackson, Mississippi, that involved Atmos assets. As a result of that investigation, the NTSB reiterated a recommendation to the 50 states, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: See CAROL for the complete history and current status of this recommendation. The NTSB also recommended that Atmos “develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas” (P-26-10).11F Footnote: See CAROL for the complete history and current status of this recommendation.
Addressee Acronym: MD
Addressee Organization Type: S-State Government
Communication Date: 2026-03-26
Communication Type: Recommendation Reiteration
Communication Contents: From the Report, “Atmos Energy Corporation Natural Gas-Fueled Home Explosions and Fires Jackson, Mississippi, January 24, 2024, and January 27, 2024” published on March 26, 2026. Absence of Natural Gas Detection Alarms in Buildings The Bristol Boulevard accident home and the Shalimar Drive accident home did not have natural gas alarms installed. For nearly 50 years, the NTSB has been recommending natural gas alarms for the early detection of natural gas leaks. In the West Reading accident, several candy factory employees told the NTSB that they had smelled natural gas odorant and did not call 9 1 1 or the gas company but stayed in the building until the explosion occurred. Some of the employees inquired with their managers about what to do, and their managers were equally unaware of the actions to take during a suspected natural gas leak. In the two Jackson accidents, and in many of the pipeline accidents the NTSB has investigated for the last 5 decades, people smelled natural gas odorant and either did not know what actions to take, or they knew the actions necessary to address a potential natural gas emergency but did not execute them. Natural gas distribution pipeline operators must educate the public on pipeline safety through public awareness programs. It is also necessary, however, to have safeguards in place when members of the public (1) smell natural gas odorant and do not take the appropriate safety actions and (2) do not smell natural gas odorant, as was the case in the NTSB investigation of the Dallas accident, and therefore do not take appropriate safety actions. Footnote: The NTSB’s Dallas investigation determined that the occupants in the accident homes did not smell natural gas odorant because it was absorbed and depleted in the soil. Natural gas alarms are safeguards in protecting the public, which is why the NTSB has recommended their installation after many of our pipeline accident investigations. The NTSB found that natural gas alarms likely would have prevented or reduced the consequences of the Dallas and West Reading accidents, and the evidence in this investigation suggests the same. The Shalimar Drive accident home was empty at the time of that accident; however, when the explosion in the Bristol Boulevard accident home occurred, two people were inside. Therefore, the NTSB concludes that had a natural gas alarm been installed inside the Bristol Boulevard accident home, it could have alerted occupants that natural gas was present, prompting them to evacuate and report the leak, making Atmos aware that the leak had likely worsened and required corrective action. As a result of the West Reading investigation, the NTSB recommended that the 50 States, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: Safety Recommendation P-25-5 is currently classified Open—Await Response. As of this report, 7 states and the District of Columbia have provided an initial response; 43 states and the Commonwealth of Puerto Rico have not responded. Footnote: The seven states that have provided an initial response include Colorado, Connecticut, Kansas, Nevada, North Carolina, Virginia, and Wyoming. Mississippi, the state where the two Jackson accidents occurred, is one of the 43 states that have not provided an initial response. The NTSB investigation of the two Jackson accidents has again identified the critical importance of natural gas alarms to alert occupants to natural gas leaks. Therefore, the NTSB reiterates Safety Recommendation P 25-5 to 50 States, the Commonwealth of Puerto Rico, and the District of Columbia. As discussed in section 1.10.1.1, after the Avondale accident, Atmos reported that it provided the public with information, through its website, on the availability of natural gas alarms. However, Atmos can do more to safeguard the public in its distribution areas. The NTSB is aware of multiple natural gas distribution operators that have made natural gas alarms available to people in their service areas. Footnote: Visit http://www.ntsb.gov to find additional information in the public docket for this NTSB accident investigation (case number PLD24FR003). Therefore, the NTSB recommends that Atmos develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas.
Addressee Name: State of Maine
Addressee Status: Open - Await Response
Addressee Acronym: ME
Addressee Organization Type: S-State Government
Communication Date: 2025-04-08
Communication Type: Transmittal Letter
Communication Contents: 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 accidents in other modes of transportation—railroad, highway, marine, and pipeline. We determine the probable cause of the accidents and issue safety recommendations aimed at preventing future accidents. In addition, we carry out special studies concerning transportation safety and coordinate the resources of the federal government and other organizations to assist victims and their family members affected by major transportation disasters. We are providing the following information to urge the State of Maine to act on the safety recommendation in this letter because we believe your organization can help reduce the risk of future accidents. For more information about the NTSB and our recommendation process, please see the attached one-page summary. This letter also includes information about our March 18, 2025, report, UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, NTSB/PIR-25/01. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. As a result of this investigation, we identified the following safety issues: • Degradation of a retired Aldyl A service tee that was accelerated by elevated ground temperatures from a corroded and cracked steam pipe nearby. • UGI Corporation’s insufficient consideration of pipeline integrity threats, particularly Aldyl A service tees with Delrin inserts at elevated temperatures. • Presence of unmarked and unreported private assets crossing public rights-of-way, excluding them from the Pennsylvania One Call System and increasing the risk of damage to them. • Delayed evacuation of Palmer’s Building 2 despite detection of natural gas by employees and others. • Natural gas safety messaging from pipeline operator public awareness programs that may not reach certain members of the public. • Insufficient guidance on natural gas emergency procedures. • Absence of natural gas alarms in commercial buildings. • Insufficient accessibility of gas distribution line valves. Accordingly, the NTSB makes the following safety recommendation to the State of Maine (additional information regarding this recommendation can be found in the noted section of the report): • Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) (See section 2.5.1.) The NTSB is vitally interested in this recommendation because it is designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter, detailing the actions you have taken or intend to take to implement this recommendation. When replying, please refer to the safety recommendation by number (Safety Recommendation P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply, including attachments, exceeds 20 megabytes, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. All communications regarding safety recommendations are stored by the NTSB and viewable by the public. Please do not send privileged or confidential communications in response to this recommendation. Responses marked as confidential or privileged (or similar designations) will be considered nonresponsive. In the likely event that your company uses auto generated and/or preformatted confidentiality statements on letterhead or outgoing e-mails, please include a statement in your letter indicating that the information can be publicly released. If you have concerns about this protocol, please contact us at ExecutiveSecretariat@ntsb.gov. The attached letter from the NTSB Chairman provides information about the March 18, 2025, report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. The NTSB is vitally interested in these recommendations because they are designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter detailing the actions you have taken or intend to take to implement these recommendations. When replying, please refer to the safety recommendation by number (for example, P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply exceeds 20 megabytes, including attachments, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. From the report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1: 2.5.1 Natural Gas Alarms Public awareness is an effective tool to encourage adoption of safety devices like natural gas alarms. The first edition of API RP 1162 requires that public awareness programs include safety messages about the awareness of hazards and prevention measures as well as leak recognition and response but does not specifically require these programs to disseminate safety messages about natural gas alarms. UGI’s public awareness materials distributed before the accident were consistent with federal regulations, and although the materials promoted the use of smoke and carbon monoxide alarms, they did not address natural gas alarms. Following the accident, UGI now includes safety messages encouraging the purchase of natural gas alarms in its public awareness materials. The NTSB concludes that installing natural gas alarms can alert people of a gas leak so they can evacuate the area; however, natural gas customers may not be aware of the necessity of such alarms. The NTSB believes that messages about the benefits of natural gas alarms are critically important and could save lives when natural gas alarms are installed. The NTSB further believes that the natural gas industry can help shape the effectiveness of public awareness program delivery methods so that people in businesses, schools, residences, and other places of congregation are better informed, both about natural gas hazards and the necessity of natural gas alarms. The American Gas Association, which represents natural gas pipeline operators throughout the US, can facilitate industry efforts to improve public awareness program delivery methods and to improve safety, most critically through increasing the installation of natural gas alarms. Therefore, the NTSB recommends that the American Gas Association share the details of the March 24, 2023, natural gas–fueled explosion and fire in West Reading, Pennsylvania, with its members, encouraging them to evaluate the effectiveness of their current delivery methods of public awareness programs and to promote the installation of natural gas alarms in businesses, residences, and other places of congregation that they serve. Evacuation should occur immediately upon detection of the presence of natural gas. In 1976, the NTSB made its first recommendation to require natural gas detection to provide early warning of leaks. Most recently, after a 2016 building explosion in Silver Spring, Maryland, and then again after the 2018 home explosion in Dallas, we made recommendations to the ICC and the NFPA to require natural gas alarms with methane detection in residences (NTSB 2019). We recommended the ICC work with t
Addressee Acronym: ME
Addressee Organization Type: S-State Government
Communication Date: 2026-04-07
Communication Type: Recommendation Mention
Communication Contents: Pipeline Investigation Report PIR-26-02, “Enbridge Inc. Natural Gas–Fueled Home Explosion and Fatality, South Jordan, Utah, November 6, 2024” published on April 7, 2026: 2 Analysis On November 6, 2024, a natural gas–fueled home explosion fatally injured one resident and damaged nearby homes. A crack in the 4-inch-diameter Aldyl A gas main near the home allowed natural gas to leak and fuel the home explosion. The NTSB found that the crack originated on the inner surface of the pipe and aligned directly with an oblong impression on the outer surface. Investigators determined that a rock impingement likely caused the oblong impression on the outer surface of the pipe and the resulting crack. They also found that the crack growth features indicated that the crack breached the outer surface in a single abrupt event. As a result, the pipe rapidly transitioned from releasing no gas to releasing up to 48.7 scfm, as measured in the lab. Footnote: The actual leak rate may have been lower, given that the pipeline was buried in soil, which would constrain the pipe and provide back-pressure resistance to gas as it leaked from the pipe. Post-explosion, subsurface gas readings showed that the natural gas migrated about 150 feet from the leak location to the home. Although the exact timing of the leak could not be determined, the residents’ observations of physical symptoms, inability to relight the basement water heater, and an unusually high candle flame before the accident suggest that natural gas may have been present in the home for at least 3 days before the explosion. On November 6, the flammable natural gas–air mixture ignited in the southwest quadrant of the basement. The Utah Deputy State Fire Marshal identified two possible sources of the ignition: a water heater and a furnace. The water heater was turned off at the control point, so the only credible ignition source was the furnace. Footnote: The furnace control valve was found postaccident to have significant thermal damage, consistent with it being the ignition source. Before the accident, Enbridge had implemented safeguards to mitigate the consequences of leaks, including periodic leak surveys, timely response to odor complaints, and targeted replacement projects. However, none of these strategies proved effective for this scenario, because of the following issues related to the strategies: • Periodic leak surveys. Regulators require distribution leak surveys to be conducted every 5 years. Enbridge conducted its most recent leak survey on April 29, 2022—two years before the accident. However, in this accident, through-wall crack propagation occurred too rapidly, causing the leak to go undetected before the explosion. • Timely response to odor complaints. Regulators require odorization of natural gas in distribution systems to help alert the public to natural gas leaks. During interviews conducted by investigators, the NTSB determined that the local residents had not smelled natural gas odorant near the accident home, even though gas was determined to have permeated the ground in the area during postaccident surveys, indicating that the odorant had been stripped from the leaked natural gas that ultimately entered the home. Footnote: Field testing of the gas in the distribution system after the explosion found acceptable odorant concentrations. Although odorant can act as an early warning of a gas release to prevent an explosion and fire, it has been known to become depleted when traveling through soil, as it did in this accident. Previous NTSB investigations have identified occurrences of odorant depletion that allowed natural gas leaks to go undetected, resulting in explosions in Dallas, Texas, in 2018 and in Silver Spring, Maryland, in 2016. Footnote: NTSB. 2021. Atmos Energy Corporation Natural Gas–Fueled Explosion, Dallas, Texas, February 23, 2018. PAR-21/01. Washington, DC: NTSB. Footnote: NTSB. 2019. Building Explosion and Fire, Silver Spring, Maryland, August 10, 2016. PAR-19/01. Washington, DC: NTSB. • Targeted replacement projects. A 2014 California Public Utilities Commission study showed that the vintage of Aldyl A present in this accident, with stress concentrations from rock impingement, squeeze-off, bending, or deflection, were statistically predicted to fail between 22 and 235 years after installation. Footnote: California Public Utilities Commission 2014 Hazard Analysis and Mitigation Report On Aldyl A Polyethylene Gas Pipelines in California. Haine 2014. Because the estimated failure time is imprecise (a range of more than 200 years), and because some environmental conditions—such as the locations of rocks in the backfill material—are unknown, the Enbridge evaluation of the cracking threat to the 1976 vintage Aldyl A did not accurately characterize the risk of rock impingements and prevented Enbridge from identifying effective mitigative actions and targeted replacement projects. Even though Enbridge worked continuously to search for the leak after the explosion, it took them more than 21 hours to find and isolate the natural gas leak. During this time, the pipeline continued to leak natural gas into the ground, increasing the risk to nearby residents, first responders, and others operating in the area. When an underground natural gas pipeline leak occurs rapidly, it can be difficult to safeguard against. Natural gas alarms can provide an early warning of natural gas leaks inside nearby structures and can alert the building occupants to take immediate safety actions. Had in-home natural gas alarms been installed in the homes involved in this accident, they would have alerted the residents to a potential problem and prompted them to evacuate and call 911, reducing or eliminating the fatal consequences of the explosion. The NTSB has previously recommended requiring the installation of natural gas alarms in businesses, residences, and other buildings (Safety Recommendation P 25 05).
Addressee Acronym: ME
Addressee Organization Type: S-State Government
Communication Date: 2026-06-05
Communication Type: Recommendation Mention
Communication Contents: Atmos Energy Corporation Natural Gas–Fueled Home Explosion Pipeline Investigation Report PIR-26-03 published on June 5, 2026: Analysis The explosion and fire occurred after natural gas leaked from a fractured buried main, migrated through an uncapped underground sewer lateral, entered the accident home, and reached an explosive concentration near an unknown ignition source. The investigation did not identify issues with gas pressures in the area of the leak or the timeliness or efficacy of the local emergency response agencies. Postaccident bar-hole testing and excavations found only one source of natural gas: a leak in the gas main near a valve box on the eastern edge of the construction site. On-site examinations of the main found that it was fractured around most of its circumference with a thin strip of metal at the top (12 o’clock position) joining the southern section of pipe to the section still threaded into the valve body. This indicates tension—a stretching force—at the bottom of the pipe along its long axis. Tension along the bottom of the pipe is consistent with a bending stress created by an external downward force. Based on information provided to Atmos by the construction superintendent, a cement truck ran over a valve box at the leak’s location immediately before he heard and smelled natural gas being released. The investigation did not identify another plausible external force that could have damaged the main. The Materials Laboratory examination of the main found fracture characteristics typical of fast crack growth and no signs of significant corrosion or preexisting structural damage that could have contributed to the failure. The fracture was therefore consistent with a sudden application of force by the valve box to the main. Based on the fracture’s location, timing, and fast-cracking characteristics, the valve box transmitted part of the cement truck’s weight to the gas main, causing the main to fracture and leak. Examination of the gas main and valve box involved in this accident found coal tar coating the main and deposited on the bottom edge of the valve box. This indicates that the valve box was in contact with the main. The presence of coal tar alone does not indicate when the contact occurred, but the evidence is consistent with the valve box being installed in contact with the main and therefore able transmit the cement truck’s weight directly to the main near the fracture’s location. Federal regulations at 49 CFR 192.181(c)(3) require that valve boxes not be installed in a manner that transmits external loads to mains, and valve boxes are normally installed with a buffer of soil or other protection between the valve box and the assets immediately below. For example, Atmos’s newer valve boxes are installed with support and base pads to prevent load transmission. However, Atmos was not actively replacing cast iron valve boxes with this newer design. Further, the maintenance crew that removed and reinstalled the valve box about 2 months before the accident did not have a specific standard to follow for reinstalling cast iron valve boxes other than an expectation that the top of the valve box be level with the grade. The lack of a standard likely led to the common reinstallation of valve boxes in contact with mains, as described by an Atmos vice president of operations. If Atmos had adopted either a standard for safely installing cast iron valve boxes or a policy of replacing cast iron valve boxes with the newer design, the protective buffer of soil or support pad would have reduced the load transmitted to the pipe on the day of the accident. There is not enough evidence to determine whether a buffer or pad would have prevented the accident, but it would have made the infrastructure more resilient. Atmos has not reported making changes to its valve box installation practices. After the main fractured, gas propagated undetected through an uncapped underground sewer lateral into the sewer system and then into the accident home, where it reached an explosive concentration. The gas in the sewers remained undetected because Atmos personnel did not test the atmosphere in the sewers prior to the explosion. For about 35 minutes, most of the time between the initial leak and the explosion, there was only one Atmos employee on the scene: an experienced senior service technician. He was equipped with a CGI and checked nearby storm drains for the presence of gas, which was one step in Atmos’s subsurface leak investigation procedure. During his interview with the NTSB, he described planning to check the sewers, another required step, but said that he had already confirmed that there was no threat to life or property. His activities after checking the storm drains are also consistent with a belief that he had finished assessing the risk posed by the leak: he switched to the non-safety-critical work of recording billing information for the damage. The investigation did not find evidence of a natural gas alarm in the accident home, which did not have gas service but was still impacted by a leak from a gas main. It is likely that a natural gas alarm would have provided the home’s occupants with warning of accumulating natural gas and given them an opportunity to evacuate before the explosion. The NTSB has advocated wider installation and use of natural gas alarms for nearly 50 years, including following the investigation into a pair of 2024 home explosions in Jackson, Mississippi, that involved Atmos assets. As a result of that investigation, the NTSB reiterated a recommendation to the 50 states, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: See CAROL for the complete history and current status of this recommendation. The NTSB also recommended that Atmos “develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas” (P-26-10).11F Footnote: See CAROL for the complete history and current status of this recommendation.
Addressee Acronym: ME
Addressee Organization Type: S-State Government
Communication Date: 2026-03-26
Communication Type: Recommendation Reiteration
Communication Contents: From the Report, “Atmos Energy Corporation Natural Gas-Fueled Home Explosions and Fires Jackson, Mississippi, January 24, 2024, and January 27, 2024” published on March 26, 2026. Absence of Natural Gas Detection Alarms in Buildings The Bristol Boulevard accident home and the Shalimar Drive accident home did not have natural gas alarms installed. For nearly 50 years, the NTSB has been recommending natural gas alarms for the early detection of natural gas leaks. In the West Reading accident, several candy factory employees told the NTSB that they had smelled natural gas odorant and did not call 9 1 1 or the gas company but stayed in the building until the explosion occurred. Some of the employees inquired with their managers about what to do, and their managers were equally unaware of the actions to take during a suspected natural gas leak. In the two Jackson accidents, and in many of the pipeline accidents the NTSB has investigated for the last 5 decades, people smelled natural gas odorant and either did not know what actions to take, or they knew the actions necessary to address a potential natural gas emergency but did not execute them. Natural gas distribution pipeline operators must educate the public on pipeline safety through public awareness programs. It is also necessary, however, to have safeguards in place when members of the public (1) smell natural gas odorant and do not take the appropriate safety actions and (2) do not smell natural gas odorant, as was the case in the NTSB investigation of the Dallas accident, and therefore do not take appropriate safety actions. Footnote: The NTSB’s Dallas investigation determined that the occupants in the accident homes did not smell natural gas odorant because it was absorbed and depleted in the soil. Natural gas alarms are safeguards in protecting the public, which is why the NTSB has recommended their installation after many of our pipeline accident investigations. The NTSB found that natural gas alarms likely would have prevented or reduced the consequences of the Dallas and West Reading accidents, and the evidence in this investigation suggests the same. The Shalimar Drive accident home was empty at the time of that accident; however, when the explosion in the Bristol Boulevard accident home occurred, two people were inside. Therefore, the NTSB concludes that had a natural gas alarm been installed inside the Bristol Boulevard accident home, it could have alerted occupants that natural gas was present, prompting them to evacuate and report the leak, making Atmos aware that the leak had likely worsened and required corrective action. As a result of the West Reading investigation, the NTSB recommended that the 50 States, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: Safety Recommendation P-25-5 is currently classified Open—Await Response. As of this report, 7 states and the District of Columbia have provided an initial response; 43 states and the Commonwealth of Puerto Rico have not responded. Footnote: The seven states that have provided an initial response include Colorado, Connecticut, Kansas, Nevada, North Carolina, Virginia, and Wyoming. Mississippi, the state where the two Jackson accidents occurred, is one of the 43 states that have not provided an initial response. The NTSB investigation of the two Jackson accidents has again identified the critical importance of natural gas alarms to alert occupants to natural gas leaks. Therefore, the NTSB reiterates Safety Recommendation P 25-5 to 50 States, the Commonwealth of Puerto Rico, and the District of Columbia. As discussed in section 1.10.1.1, after the Avondale accident, Atmos reported that it provided the public with information, through its website, on the availability of natural gas alarms. However, Atmos can do more to safeguard the public in its distribution areas. The NTSB is aware of multiple natural gas distribution operators that have made natural gas alarms available to people in their service areas. Footnote: Visit http://www.ntsb.gov to find additional information in the public docket for this NTSB accident investigation (case number PLD24FR003). Therefore, the NTSB recommends that Atmos develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas.
Addressee Name: State of Louisiana
Addressee Status: Open - Await Response
Addressee Acronym: LA
Addressee Organization Type: S-State Government
Communication Date: 2025-04-08
Communication Type: Transmittal Letter
Communication Contents: 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 accidents in other modes of transportation—railroad, highway, marine, and pipeline. We determine the probable cause of the accidents and issue safety recommendations aimed at preventing future accidents. In addition, we carry out special studies concerning transportation safety and coordinate the resources of the federal government and other organizations to assist victims and their family members affected by major transportation disasters. We are providing the following information to urge the State of Louisiana to act on the safety recommendation in this letter because we believe your organization can help reduce the risk of future accidents. For more information about the NTSB and our recommendation process, please see the attached one-page summary. This letter also includes information about our March 18, 2025, report, UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, NTSB/PIR-25/01. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. As a result of this investigation, we identified the following safety issues: • Degradation of a retired Aldyl A service tee that was accelerated by elevated ground temperatures from a corroded and cracked steam pipe nearby. • UGI Corporation’s insufficient consideration of pipeline integrity threats, particularly Aldyl A service tees with Delrin inserts at elevated temperatures. • Presence of unmarked and unreported private assets crossing public rights-of-way, excluding them from the Pennsylvania One Call System and increasing the risk of damage to them. • Delayed evacuation of Palmer’s Building 2 despite detection of natural gas by employees and others. • Natural gas safety messaging from pipeline operator public awareness programs that may not reach certain members of the public. • Insufficient guidance on natural gas emergency procedures. • Absence of natural gas alarms in commercial buildings. • Insufficient accessibility of gas distribution line valves. Accordingly, the NTSB makes the following safety recommendation to the State of Louisiana (additional information regarding this recommendation can be found in the noted section of the report): • Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) (See section 2.5.1.) The NTSB is vitally interested in this recommendation because it is designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter, detailing the actions you have taken or intend to take to implement this recommendation. When replying, please refer to the safety recommendation by number (Safety Recommendation P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply, including attachments, exceeds 20 megabytes, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. All communications regarding safety recommendations are stored by the NTSB and viewable by the public. Please do not send privileged or confidential communications in response to this recommendation. Responses marked as confidential or privileged (or similar designations) will be considered nonresponsive. In the likely event that your company uses auto generated and/or preformatted confidentiality statements on letterhead or outgoing e-mails, please include a statement in your letter indicating that the information can be publicly released. If you have concerns about this protocol, please contact us at ExecutiveSecretariat@ntsb.gov. The attached letter from the NTSB Chairman provides information about the March 18, 2025, report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. The NTSB is vitally interested in these recommendations because they are designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter detailing the actions you have taken or intend to take to implement these recommendations. When replying, please refer to the safety recommendation by number (for example, P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply exceeds 20 megabytes, including attachments, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. From the report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1: 2.5.1 Natural Gas Alarms Public awareness is an effective tool to encourage adoption of safety devices like natural gas alarms. The first edition of API RP 1162 requires that public awareness programs include safety messages about the awareness of hazards and prevention measures as well as leak recognition and response but does not specifically require these programs to disseminate safety messages about natural gas alarms. UGI’s public awareness materials distributed before the accident were consistent with federal regulations, and although the materials promoted the use of smoke and carbon monoxide alarms, they did not address natural gas alarms. Following the accident, UGI now includes safety messages encouraging the purchase of natural gas alarms in its public awareness materials. The NTSB concludes that installing natural gas alarms can alert people of a gas leak so they can evacuate the area; however, natural gas customers may not be aware of the necessity of such alarms. The NTSB believes that messages about the benefits of natural gas alarms are critically important and could save lives when natural gas alarms are installed. The NTSB further believes that the natural gas industry can help shape the effectiveness of public awareness program delivery methods so that people in businesses, schools, residences, and other places of congregation are better informed, both about natural gas hazards and the necessity of natural gas alarms. The American Gas Association, which represents natural gas pipeline operators throughout the US, can facilitate industry efforts to improve public awareness program delivery methods and to improve safety, most critically through increasing the installation of natural gas alarms. Therefore, the NTSB recommends that the American Gas Association share the details of the March 24, 2023, natural gas–fueled explosion and fire in West Reading, Pennsylvania, with its members, encouraging them to evaluate the effectiveness of their current delivery methods of public awareness programs and to promote the installation of natural gas alarms in businesses, residences, and other places of congregation that they serve. Evacuation should occur immediately upon detection of the presence of natural gas. In 1976, the NTSB made its first recommendation to require natural gas detection to provide early warning of leaks. Most recently, after a 2016 building explosion in Silver Spring, Maryland, and then again after the 2018 home explosion in Dallas, we made recommendations to the ICC and the NFPA to require natural gas alarms with methane detection in residences (NTSB 2019). We recommended the ICC wor
Addressee Acronym: LA
Addressee Organization Type: S-State Government
Communication Date: 2026-04-07
Communication Type: Recommendation Mention
Communication Contents: Pipeline Investigation Report PIR-26-02, “Enbridge Inc. Natural Gas–Fueled Home Explosion and Fatality, South Jordan, Utah, November 6, 2024” published on April 7, 2026: 2 Analysis On November 6, 2024, a natural gas–fueled home explosion fatally injured one resident and damaged nearby homes. A crack in the 4-inch-diameter Aldyl A gas main near the home allowed natural gas to leak and fuel the home explosion. The NTSB found that the crack originated on the inner surface of the pipe and aligned directly with an oblong impression on the outer surface. Investigators determined that a rock impingement likely caused the oblong impression on the outer surface of the pipe and the resulting crack. They also found that the crack growth features indicated that the crack breached the outer surface in a single abrupt event. As a result, the pipe rapidly transitioned from releasing no gas to releasing up to 48.7 scfm, as measured in the lab. Footnote: The actual leak rate may have been lower, given that the pipeline was buried in soil, which would constrain the pipe and provide back-pressure resistance to gas as it leaked from the pipe. Post-explosion, subsurface gas readings showed that the natural gas migrated about 150 feet from the leak location to the home. Although the exact timing of the leak could not be determined, the residents’ observations of physical symptoms, inability to relight the basement water heater, and an unusually high candle flame before the accident suggest that natural gas may have been present in the home for at least 3 days before the explosion. On November 6, the flammable natural gas–air mixture ignited in the southwest quadrant of the basement. The Utah Deputy State Fire Marshal identified two possible sources of the ignition: a water heater and a furnace. The water heater was turned off at the control point, so the only credible ignition source was the furnace. Footnote: The furnace control valve was found postaccident to have significant thermal damage, consistent with it being the ignition source. Before the accident, Enbridge had implemented safeguards to mitigate the consequences of leaks, including periodic leak surveys, timely response to odor complaints, and targeted replacement projects. However, none of these strategies proved effective for this scenario, because of the following issues related to the strategies: • Periodic leak surveys. Regulators require distribution leak surveys to be conducted every 5 years. Enbridge conducted its most recent leak survey on April 29, 2022—two years before the accident. However, in this accident, through-wall crack propagation occurred too rapidly, causing the leak to go undetected before the explosion. • Timely response to odor complaints. Regulators require odorization of natural gas in distribution systems to help alert the public to natural gas leaks. During interviews conducted by investigators, the NTSB determined that the local residents had not smelled natural gas odorant near the accident home, even though gas was determined to have permeated the ground in the area during postaccident surveys, indicating that the odorant had been stripped from the leaked natural gas that ultimately entered the home. Footnote: Field testing of the gas in the distribution system after the explosion found acceptable odorant concentrations. Although odorant can act as an early warning of a gas release to prevent an explosion and fire, it has been known to become depleted when traveling through soil, as it did in this accident. Previous NTSB investigations have identified occurrences of odorant depletion that allowed natural gas leaks to go undetected, resulting in explosions in Dallas, Texas, in 2018 and in Silver Spring, Maryland, in 2016. Footnote: NTSB. 2021. Atmos Energy Corporation Natural Gas–Fueled Explosion, Dallas, Texas, February 23, 2018. PAR-21/01. Washington, DC: NTSB. Footnote: NTSB. 2019. Building Explosion and Fire, Silver Spring, Maryland, August 10, 2016. PAR-19/01. Washington, DC: NTSB. • Targeted replacement projects. A 2014 California Public Utilities Commission study showed that the vintage of Aldyl A present in this accident, with stress concentrations from rock impingement, squeeze-off, bending, or deflection, were statistically predicted to fail between 22 and 235 years after installation. Footnote: California Public Utilities Commission 2014 Hazard Analysis and Mitigation Report On Aldyl A Polyethylene Gas Pipelines in California. Haine 2014. Because the estimated failure time is imprecise (a range of more than 200 years), and because some environmental conditions—such as the locations of rocks in the backfill material—are unknown, the Enbridge evaluation of the cracking threat to the 1976 vintage Aldyl A did not accurately characterize the risk of rock impingements and prevented Enbridge from identifying effective mitigative actions and targeted replacement projects. Even though Enbridge worked continuously to search for the leak after the explosion, it took them more than 21 hours to find and isolate the natural gas leak. During this time, the pipeline continued to leak natural gas into the ground, increasing the risk to nearby residents, first responders, and others operating in the area. When an underground natural gas pipeline leak occurs rapidly, it can be difficult to safeguard against. Natural gas alarms can provide an early warning of natural gas leaks inside nearby structures and can alert the building occupants to take immediate safety actions. Had in-home natural gas alarms been installed in the homes involved in this accident, they would have alerted the residents to a potential problem and prompted them to evacuate and call 911, reducing or eliminating the fatal consequences of the explosion. The NTSB has previously recommended requiring the installation of natural gas alarms in businesses, residences, and other buildings (Safety Recommendation P 25 05).
Addressee Acronym: LA
Addressee Organization Type: S-State Government
Communication Date: 2026-06-05
Communication Type: Recommendation Mention
Communication Contents: Atmos Energy Corporation Natural Gas–Fueled Home Explosion Pipeline Investigation Report PIR-26-03 published on June 5, 2026: Analysis The explosion and fire occurred after natural gas leaked from a fractured buried main, migrated through an uncapped underground sewer lateral, entered the accident home, and reached an explosive concentration near an unknown ignition source. The investigation did not identify issues with gas pressures in the area of the leak or the timeliness or efficacy of the local emergency response agencies. Postaccident bar-hole testing and excavations found only one source of natural gas: a leak in the gas main near a valve box on the eastern edge of the construction site. On-site examinations of the main found that it was fractured around most of its circumference with a thin strip of metal at the top (12 o’clock position) joining the southern section of pipe to the section still threaded into the valve body. This indicates tension—a stretching force—at the bottom of the pipe along its long axis. Tension along the bottom of the pipe is consistent with a bending stress created by an external downward force. Based on information provided to Atmos by the construction superintendent, a cement truck ran over a valve box at the leak’s location immediately before he heard and smelled natural gas being released. The investigation did not identify another plausible external force that could have damaged the main. The Materials Laboratory examination of the main found fracture characteristics typical of fast crack growth and no signs of significant corrosion or preexisting structural damage that could have contributed to the failure. The fracture was therefore consistent with a sudden application of force by the valve box to the main. Based on the fracture’s location, timing, and fast-cracking characteristics, the valve box transmitted part of the cement truck’s weight to the gas main, causing the main to fracture and leak. Examination of the gas main and valve box involved in this accident found coal tar coating the main and deposited on the bottom edge of the valve box. This indicates that the valve box was in contact with the main. The presence of coal tar alone does not indicate when the contact occurred, but the evidence is consistent with the valve box being installed in contact with the main and therefore able transmit the cement truck’s weight directly to the main near the fracture’s location. Federal regulations at 49 CFR 192.181(c)(3) require that valve boxes not be installed in a manner that transmits external loads to mains, and valve boxes are normally installed with a buffer of soil or other protection between the valve box and the assets immediately below. For example, Atmos’s newer valve boxes are installed with support and base pads to prevent load transmission. However, Atmos was not actively replacing cast iron valve boxes with this newer design. Further, the maintenance crew that removed and reinstalled the valve box about 2 months before the accident did not have a specific standard to follow for reinstalling cast iron valve boxes other than an expectation that the top of the valve box be level with the grade. The lack of a standard likely led to the common reinstallation of valve boxes in contact with mains, as described by an Atmos vice president of operations. If Atmos had adopted either a standard for safely installing cast iron valve boxes or a policy of replacing cast iron valve boxes with the newer design, the protective buffer of soil or support pad would have reduced the load transmitted to the pipe on the day of the accident. There is not enough evidence to determine whether a buffer or pad would have prevented the accident, but it would have made the infrastructure more resilient. Atmos has not reported making changes to its valve box installation practices. After the main fractured, gas propagated undetected through an uncapped underground sewer lateral into the sewer system and then into the accident home, where it reached an explosive concentration. The gas in the sewers remained undetected because Atmos personnel did not test the atmosphere in the sewers prior to the explosion. For about 35 minutes, most of the time between the initial leak and the explosion, there was only one Atmos employee on the scene: an experienced senior service technician. He was equipped with a CGI and checked nearby storm drains for the presence of gas, which was one step in Atmos’s subsurface leak investigation procedure. During his interview with the NTSB, he described planning to check the sewers, another required step, but said that he had already confirmed that there was no threat to life or property. His activities after checking the storm drains are also consistent with a belief that he had finished assessing the risk posed by the leak: he switched to the non-safety-critical work of recording billing information for the damage. The investigation did not find evidence of a natural gas alarm in the accident home, which did not have gas service but was still impacted by a leak from a gas main. It is likely that a natural gas alarm would have provided the home’s occupants with warning of accumulating natural gas and given them an opportunity to evacuate before the explosion. The NTSB has advocated wider installation and use of natural gas alarms for nearly 50 years, including following the investigation into a pair of 2024 home explosions in Jackson, Mississippi, that involved Atmos assets. As a result of that investigation, the NTSB reiterated a recommendation to the 50 states, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: See CAROL for the complete history and current status of this recommendation. The NTSB also recommended that Atmos “develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas” (P-26-10).11F Footnote: See CAROL for the complete history and current status of this recommendation.
Addressee Acronym: LA
Addressee Organization Type: S-State Government
Communication Date: 2026-03-26
Communication Type: Recommendation Reiteration
Communication Contents: From the Report, “Atmos Energy Corporation Natural Gas-Fueled Home Explosions and Fires Jackson, Mississippi, January 24, 2024, and January 27, 2024” published on March 26, 2026. Absence of Natural Gas Detection Alarms in Buildings The Bristol Boulevard accident home and the Shalimar Drive accident home did not have natural gas alarms installed. For nearly 50 years, the NTSB has been recommending natural gas alarms for the early detection of natural gas leaks. In the West Reading accident, several candy factory employees told the NTSB that they had smelled natural gas odorant and did not call 9 1 1 or the gas company but stayed in the building until the explosion occurred. Some of the employees inquired with their managers about what to do, and their managers were equally unaware of the actions to take during a suspected natural gas leak. In the two Jackson accidents, and in many of the pipeline accidents the NTSB has investigated for the last 5 decades, people smelled natural gas odorant and either did not know what actions to take, or they knew the actions necessary to address a potential natural gas emergency but did not execute them. Natural gas distribution pipeline operators must educate the public on pipeline safety through public awareness programs. It is also necessary, however, to have safeguards in place when members of the public (1) smell natural gas odorant and do not take the appropriate safety actions and (2) do not smell natural gas odorant, as was the case in the NTSB investigation of the Dallas accident, and therefore do not take appropriate safety actions. Footnote: The NTSB’s Dallas investigation determined that the occupants in the accident homes did not smell natural gas odorant because it was absorbed and depleted in the soil. Natural gas alarms are safeguards in protecting the public, which is why the NTSB has recommended their installation after many of our pipeline accident investigations. The NTSB found that natural gas alarms likely would have prevented or reduced the consequences of the Dallas and West Reading accidents, and the evidence in this investigation suggests the same. The Shalimar Drive accident home was empty at the time of that accident; however, when the explosion in the Bristol Boulevard accident home occurred, two people were inside. Therefore, the NTSB concludes that had a natural gas alarm been installed inside the Bristol Boulevard accident home, it could have alerted occupants that natural gas was present, prompting them to evacuate and report the leak, making Atmos aware that the leak had likely worsened and required corrective action. As a result of the West Reading investigation, the NTSB recommended that the 50 States, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: Safety Recommendation P-25-5 is currently classified Open—Await Response. As of this report, 7 states and the District of Columbia have provided an initial response; 43 states and the Commonwealth of Puerto Rico have not responded. Footnote: The seven states that have provided an initial response include Colorado, Connecticut, Kansas, Nevada, North Carolina, Virginia, and Wyoming. Mississippi, the state where the two Jackson accidents occurred, is one of the 43 states that have not provided an initial response. The NTSB investigation of the two Jackson accidents has again identified the critical importance of natural gas alarms to alert occupants to natural gas leaks. Therefore, the NTSB reiterates Safety Recommendation P 25-5 to 50 States, the Commonwealth of Puerto Rico, and the District of Columbia. As discussed in section 1.10.1.1, after the Avondale accident, Atmos reported that it provided the public with information, through its website, on the availability of natural gas alarms. However, Atmos can do more to safeguard the public in its distribution areas. The NTSB is aware of multiple natural gas distribution operators that have made natural gas alarms available to people in their service areas. Footnote: Visit http://www.ntsb.gov to find additional information in the public docket for this NTSB accident investigation (case number PLD24FR003). Therefore, the NTSB recommends that Atmos develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas.
Addressee Name: State of Iowa
Addressee Status: Open - Await Response
Addressee Acronym: IA
Addressee Organization Type: S-State Government
Communication Date: 2025-04-08
Communication Type: Transmittal Letter
Communication Contents: 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 accidents in other modes of transportation—railroad, highway, marine, and pipeline. We determine the probable cause of the accidents and issue safety recommendations aimed at preventing future accidents. In addition, we carry out special studies concerning transportation safety and coordinate the resources of the federal government and other organizations to assist victims and their family members affected by major transportation disasters. We are providing the following information to urge the State of Iowa to act on the safety recommendation in this letter because we believe your organization can help reduce the risk of future accidents. For more information about the NTSB and our recommendation process, please see the attached one-page summary. This letter also includes information about our March 18, 2025, report, UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, NTSB/PIR-25/01. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. As a result of this investigation, we identified the following safety issues: • Degradation of a retired Aldyl A service tee that was accelerated by elevated ground temperatures from a corroded and cracked steam pipe nearby. • UGI Corporation’s insufficient consideration of pipeline integrity threats, particularly Aldyl A service tees with Delrin inserts at elevated temperatures. • Presence of unmarked and unreported private assets crossing public rights-of-way, excluding them from the Pennsylvania One Call System and increasing the risk of damage to them. • Delayed evacuation of Palmer’s Building 2 despite detection of natural gas by employees and others. • Natural gas safety messaging from pipeline operator public awareness programs that may not reach certain members of the public. • Insufficient guidance on natural gas emergency procedures. • Absence of natural gas alarms in commercial buildings. • Insufficient accessibility of gas distribution line valves. Accordingly, the NTSB makes the following safety recommendation to the State of Iowa (additional information regarding this recommendation can be found in the noted section of the report): • Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) (See section 2.5.1.) The NTSB is vitally interested in this recommendation because it is designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter, detailing the actions you have taken or intend to take to implement this recommendation. When replying, please refer to the safety recommendation by number (Safety Recommendation P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply, including attachments, exceeds 20 megabytes, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. All communications regarding safety recommendations are stored by the NTSB and viewable by the public. Please do not send privileged or confidential communications in response to this recommendation. Responses marked as confidential or privileged (or similar designations) will be considered nonresponsive. In the likely event that your company uses auto generated and/or preformatted confidentiality statements on letterhead or outgoing e-mails, please include a statement in your letter indicating that the information can be publicly released. If you have concerns about this protocol, please contact us at ExecutiveSecretariat@ntsb.gov. The attached letter from the NTSB Chairman provides information about the March 18, 2025, report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. The NTSB is vitally interested in these recommendations because they are designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter detailing the actions you have taken or intend to take to implement these recommendations. When replying, please refer to the safety recommendation by number (for example, P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply exceeds 20 megabytes, including attachments, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. From the report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1: 2.5.1 Natural Gas Alarms Public awareness is an effective tool to encourage adoption of safety devices like natural gas alarms. The first edition of API RP 1162 requires that public awareness programs include safety messages about the awareness of hazards and prevention measures as well as leak recognition and response but does not specifically require these programs to disseminate safety messages about natural gas alarms. UGI’s public awareness materials distributed before the accident were consistent with federal regulations, and although the materials promoted the use of smoke and carbon monoxide alarms, they did not address natural gas alarms. Following the accident, UGI now includes safety messages encouraging the purchase of natural gas alarms in its public awareness materials. The NTSB concludes that installing natural gas alarms can alert people of a gas leak so they can evacuate the area; however, natural gas customers may not be aware of the necessity of such alarms. The NTSB believes that messages about the benefits of natural gas alarms are critically important and could save lives when natural gas alarms are installed. The NTSB further believes that the natural gas industry can help shape the effectiveness of public awareness program delivery methods so that people in businesses, schools, residences, and other places of congregation are better informed, both about natural gas hazards and the necessity of natural gas alarms. The American Gas Association, which represents natural gas pipeline operators throughout the US, can facilitate industry efforts to improve public awareness program delivery methods and to improve safety, most critically through increasing the installation of natural gas alarms. Therefore, the NTSB recommends that the American Gas Association share the details of the March 24, 2023, natural gas–fueled explosion and fire in West Reading, Pennsylvania, with its members, encouraging them to evaluate the effectiveness of their current delivery methods of public awareness programs and to promote the installation of natural gas alarms in businesses, residences, and other places of congregation that they serve. Evacuation should occur immediately upon detection of the presence of natural gas. In 1976, the NTSB made its first recommendation to require natural gas detection to provide early warning of leaks. Most recently, after a 2016 building explosion in Silver Spring, Maryland, and then again after the 2018 home explosion in Dallas, we made recommendations to the ICC and the NFPA to require natural gas alarms with methane detection in residences (NTSB 2019). We recommended the ICC work with the
Addressee Acronym: IA
Addressee Organization Type: S-State Government
Communication Date: 2026-04-07
Communication Type: Recommendation Mention
Communication Contents: Pipeline Investigation Report PIR-26-02, “Enbridge Inc. Natural Gas–Fueled Home Explosion and Fatality, South Jordan, Utah, November 6, 2024” published on April 7, 2026: 2 Analysis On November 6, 2024, a natural gas–fueled home explosion fatally injured one resident and damaged nearby homes. A crack in the 4-inch-diameter Aldyl A gas main near the home allowed natural gas to leak and fuel the home explosion. The NTSB found that the crack originated on the inner surface of the pipe and aligned directly with an oblong impression on the outer surface. Investigators determined that a rock impingement likely caused the oblong impression on the outer surface of the pipe and the resulting crack. They also found that the crack growth features indicated that the crack breached the outer surface in a single abrupt event. As a result, the pipe rapidly transitioned from releasing no gas to releasing up to 48.7 scfm, as measured in the lab. Footnote: The actual leak rate may have been lower, given that the pipeline was buried in soil, which would constrain the pipe and provide back-pressure resistance to gas as it leaked from the pipe. Post-explosion, subsurface gas readings showed that the natural gas migrated about 150 feet from the leak location to the home. Although the exact timing of the leak could not be determined, the residents’ observations of physical symptoms, inability to relight the basement water heater, and an unusually high candle flame before the accident suggest that natural gas may have been present in the home for at least 3 days before the explosion. On November 6, the flammable natural gas–air mixture ignited in the southwest quadrant of the basement. The Utah Deputy State Fire Marshal identified two possible sources of the ignition: a water heater and a furnace. The water heater was turned off at the control point, so the only credible ignition source was the furnace. Footnote: The furnace control valve was found postaccident to have significant thermal damage, consistent with it being the ignition source. Before the accident, Enbridge had implemented safeguards to mitigate the consequences of leaks, including periodic leak surveys, timely response to odor complaints, and targeted replacement projects. However, none of these strategies proved effective for this scenario, because of the following issues related to the strategies: • Periodic leak surveys. Regulators require distribution leak surveys to be conducted every 5 years. Enbridge conducted its most recent leak survey on April 29, 2022—two years before the accident. However, in this accident, through-wall crack propagation occurred too rapidly, causing the leak to go undetected before the explosion. • Timely response to odor complaints. Regulators require odorization of natural gas in distribution systems to help alert the public to natural gas leaks. During interviews conducted by investigators, the NTSB determined that the local residents had not smelled natural gas odorant near the accident home, even though gas was determined to have permeated the ground in the area during postaccident surveys, indicating that the odorant had been stripped from the leaked natural gas that ultimately entered the home. Footnote: Field testing of the gas in the distribution system after the explosion found acceptable odorant concentrations. Although odorant can act as an early warning of a gas release to prevent an explosion and fire, it has been known to become depleted when traveling through soil, as it did in this accident. Previous NTSB investigations have identified occurrences of odorant depletion that allowed natural gas leaks to go undetected, resulting in explosions in Dallas, Texas, in 2018 and in Silver Spring, Maryland, in 2016. Footnote: NTSB. 2021. Atmos Energy Corporation Natural Gas–Fueled Explosion, Dallas, Texas, February 23, 2018. PAR-21/01. Washington, DC: NTSB. Footnote: NTSB. 2019. Building Explosion and Fire, Silver Spring, Maryland, August 10, 2016. PAR-19/01. Washington, DC: NTSB. • Targeted replacement projects. A 2014 California Public Utilities Commission study showed that the vintage of Aldyl A present in this accident, with stress concentrations from rock impingement, squeeze-off, bending, or deflection, were statistically predicted to fail between 22 and 235 years after installation. Footnote: California Public Utilities Commission 2014 Hazard Analysis and Mitigation Report On Aldyl A Polyethylene Gas Pipelines in California. Haine 2014. Because the estimated failure time is imprecise (a range of more than 200 years), and because some environmental conditions—such as the locations of rocks in the backfill material—are unknown, the Enbridge evaluation of the cracking threat to the 1976 vintage Aldyl A did not accurately characterize the risk of rock impingements and prevented Enbridge from identifying effective mitigative actions and targeted replacement projects. Even though Enbridge worked continuously to search for the leak after the explosion, it took them more than 21 hours to find and isolate the natural gas leak. During this time, the pipeline continued to leak natural gas into the ground, increasing the risk to nearby residents, first responders, and others operating in the area. When an underground natural gas pipeline leak occurs rapidly, it can be difficult to safeguard against. Natural gas alarms can provide an early warning of natural gas leaks inside nearby structures and can alert the building occupants to take immediate safety actions. Had in-home natural gas alarms been installed in the homes involved in this accident, they would have alerted the residents to a potential problem and prompted them to evacuate and call 911, reducing or eliminating the fatal consequences of the explosion. The NTSB has previously recommended requiring the installation of natural gas alarms in businesses, residences, and other buildings (Safety Recommendation P 25 05).
Addressee Acronym: IA
Addressee Organization Type: S-State Government
Communication Date: 2026-06-05
Communication Type: Recommendation Mention
Communication Contents: Atmos Energy Corporation Natural Gas–Fueled Home Explosion Pipeline Investigation Report PIR-26-03 published on June 5, 2026: Analysis The explosion and fire occurred after natural gas leaked from a fractured buried main, migrated through an uncapped underground sewer lateral, entered the accident home, and reached an explosive concentration near an unknown ignition source. The investigation did not identify issues with gas pressures in the area of the leak or the timeliness or efficacy of the local emergency response agencies. Postaccident bar-hole testing and excavations found only one source of natural gas: a leak in the gas main near a valve box on the eastern edge of the construction site. On-site examinations of the main found that it was fractured around most of its circumference with a thin strip of metal at the top (12 o’clock position) joining the southern section of pipe to the section still threaded into the valve body. This indicates tension—a stretching force—at the bottom of the pipe along its long axis. Tension along the bottom of the pipe is consistent with a bending stress created by an external downward force. Based on information provided to Atmos by the construction superintendent, a cement truck ran over a valve box at the leak’s location immediately before he heard and smelled natural gas being released. The investigation did not identify another plausible external force that could have damaged the main. The Materials Laboratory examination of the main found fracture characteristics typical of fast crack growth and no signs of significant corrosion or preexisting structural damage that could have contributed to the failure. The fracture was therefore consistent with a sudden application of force by the valve box to the main. Based on the fracture’s location, timing, and fast-cracking characteristics, the valve box transmitted part of the cement truck’s weight to the gas main, causing the main to fracture and leak. Examination of the gas main and valve box involved in this accident found coal tar coating the main and deposited on the bottom edge of the valve box. This indicates that the valve box was in contact with the main. The presence of coal tar alone does not indicate when the contact occurred, but the evidence is consistent with the valve box being installed in contact with the main and therefore able transmit the cement truck’s weight directly to the main near the fracture’s location. Federal regulations at 49 CFR 192.181(c)(3) require that valve boxes not be installed in a manner that transmits external loads to mains, and valve boxes are normally installed with a buffer of soil or other protection between the valve box and the assets immediately below. For example, Atmos’s newer valve boxes are installed with support and base pads to prevent load transmission. However, Atmos was not actively replacing cast iron valve boxes with this newer design. Further, the maintenance crew that removed and reinstalled the valve box about 2 months before the accident did not have a specific standard to follow for reinstalling cast iron valve boxes other than an expectation that the top of the valve box be level with the grade. The lack of a standard likely led to the common reinstallation of valve boxes in contact with mains, as described by an Atmos vice president of operations. If Atmos had adopted either a standard for safely installing cast iron valve boxes or a policy of replacing cast iron valve boxes with the newer design, the protective buffer of soil or support pad would have reduced the load transmitted to the pipe on the day of the accident. There is not enough evidence to determine whether a buffer or pad would have prevented the accident, but it would have made the infrastructure more resilient. Atmos has not reported making changes to its valve box installation practices. After the main fractured, gas propagated undetected through an uncapped underground sewer lateral into the sewer system and then into the accident home, where it reached an explosive concentration. The gas in the sewers remained undetected because Atmos personnel did not test the atmosphere in the sewers prior to the explosion. For about 35 minutes, most of the time between the initial leak and the explosion, there was only one Atmos employee on the scene: an experienced senior service technician. He was equipped with a CGI and checked nearby storm drains for the presence of gas, which was one step in Atmos’s subsurface leak investigation procedure. During his interview with the NTSB, he described planning to check the sewers, another required step, but said that he had already confirmed that there was no threat to life or property. His activities after checking the storm drains are also consistent with a belief that he had finished assessing the risk posed by the leak: he switched to the non-safety-critical work of recording billing information for the damage. The investigation did not find evidence of a natural gas alarm in the accident home, which did not have gas service but was still impacted by a leak from a gas main. It is likely that a natural gas alarm would have provided the home’s occupants with warning of accumulating natural gas and given them an opportunity to evacuate before the explosion. The NTSB has advocated wider installation and use of natural gas alarms for nearly 50 years, including following the investigation into a pair of 2024 home explosions in Jackson, Mississippi, that involved Atmos assets. As a result of that investigation, the NTSB reiterated a recommendation to the 50 states, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: See CAROL for the complete history and current status of this recommendation. The NTSB also recommended that Atmos “develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas” (P-26-10).11F Footnote: See CAROL for the complete history and current status of this recommendation.
Addressee Acronym: IA
Addressee Organization Type: S-State Government
Communication Date: 2026-03-26
Communication Type: Recommendation Reiteration
Communication Contents: From the Report, “Atmos Energy Corporation Natural Gas-Fueled Home Explosions and Fires Jackson, Mississippi, January 24, 2024, and January 27, 2024” published on March 26, 2026. Absence of Natural Gas Detection Alarms in Buildings The Bristol Boulevard accident home and the Shalimar Drive accident home did not have natural gas alarms installed. For nearly 50 years, the NTSB has been recommending natural gas alarms for the early detection of natural gas leaks. In the West Reading accident, several candy factory employees told the NTSB that they had smelled natural gas odorant and did not call 9 1 1 or the gas company but stayed in the building until the explosion occurred. Some of the employees inquired with their managers about what to do, and their managers were equally unaware of the actions to take during a suspected natural gas leak. In the two Jackson accidents, and in many of the pipeline accidents the NTSB has investigated for the last 5 decades, people smelled natural gas odorant and either did not know what actions to take, or they knew the actions necessary to address a potential natural gas emergency but did not execute them. Natural gas distribution pipeline operators must educate the public on pipeline safety through public awareness programs. It is also necessary, however, to have safeguards in place when members of the public (1) smell natural gas odorant and do not take the appropriate safety actions and (2) do not smell natural gas odorant, as was the case in the NTSB investigation of the Dallas accident, and therefore do not take appropriate safety actions. Footnote: The NTSB’s Dallas investigation determined that the occupants in the accident homes did not smell natural gas odorant because it was absorbed and depleted in the soil. Natural gas alarms are safeguards in protecting the public, which is why the NTSB has recommended their installation after many of our pipeline accident investigations. The NTSB found that natural gas alarms likely would have prevented or reduced the consequences of the Dallas and West Reading accidents, and the evidence in this investigation suggests the same. The Shalimar Drive accident home was empty at the time of that accident; however, when the explosion in the Bristol Boulevard accident home occurred, two people were inside. Therefore, the NTSB concludes that had a natural gas alarm been installed inside the Bristol Boulevard accident home, it could have alerted occupants that natural gas was present, prompting them to evacuate and report the leak, making Atmos aware that the leak had likely worsened and required corrective action. As a result of the West Reading investigation, the NTSB recommended that the 50 States, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: Safety Recommendation P-25-5 is currently classified Open—Await Response. As of this report, 7 states and the District of Columbia have provided an initial response; 43 states and the Commonwealth of Puerto Rico have not responded. Footnote: The seven states that have provided an initial response include Colorado, Connecticut, Kansas, Nevada, North Carolina, Virginia, and Wyoming. Mississippi, the state where the two Jackson accidents occurred, is one of the 43 states that have not provided an initial response. The NTSB investigation of the two Jackson accidents has again identified the critical importance of natural gas alarms to alert occupants to natural gas leaks. Therefore, the NTSB reiterates Safety Recommendation P 25-5 to 50 States, the Commonwealth of Puerto Rico, and the District of Columbia. As discussed in section 1.10.1.1, after the Avondale accident, Atmos reported that it provided the public with information, through its website, on the availability of natural gas alarms. However, Atmos can do more to safeguard the public in its distribution areas. The NTSB is aware of multiple natural gas distribution operators that have made natural gas alarms available to people in their service areas. Footnote: Visit http://www.ntsb.gov to find additional information in the public docket for this NTSB accident investigation (case number PLD24FR003). Therefore, the NTSB recommends that Atmos develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas.
Addressee Name: State of Indiana
Addressee Status: Open - Await Response
Addressee Acronym: IN
Addressee Organization Type: S-State Government
Communication Date: 2025-04-08
Communication Type: Transmittal Letter
Communication Contents: 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 accidents in other modes of transportation—railroad, highway, marine, and pipeline. We determine the probable cause of the accidents and issue safety recommendations aimed at preventing future accidents. In addition, we carry out special studies concerning transportation safety and coordinate the resources of the federal government and other organizations to assist victims and their family members affected by major transportation disasters. We are providing the following information to urge the State of Indiana to act on the safety recommendation in this letter because we believe your organization can help reduce the risk of future accidents. For more information about the NTSB and our recommendation process, please see the attached one-page summary. This letter also includes information about our March 18, 2025, report, UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, NTSB/PIR-25/01. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. As a result of this investigation, we identified the following safety issues: • Degradation of a retired Aldyl A service tee that was accelerated by elevated ground temperatures from a corroded and cracked steam pipe nearby. • UGI Corporation’s insufficient consideration of pipeline integrity threats, particularly Aldyl A service tees with Delrin inserts at elevated temperatures. • Presence of unmarked and unreported private assets crossing public rights-of-way, excluding them from the Pennsylvania One Call System and increasing the risk of damage to them. • Delayed evacuation of Palmer’s Building 2 despite detection of natural gas by employees and others. • Natural gas safety messaging from pipeline operator public awareness programs that may not reach certain members of the public. • Insufficient guidance on natural gas emergency procedures. • Absence of natural gas alarms in commercial buildings. • Insufficient accessibility of gas distribution line valves. Accordingly, the NTSB makes the following safety recommendation to the State of Indiana (additional information regarding this recommendation can be found in the noted section of the report): • Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) (See section 2.5.1.) The NTSB is vitally interested in this recommendation because it is designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter, detailing the actions you have taken or intend to take to implement this recommendation. When replying, please refer to the safety recommendation by number (Safety Recommendation P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply, including attachments, exceeds 20 megabytes, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. All communications regarding safety recommendations are stored by the NTSB and viewable by the public. Please do not send privileged or confidential communications in response to this recommendation. Responses marked as confidential or privileged (or similar designations) will be considered nonresponsive. In the likely event that your company uses auto generated and/or preformatted confidentiality statements on letterhead or outgoing e-mails, please include a statement in your letter indicating that the information can be publicly released. If you have concerns about this protocol, please contact us at ExecutiveSecretariat@ntsb.gov. The attached letter from the NTSB Chairman provides information about the March 18, 2025, report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. The NTSB is vitally interested in these recommendations because they are designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter detailing the actions you have taken or intend to take to implement these recommendations. When replying, please refer to the safety recommendation by number (for example, P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply exceeds 20 megabytes, including attachments, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. From the report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1: 2.5.1 Natural Gas Alarms Public awareness is an effective tool to encourage adoption of safety devices like natural gas alarms. The first edition of API RP 1162 requires that public awareness programs include safety messages about the awareness of hazards and prevention measures as well as leak recognition and response but does not specifically require these programs to disseminate safety messages about natural gas alarms. UGI’s public awareness materials distributed before the accident were consistent with federal regulations, and although the materials promoted the use of smoke and carbon monoxide alarms, they did not address natural gas alarms. Following the accident, UGI now includes safety messages encouraging the purchase of natural gas alarms in its public awareness materials. The NTSB concludes that installing natural gas alarms can alert people of a gas leak so they can evacuate the area; however, natural gas customers may not be aware of the necessity of such alarms. The NTSB believes that messages about the benefits of natural gas alarms are critically important and could save lives when natural gas alarms are installed. The NTSB further believes that the natural gas industry can help shape the effectiveness of public awareness program delivery methods so that people in businesses, schools, residences, and other places of congregation are better informed, both about natural gas hazards and the necessity of natural gas alarms. The American Gas Association, which represents natural gas pipeline operators throughout the US, can facilitate industry efforts to improve public awareness program delivery methods and to improve safety, most critically through increasing the installation of natural gas alarms. Therefore, the NTSB recommends that the American Gas Association share the details of the March 24, 2023, natural gas–fueled explosion and fire in West Reading, Pennsylvania, with its members, encouraging them to evaluate the effectiveness of their current delivery methods of public awareness programs and to promote the installation of natural gas alarms in businesses, residences, and other places of congregation that they serve. Evacuation should occur immediately upon detection of the presence of natural gas. In 1976, the NTSB made its first recommendation to require natural gas detection to provide early warning of leaks. Most recently, after a 2016 building explosion in Silver Spring, Maryland, and then again after the 2018 home explosion in Dallas, we made recommendations to the ICC and the NFPA to require natural gas alarms with methane detection in residences (NTSB 2019). We recommended the ICC work wi
Addressee Acronym: IN
Addressee Organization Type: S-State Government
Communication Date: 2026-04-07
Communication Type: Recommendation Mention
Communication Contents: Pipeline Investigation Report PIR-26-02, “Enbridge Inc. Natural Gas–Fueled Home Explosion and Fatality, South Jordan, Utah, November 6, 2024” published on April 7, 2026: 2 Analysis On November 6, 2024, a natural gas–fueled home explosion fatally injured one resident and damaged nearby homes. A crack in the 4-inch-diameter Aldyl A gas main near the home allowed natural gas to leak and fuel the home explosion. The NTSB found that the crack originated on the inner surface of the pipe and aligned directly with an oblong impression on the outer surface. Investigators determined that a rock impingement likely caused the oblong impression on the outer surface of the pipe and the resulting crack. They also found that the crack growth features indicated that the crack breached the outer surface in a single abrupt event. As a result, the pipe rapidly transitioned from releasing no gas to releasing up to 48.7 scfm, as measured in the lab. Footnote: The actual leak rate may have been lower, given that the pipeline was buried in soil, which would constrain the pipe and provide back-pressure resistance to gas as it leaked from the pipe. Post-explosion, subsurface gas readings showed that the natural gas migrated about 150 feet from the leak location to the home. Although the exact timing of the leak could not be determined, the residents’ observations of physical symptoms, inability to relight the basement water heater, and an unusually high candle flame before the accident suggest that natural gas may have been present in the home for at least 3 days before the explosion. On November 6, the flammable natural gas–air mixture ignited in the southwest quadrant of the basement. The Utah Deputy State Fire Marshal identified two possible sources of the ignition: a water heater and a furnace. The water heater was turned off at the control point, so the only credible ignition source was the furnace. Footnote: The furnace control valve was found postaccident to have significant thermal damage, consistent with it being the ignition source. Before the accident, Enbridge had implemented safeguards to mitigate the consequences of leaks, including periodic leak surveys, timely response to odor complaints, and targeted replacement projects. However, none of these strategies proved effective for this scenario, because of the following issues related to the strategies: • Periodic leak surveys. Regulators require distribution leak surveys to be conducted every 5 years. Enbridge conducted its most recent leak survey on April 29, 2022—two years before the accident. However, in this accident, through-wall crack propagation occurred too rapidly, causing the leak to go undetected before the explosion. • Timely response to odor complaints. Regulators require odorization of natural gas in distribution systems to help alert the public to natural gas leaks. During interviews conducted by investigators, the NTSB determined that the local residents had not smelled natural gas odorant near the accident home, even though gas was determined to have permeated the ground in the area during postaccident surveys, indicating that the odorant had been stripped from the leaked natural gas that ultimately entered the home. Footnote: Field testing of the gas in the distribution system after the explosion found acceptable odorant concentrations. Although odorant can act as an early warning of a gas release to prevent an explosion and fire, it has been known to become depleted when traveling through soil, as it did in this accident. Previous NTSB investigations have identified occurrences of odorant depletion that allowed natural gas leaks to go undetected, resulting in explosions in Dallas, Texas, in 2018 and in Silver Spring, Maryland, in 2016. Footnote: NTSB. 2021. Atmos Energy Corporation Natural Gas–Fueled Explosion, Dallas, Texas, February 23, 2018. PAR-21/01. Washington, DC: NTSB. Footnote: NTSB. 2019. Building Explosion and Fire, Silver Spring, Maryland, August 10, 2016. PAR-19/01. Washington, DC: NTSB. • Targeted replacement projects. A 2014 California Public Utilities Commission study showed that the vintage of Aldyl A present in this accident, with stress concentrations from rock impingement, squeeze-off, bending, or deflection, were statistically predicted to fail between 22 and 235 years after installation. Footnote: California Public Utilities Commission 2014 Hazard Analysis and Mitigation Report On Aldyl A Polyethylene Gas Pipelines in California. Haine 2014. Because the estimated failure time is imprecise (a range of more than 200 years), and because some environmental conditions—such as the locations of rocks in the backfill material—are unknown, the Enbridge evaluation of the cracking threat to the 1976 vintage Aldyl A did not accurately characterize the risk of rock impingements and prevented Enbridge from identifying effective mitigative actions and targeted replacement projects. Even though Enbridge worked continuously to search for the leak after the explosion, it took them more than 21 hours to find and isolate the natural gas leak. During this time, the pipeline continued to leak natural gas into the ground, increasing the risk to nearby residents, first responders, and others operating in the area. When an underground natural gas pipeline leak occurs rapidly, it can be difficult to safeguard against. Natural gas alarms can provide an early warning of natural gas leaks inside nearby structures and can alert the building occupants to take immediate safety actions. Had in-home natural gas alarms been installed in the homes involved in this accident, they would have alerted the residents to a potential problem and prompted them to evacuate and call 911, reducing or eliminating the fatal consequences of the explosion. The NTSB has previously recommended requiring the installation of natural gas alarms in businesses, residences, and other buildings (Safety Recommendation P 25 05).
Addressee Acronym: IN
Addressee Organization Type: S-State Government
Communication Date: 2026-06-05
Communication Type: Recommendation Mention
Communication Contents: Atmos Energy Corporation Natural Gas–Fueled Home Explosion Pipeline Investigation Report PIR-26-03 published on June 5, 2026: Analysis The explosion and fire occurred after natural gas leaked from a fractured buried main, migrated through an uncapped underground sewer lateral, entered the accident home, and reached an explosive concentration near an unknown ignition source. The investigation did not identify issues with gas pressures in the area of the leak or the timeliness or efficacy of the local emergency response agencies. Postaccident bar-hole testing and excavations found only one source of natural gas: a leak in the gas main near a valve box on the eastern edge of the construction site. On-site examinations of the main found that it was fractured around most of its circumference with a thin strip of metal at the top (12 o’clock position) joining the southern section of pipe to the section still threaded into the valve body. This indicates tension—a stretching force—at the bottom of the pipe along its long axis. Tension along the bottom of the pipe is consistent with a bending stress created by an external downward force. Based on information provided to Atmos by the construction superintendent, a cement truck ran over a valve box at the leak’s location immediately before he heard and smelled natural gas being released. The investigation did not identify another plausible external force that could have damaged the main. The Materials Laboratory examination of the main found fracture characteristics typical of fast crack growth and no signs of significant corrosion or preexisting structural damage that could have contributed to the failure. The fracture was therefore consistent with a sudden application of force by the valve box to the main. Based on the fracture’s location, timing, and fast-cracking characteristics, the valve box transmitted part of the cement truck’s weight to the gas main, causing the main to fracture and leak. Examination of the gas main and valve box involved in this accident found coal tar coating the main and deposited on the bottom edge of the valve box. This indicates that the valve box was in contact with the main. The presence of coal tar alone does not indicate when the contact occurred, but the evidence is consistent with the valve box being installed in contact with the main and therefore able transmit the cement truck’s weight directly to the main near the fracture’s location. Federal regulations at 49 CFR 192.181(c)(3) require that valve boxes not be installed in a manner that transmits external loads to mains, and valve boxes are normally installed with a buffer of soil or other protection between the valve box and the assets immediately below. For example, Atmos’s newer valve boxes are installed with support and base pads to prevent load transmission. However, Atmos was not actively replacing cast iron valve boxes with this newer design. Further, the maintenance crew that removed and reinstalled the valve box about 2 months before the accident did not have a specific standard to follow for reinstalling cast iron valve boxes other than an expectation that the top of the valve box be level with the grade. The lack of a standard likely led to the common reinstallation of valve boxes in contact with mains, as described by an Atmos vice president of operations. If Atmos had adopted either a standard for safely installing cast iron valve boxes or a policy of replacing cast iron valve boxes with the newer design, the protective buffer of soil or support pad would have reduced the load transmitted to the pipe on the day of the accident. There is not enough evidence to determine whether a buffer or pad would have prevented the accident, but it would have made the infrastructure more resilient. Atmos has not reported making changes to its valve box installation practices. After the main fractured, gas propagated undetected through an uncapped underground sewer lateral into the sewer system and then into the accident home, where it reached an explosive concentration. The gas in the sewers remained undetected because Atmos personnel did not test the atmosphere in the sewers prior to the explosion. For about 35 minutes, most of the time between the initial leak and the explosion, there was only one Atmos employee on the scene: an experienced senior service technician. He was equipped with a CGI and checked nearby storm drains for the presence of gas, which was one step in Atmos’s subsurface leak investigation procedure. During his interview with the NTSB, he described planning to check the sewers, another required step, but said that he had already confirmed that there was no threat to life or property. His activities after checking the storm drains are also consistent with a belief that he had finished assessing the risk posed by the leak: he switched to the non-safety-critical work of recording billing information for the damage. The investigation did not find evidence of a natural gas alarm in the accident home, which did not have gas service but was still impacted by a leak from a gas main. It is likely that a natural gas alarm would have provided the home’s occupants with warning of accumulating natural gas and given them an opportunity to evacuate before the explosion. The NTSB has advocated wider installation and use of natural gas alarms for nearly 50 years, including following the investigation into a pair of 2024 home explosions in Jackson, Mississippi, that involved Atmos assets. As a result of that investigation, the NTSB reiterated a recommendation to the 50 states, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: See CAROL for the complete history and current status of this recommendation. The NTSB also recommended that Atmos “develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas” (P-26-10).11F Footnote: See CAROL for the complete history and current status of this recommendation.
Addressee Acronym: IN
Addressee Organization Type: S-State Government
Communication Date: 2026-03-26
Communication Type: Recommendation Reiteration
Communication Contents: From the Report, “Atmos Energy Corporation Natural Gas-Fueled Home Explosions and Fires Jackson, Mississippi, January 24, 2024, and January 27, 2024” published on March 26, 2026. Absence of Natural Gas Detection Alarms in Buildings The Bristol Boulevard accident home and the Shalimar Drive accident home did not have natural gas alarms installed. For nearly 50 years, the NTSB has been recommending natural gas alarms for the early detection of natural gas leaks. In the West Reading accident, several candy factory employees told the NTSB that they had smelled natural gas odorant and did not call 9 1 1 or the gas company but stayed in the building until the explosion occurred. Some of the employees inquired with their managers about what to do, and their managers were equally unaware of the actions to take during a suspected natural gas leak. In the two Jackson accidents, and in many of the pipeline accidents the NTSB has investigated for the last 5 decades, people smelled natural gas odorant and either did not know what actions to take, or they knew the actions necessary to address a potential natural gas emergency but did not execute them. Natural gas distribution pipeline operators must educate the public on pipeline safety through public awareness programs. It is also necessary, however, to have safeguards in place when members of the public (1) smell natural gas odorant and do not take the appropriate safety actions and (2) do not smell natural gas odorant, as was the case in the NTSB investigation of the Dallas accident, and therefore do not take appropriate safety actions. Footnote: The NTSB’s Dallas investigation determined that the occupants in the accident homes did not smell natural gas odorant because it was absorbed and depleted in the soil. Natural gas alarms are safeguards in protecting the public, which is why the NTSB has recommended their installation after many of our pipeline accident investigations. The NTSB found that natural gas alarms likely would have prevented or reduced the consequences of the Dallas and West Reading accidents, and the evidence in this investigation suggests the same. The Shalimar Drive accident home was empty at the time of that accident; however, when the explosion in the Bristol Boulevard accident home occurred, two people were inside. Therefore, the NTSB concludes that had a natural gas alarm been installed inside the Bristol Boulevard accident home, it could have alerted occupants that natural gas was present, prompting them to evacuate and report the leak, making Atmos aware that the leak had likely worsened and required corrective action. As a result of the West Reading investigation, the NTSB recommended that the 50 States, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: Safety Recommendation P-25-5 is currently classified Open—Await Response. As of this report, 7 states and the District of Columbia have provided an initial response; 43 states and the Commonwealth of Puerto Rico have not responded. Footnote: The seven states that have provided an initial response include Colorado, Connecticut, Kansas, Nevada, North Carolina, Virginia, and Wyoming. Mississippi, the state where the two Jackson accidents occurred, is one of the 43 states that have not provided an initial response. The NTSB investigation of the two Jackson accidents has again identified the critical importance of natural gas alarms to alert occupants to natural gas leaks. Therefore, the NTSB reiterates Safety Recommendation P 25-5 to 50 States, the Commonwealth of Puerto Rico, and the District of Columbia. As discussed in section 1.10.1.1, after the Avondale accident, Atmos reported that it provided the public with information, through its website, on the availability of natural gas alarms. However, Atmos can do more to safeguard the public in its distribution areas. The NTSB is aware of multiple natural gas distribution operators that have made natural gas alarms available to people in their service areas. Footnote: Visit http://www.ntsb.gov to find additional information in the public docket for this NTSB accident investigation (case number PLD24FR003). Therefore, the NTSB recommends that Atmos develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas.
Addressee Name: State of Illinois
Addressee Status: Open - Await Response
Addressee Acronym: IL
Addressee Organization Type: S-State Government
Communication Date: 2025-04-08
Communication Type: Transmittal Letter
Communication Contents: 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 accidents in other modes of transportation—railroad, highway, marine, and pipeline. We determine the probable cause of the accidents and issue safety recommendations aimed at preventing future accidents. In addition, we carry out special studies concerning transportation safety and coordinate the resources of the federal government and other organizations to assist victims and their family members affected by major transportation disasters. We are providing the following information to urge the State of Illinois to act on the safety recommendation in this letter because we believe your organization can help reduce the risk of future accidents. For more information about the NTSB and our recommendation process, please see the attached one-page summary. This letter also includes information about our March 18, 2025, report, UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, NTSB/PIR-25/01. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. As a result of this investigation, we identified the following safety issues: • Degradation of a retired Aldyl A service tee that was accelerated by elevated ground temperatures from a corroded and cracked steam pipe nearby. • UGI Corporation’s insufficient consideration of pipeline integrity threats, particularly Aldyl A service tees with Delrin inserts at elevated temperatures. • Presence of unmarked and unreported private assets crossing public rights-of-way, excluding them from the Pennsylvania One Call System and increasing the risk of damage to them. • Delayed evacuation of Palmer’s Building 2 despite detection of natural gas by employees and others. • Natural gas safety messaging from pipeline operator public awareness programs that may not reach certain members of the public. • Insufficient guidance on natural gas emergency procedures. • Absence of natural gas alarms in commercial buildings. • Insufficient accessibility of gas distribution line valves. Accordingly, the NTSB makes the following safety recommendation to the State of Illinois (additional information regarding this recommendation can be found in the noted section of the report): • Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) (See section 2.5.1.) The NTSB is vitally interested in this recommendation because it is designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter, detailing the actions you have taken or intend to take to implement this recommendation. When replying, please refer to the safety recommendation by number (Safety Recommendation P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply, including attachments, exceeds 20 megabytes, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. All communications regarding safety recommendations are stored by the NTSB and viewable by the public. Please do not send privileged or confidential communications in response to this recommendation. Responses marked as confidential or privileged (or similar designations) will be considered nonresponsive. In the likely event that your company uses auto generated and/or preformatted confidentiality statements on letterhead or outgoing e-mails, please include a statement in your letter indicating that the information can be publicly released. If you have concerns about this protocol, please contact us at ExecutiveSecretariat@ntsb.gov. The attached letter from the NTSB Chairman provides information about the March 18, 2025, report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. The NTSB is vitally interested in these recommendations because they are designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter detailing the actions you have taken or intend to take to implement these recommendations. When replying, please refer to the safety recommendation by number (for example, P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply exceeds 20 megabytes, including attachments, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. From the report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1: 2.5.1 Natural Gas Alarms Public awareness is an effective tool to encourage adoption of safety devices like natural gas alarms. The first edition of API RP 1162 requires that public awareness programs include safety messages about the awareness of hazards and prevention measures as well as leak recognition and response but does not specifically require these programs to disseminate safety messages about natural gas alarms. UGI’s public awareness materials distributed before the accident were consistent with federal regulations, and although the materials promoted the use of smoke and carbon monoxide alarms, they did not address natural gas alarms. Following the accident, UGI now includes safety messages encouraging the purchase of natural gas alarms in its public awareness materials. The NTSB concludes that installing natural gas alarms can alert people of a gas leak so they can evacuate the area; however, natural gas customers may not be aware of the necessity of such alarms. The NTSB believes that messages about the benefits of natural gas alarms are critically important and could save lives when natural gas alarms are installed. The NTSB further believes that the natural gas industry can help shape the effectiveness of public awareness program delivery methods so that people in businesses, schools, residences, and other places of congregation are better informed, both about natural gas hazards and the necessity of natural gas alarms. The American Gas Association, which represents natural gas pipeline operators throughout the US, can facilitate industry efforts to improve public awareness program delivery methods and to improve safety, most critically through increasing the installation of natural gas alarms. Therefore, the NTSB recommends that the American Gas Association share the details of the March 24, 2023, natural gas–fueled explosion and fire in West Reading, Pennsylvania, with its members, encouraging them to evaluate the effectiveness of their current delivery methods of public awareness programs and to promote the installation of natural gas alarms in businesses, residences, and other places of congregation that they serve. Evacuation should occur immediately upon detection of the presence of natural gas. In 1976, the NTSB made its first recommendation to require natural gas detection to provide early warning of leaks. Most recently, after a 2016 building explosion in Silver Spring, Maryland, and then again after the 2018 home explosion in Dallas, we made recommendations to the ICC and the NFPA to require natural gas alarms with methane detection in residences (NTSB 2019). We recommended the ICC work
Addressee Acronym: IL
Addressee Organization Type: S-State Government
Communication Date: 2026-04-07
Communication Type: Recommendation Mention
Communication Contents: Pipeline Investigation Report PIR-26-02, “Enbridge Inc. Natural Gas–Fueled Home Explosion and Fatality, South Jordan, Utah, November 6, 2024” published on April 7, 2026: 2 Analysis On November 6, 2024, a natural gas–fueled home explosion fatally injured one resident and damaged nearby homes. A crack in the 4-inch-diameter Aldyl A gas main near the home allowed natural gas to leak and fuel the home explosion. The NTSB found that the crack originated on the inner surface of the pipe and aligned directly with an oblong impression on the outer surface. Investigators determined that a rock impingement likely caused the oblong impression on the outer surface of the pipe and the resulting crack. They also found that the crack growth features indicated that the crack breached the outer surface in a single abrupt event. As a result, the pipe rapidly transitioned from releasing no gas to releasing up to 48.7 scfm, as measured in the lab. Footnote: The actual leak rate may have been lower, given that the pipeline was buried in soil, which would constrain the pipe and provide back-pressure resistance to gas as it leaked from the pipe. Post-explosion, subsurface gas readings showed that the natural gas migrated about 150 feet from the leak location to the home. Although the exact timing of the leak could not be determined, the residents’ observations of physical symptoms, inability to relight the basement water heater, and an unusually high candle flame before the accident suggest that natural gas may have been present in the home for at least 3 days before the explosion. On November 6, the flammable natural gas–air mixture ignited in the southwest quadrant of the basement. The Utah Deputy State Fire Marshal identified two possible sources of the ignition: a water heater and a furnace. The water heater was turned off at the control point, so the only credible ignition source was the furnace. Footnote: The furnace control valve was found postaccident to have significant thermal damage, consistent with it being the ignition source. Before the accident, Enbridge had implemented safeguards to mitigate the consequences of leaks, including periodic leak surveys, timely response to odor complaints, and targeted replacement projects. However, none of these strategies proved effective for this scenario, because of the following issues related to the strategies: • Periodic leak surveys. Regulators require distribution leak surveys to be conducted every 5 years. Enbridge conducted its most recent leak survey on April 29, 2022—two years before the accident. However, in this accident, through-wall crack propagation occurred too rapidly, causing the leak to go undetected before the explosion. • Timely response to odor complaints. Regulators require odorization of natural gas in distribution systems to help alert the public to natural gas leaks. During interviews conducted by investigators, the NTSB determined that the local residents had not smelled natural gas odorant near the accident home, even though gas was determined to have permeated the ground in the area during postaccident surveys, indicating that the odorant had been stripped from the leaked natural gas that ultimately entered the home. Footnote: Field testing of the gas in the distribution system after the explosion found acceptable odorant concentrations. Although odorant can act as an early warning of a gas release to prevent an explosion and fire, it has been known to become depleted when traveling through soil, as it did in this accident. Previous NTSB investigations have identified occurrences of odorant depletion that allowed natural gas leaks to go undetected, resulting in explosions in Dallas, Texas, in 2018 and in Silver Spring, Maryland, in 2016. Footnote: NTSB. 2021. Atmos Energy Corporation Natural Gas–Fueled Explosion, Dallas, Texas, February 23, 2018. PAR-21/01. Washington, DC: NTSB. Footnote: NTSB. 2019. Building Explosion and Fire, Silver Spring, Maryland, August 10, 2016. PAR-19/01. Washington, DC: NTSB. • Targeted replacement projects. A 2014 California Public Utilities Commission study showed that the vintage of Aldyl A present in this accident, with stress concentrations from rock impingement, squeeze-off, bending, or deflection, were statistically predicted to fail between 22 and 235 years after installation. Footnote: California Public Utilities Commission 2014 Hazard Analysis and Mitigation Report On Aldyl A Polyethylene Gas Pipelines in California. Haine 2014. Because the estimated failure time is imprecise (a range of more than 200 years), and because some environmental conditions—such as the locations of rocks in the backfill material—are unknown, the Enbridge evaluation of the cracking threat to the 1976 vintage Aldyl A did not accurately characterize the risk of rock impingements and prevented Enbridge from identifying effective mitigative actions and targeted replacement projects. Even though Enbridge worked continuously to search for the leak after the explosion, it took them more than 21 hours to find and isolate the natural gas leak. During this time, the pipeline continued to leak natural gas into the ground, increasing the risk to nearby residents, first responders, and others operating in the area. When an underground natural gas pipeline leak occurs rapidly, it can be difficult to safeguard against. Natural gas alarms can provide an early warning of natural gas leaks inside nearby structures and can alert the building occupants to take immediate safety actions. Had in-home natural gas alarms been installed in the homes involved in this accident, they would have alerted the residents to a potential problem and prompted them to evacuate and call 911, reducing or eliminating the fatal consequences of the explosion. The NTSB has previously recommended requiring the installation of natural gas alarms in businesses, residences, and other buildings (Safety Recommendation P 25 05).
Addressee Acronym: IL
Addressee Organization Type: S-State Government
Communication Date: 2026-06-05
Communication Type: Recommendation Mention
Communication Contents: Atmos Energy Corporation Natural Gas–Fueled Home Explosion Pipeline Investigation Report PIR-26-03 published on June 5, 2026: Analysis The explosion and fire occurred after natural gas leaked from a fractured buried main, migrated through an uncapped underground sewer lateral, entered the accident home, and reached an explosive concentration near an unknown ignition source. The investigation did not identify issues with gas pressures in the area of the leak or the timeliness or efficacy of the local emergency response agencies. Postaccident bar-hole testing and excavations found only one source of natural gas: a leak in the gas main near a valve box on the eastern edge of the construction site. On-site examinations of the main found that it was fractured around most of its circumference with a thin strip of metal at the top (12 o’clock position) joining the southern section of pipe to the section still threaded into the valve body. This indicates tension—a stretching force—at the bottom of the pipe along its long axis. Tension along the bottom of the pipe is consistent with a bending stress created by an external downward force. Based on information provided to Atmos by the construction superintendent, a cement truck ran over a valve box at the leak’s location immediately before he heard and smelled natural gas being released. The investigation did not identify another plausible external force that could have damaged the main. The Materials Laboratory examination of the main found fracture characteristics typical of fast crack growth and no signs of significant corrosion or preexisting structural damage that could have contributed to the failure. The fracture was therefore consistent with a sudden application of force by the valve box to the main. Based on the fracture’s location, timing, and fast-cracking characteristics, the valve box transmitted part of the cement truck’s weight to the gas main, causing the main to fracture and leak. Examination of the gas main and valve box involved in this accident found coal tar coating the main and deposited on the bottom edge of the valve box. This indicates that the valve box was in contact with the main. The presence of coal tar alone does not indicate when the contact occurred, but the evidence is consistent with the valve box being installed in contact with the main and therefore able transmit the cement truck’s weight directly to the main near the fracture’s location. Federal regulations at 49 CFR 192.181(c)(3) require that valve boxes not be installed in a manner that transmits external loads to mains, and valve boxes are normally installed with a buffer of soil or other protection between the valve box and the assets immediately below. For example, Atmos’s newer valve boxes are installed with support and base pads to prevent load transmission. However, Atmos was not actively replacing cast iron valve boxes with this newer design. Further, the maintenance crew that removed and reinstalled the valve box about 2 months before the accident did not have a specific standard to follow for reinstalling cast iron valve boxes other than an expectation that the top of the valve box be level with the grade. The lack of a standard likely led to the common reinstallation of valve boxes in contact with mains, as described by an Atmos vice president of operations. If Atmos had adopted either a standard for safely installing cast iron valve boxes or a policy of replacing cast iron valve boxes with the newer design, the protective buffer of soil or support pad would have reduced the load transmitted to the pipe on the day of the accident. There is not enough evidence to determine whether a buffer or pad would have prevented the accident, but it would have made the infrastructure more resilient. Atmos has not reported making changes to its valve box installation practices. After the main fractured, gas propagated undetected through an uncapped underground sewer lateral into the sewer system and then into the accident home, where it reached an explosive concentration. The gas in the sewers remained undetected because Atmos personnel did not test the atmosphere in the sewers prior to the explosion. For about 35 minutes, most of the time between the initial leak and the explosion, there was only one Atmos employee on the scene: an experienced senior service technician. He was equipped with a CGI and checked nearby storm drains for the presence of gas, which was one step in Atmos’s subsurface leak investigation procedure. During his interview with the NTSB, he described planning to check the sewers, another required step, but said that he had already confirmed that there was no threat to life or property. His activities after checking the storm drains are also consistent with a belief that he had finished assessing the risk posed by the leak: he switched to the non-safety-critical work of recording billing information for the damage. The investigation did not find evidence of a natural gas alarm in the accident home, which did not have gas service but was still impacted by a leak from a gas main. It is likely that a natural gas alarm would have provided the home’s occupants with warning of accumulating natural gas and given them an opportunity to evacuate before the explosion. The NTSB has advocated wider installation and use of natural gas alarms for nearly 50 years, including following the investigation into a pair of 2024 home explosions in Jackson, Mississippi, that involved Atmos assets. As a result of that investigation, the NTSB reiterated a recommendation to the 50 states, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: See CAROL for the complete history and current status of this recommendation. The NTSB also recommended that Atmos “develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas” (P-26-10).11F Footnote: See CAROL for the complete history and current status of this recommendation.
Addressee Acronym: IL
Addressee Organization Type: S-State Government
Communication Date: 2026-03-26
Communication Type: Recommendation Reiteration
Communication Contents: From the Report, “Atmos Energy Corporation Natural Gas-Fueled Home Explosions and Fires Jackson, Mississippi, January 24, 2024, and January 27, 2024” published on March 26, 2026. Absence of Natural Gas Detection Alarms in Buildings The Bristol Boulevard accident home and the Shalimar Drive accident home did not have natural gas alarms installed. For nearly 50 years, the NTSB has been recommending natural gas alarms for the early detection of natural gas leaks. In the West Reading accident, several candy factory employees told the NTSB that they had smelled natural gas odorant and did not call 9 1 1 or the gas company but stayed in the building until the explosion occurred. Some of the employees inquired with their managers about what to do, and their managers were equally unaware of the actions to take during a suspected natural gas leak. In the two Jackson accidents, and in many of the pipeline accidents the NTSB has investigated for the last 5 decades, people smelled natural gas odorant and either did not know what actions to take, or they knew the actions necessary to address a potential natural gas emergency but did not execute them. Natural gas distribution pipeline operators must educate the public on pipeline safety through public awareness programs. It is also necessary, however, to have safeguards in place when members of the public (1) smell natural gas odorant and do not take the appropriate safety actions and (2) do not smell natural gas odorant, as was the case in the NTSB investigation of the Dallas accident, and therefore do not take appropriate safety actions. Footnote: The NTSB’s Dallas investigation determined that the occupants in the accident homes did not smell natural gas odorant because it was absorbed and depleted in the soil. Natural gas alarms are safeguards in protecting the public, which is why the NTSB has recommended their installation after many of our pipeline accident investigations. The NTSB found that natural gas alarms likely would have prevented or reduced the consequences of the Dallas and West Reading accidents, and the evidence in this investigation suggests the same. The Shalimar Drive accident home was empty at the time of that accident; however, when the explosion in the Bristol Boulevard accident home occurred, two people were inside. Therefore, the NTSB concludes that had a natural gas alarm been installed inside the Bristol Boulevard accident home, it could have alerted occupants that natural gas was present, prompting them to evacuate and report the leak, making Atmos aware that the leak had likely worsened and required corrective action. As a result of the West Reading investigation, the NTSB recommended that the 50 States, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: Safety Recommendation P-25-5 is currently classified Open—Await Response. As of this report, 7 states and the District of Columbia have provided an initial response; 43 states and the Commonwealth of Puerto Rico have not responded. Footnote: The seven states that have provided an initial response include Colorado, Connecticut, Kansas, Nevada, North Carolina, Virginia, and Wyoming. Mississippi, the state where the two Jackson accidents occurred, is one of the 43 states that have not provided an initial response. The NTSB investigation of the two Jackson accidents has again identified the critical importance of natural gas alarms to alert occupants to natural gas leaks. Therefore, the NTSB reiterates Safety Recommendation P 25-5 to 50 States, the Commonwealth of Puerto Rico, and the District of Columbia. As discussed in section 1.10.1.1, after the Avondale accident, Atmos reported that it provided the public with information, through its website, on the availability of natural gas alarms. However, Atmos can do more to safeguard the public in its distribution areas. The NTSB is aware of multiple natural gas distribution operators that have made natural gas alarms available to people in their service areas. Footnote: Visit http://www.ntsb.gov to find additional information in the public docket for this NTSB accident investigation (case number PLD24FR003). Therefore, the NTSB recommends that Atmos develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas.
Addressee Name: State of Idaho
Addressee Status: Open - Await Response
Addressee Acronym: ID
Addressee Organization Type: S-State Government
Communication Date: 2025-04-08
Communication Type: Transmittal Letter
Communication Contents: 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 accidents in other modes of transportation—railroad, highway, marine, and pipeline. We determine the probable cause of the accidents and issue safety recommendations aimed at preventing future accidents. In addition, we carry out special studies concerning transportation safety and coordinate the resources of the federal government and other organizations to assist victims and their family members affected by major transportation disasters. We are providing the following information to urge the State of Idaho to act on the safety recommendation in this letter because we believe your organization can help reduce the risk of future accidents. For more information about the NTSB and our recommendation process, please see the attached one-page summary. This letter also includes information about our March 18, 2025, report, UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, NTSB/PIR-25/01. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. As a result of this investigation, we identified the following safety issues: • Degradation of a retired Aldyl A service tee that was accelerated by elevated ground temperatures from a corroded and cracked steam pipe nearby. • UGI Corporation’s insufficient consideration of pipeline integrity threats, particularly Aldyl A service tees with Delrin inserts at elevated temperatures. • Presence of unmarked and unreported private assets crossing public rights-of-way, excluding them from the Pennsylvania One Call System and increasing the risk of damage to them. • Delayed evacuation of Palmer’s Building 2 despite detection of natural gas by employees and others. • Natural gas safety messaging from pipeline operator public awareness programs that may not reach certain members of the public. • Insufficient guidance on natural gas emergency procedures. • Absence of natural gas alarms in commercial buildings. • Insufficient accessibility of gas distribution line valves. Accordingly, the NTSB makes the following safety recommendation to the State of Idaho (additional information regarding this recommendation can be found in the noted section of the report): • Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) (See section 2.5.1.) The NTSB is vitally interested in this recommendation because it is designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter, detailing the actions you have taken or intend to take to implement this recommendation. When replying, please refer to the safety recommendation by number (Safety Recommendation P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply, including attachments, exceeds 20 megabytes, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. All communications regarding safety recommendations are stored by the NTSB and viewable by the public. Please do not send privileged or confidential communications in response to this recommendation. Responses marked as confidential or privileged (or similar designations) will be considered nonresponsive. In the likely event that your company uses auto generated and/or preformatted confidentiality statements on letterhead or outgoing e-mails, please include a statement in your letter indicating that the information can be publicly released. If you have concerns about this protocol, please contact us at ExecutiveSecretariat@ntsb.gov. The attached letter from the NTSB Chairman provides information about the March 18, 2025, report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. The NTSB is vitally interested in these recommendations because they are designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter detailing the actions you have taken or intend to take to implement these recommendations. When replying, please refer to the safety recommendation by number (for example, P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply exceeds 20 megabytes, including attachments, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. From the report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1: 2.5.1 Natural Gas Alarms Public awareness is an effective tool to encourage adoption of safety devices like natural gas alarms. The first edition of API RP 1162 requires that public awareness programs include safety messages about the awareness of hazards and prevention measures as well as leak recognition and response but does not specifically require these programs to disseminate safety messages about natural gas alarms. UGI’s public awareness materials distributed before the accident were consistent with federal regulations, and although the materials promoted the use of smoke and carbon monoxide alarms, they did not address natural gas alarms. Following the accident, UGI now includes safety messages encouraging the purchase of natural gas alarms in its public awareness materials. The NTSB concludes that installing natural gas alarms can alert people of a gas leak so they can evacuate the area; however, natural gas customers may not be aware of the necessity of such alarms. The NTSB believes that messages about the benefits of natural gas alarms are critically important and could save lives when natural gas alarms are installed. The NTSB further believes that the natural gas industry can help shape the effectiveness of public awareness program delivery methods so that people in businesses, schools, residences, and other places of congregation are better informed, both about natural gas hazards and the necessity of natural gas alarms. The American Gas Association, which represents natural gas pipeline operators throughout the US, can facilitate industry efforts to improve public awareness program delivery methods and to improve safety, most critically through increasing the installation of natural gas alarms. Therefore, the NTSB recommends that the American Gas Association share the details of the March 24, 2023, natural gas–fueled explosion and fire in West Reading, Pennsylvania, with its members, encouraging them to evaluate the effectiveness of their current delivery methods of public awareness programs and to promote the installation of natural gas alarms in businesses, residences, and other places of congregation that they serve. Evacuation should occur immediately upon detection of the presence of natural gas. In 1976, the NTSB made its first recommendation to require natural gas detection to provide early warning of leaks. Most recently, after a 2016 building explosion in Silver Spring, Maryland, and then again after the 2018 home explosion in Dallas, we made recommendations to the ICC and the NFPA to require natural gas alarms with methane detection in residences (NTSB 2019). We recommended the ICC work with t
Addressee Acronym: ID
Addressee Organization Type: S-State Government
Communication Date: 2026-04-07
Communication Type: Recommendation Mention
Communication Contents: Pipeline Investigation Report PIR-26-02, “Enbridge Inc. Natural Gas–Fueled Home Explosion and Fatality, South Jordan, Utah, November 6, 2024” published on April 7, 2026: 2 Analysis On November 6, 2024, a natural gas–fueled home explosion fatally injured one resident and damaged nearby homes. A crack in the 4-inch-diameter Aldyl A gas main near the home allowed natural gas to leak and fuel the home explosion. The NTSB found that the crack originated on the inner surface of the pipe and aligned directly with an oblong impression on the outer surface. Investigators determined that a rock impingement likely caused the oblong impression on the outer surface of the pipe and the resulting crack. They also found that the crack growth features indicated that the crack breached the outer surface in a single abrupt event. As a result, the pipe rapidly transitioned from releasing no gas to releasing up to 48.7 scfm, as measured in the lab. Footnote: The actual leak rate may have been lower, given that the pipeline was buried in soil, which would constrain the pipe and provide back-pressure resistance to gas as it leaked from the pipe. Post-explosion, subsurface gas readings showed that the natural gas migrated about 150 feet from the leak location to the home. Although the exact timing of the leak could not be determined, the residents’ observations of physical symptoms, inability to relight the basement water heater, and an unusually high candle flame before the accident suggest that natural gas may have been present in the home for at least 3 days before the explosion. On November 6, the flammable natural gas–air mixture ignited in the southwest quadrant of the basement. The Utah Deputy State Fire Marshal identified two possible sources of the ignition: a water heater and a furnace. The water heater was turned off at the control point, so the only credible ignition source was the furnace. Footnote: The furnace control valve was found postaccident to have significant thermal damage, consistent with it being the ignition source. Before the accident, Enbridge had implemented safeguards to mitigate the consequences of leaks, including periodic leak surveys, timely response to odor complaints, and targeted replacement projects. However, none of these strategies proved effective for this scenario, because of the following issues related to the strategies: • Periodic leak surveys. Regulators require distribution leak surveys to be conducted every 5 years. Enbridge conducted its most recent leak survey on April 29, 2022—two years before the accident. However, in this accident, through-wall crack propagation occurred too rapidly, causing the leak to go undetected before the explosion. • Timely response to odor complaints. Regulators require odorization of natural gas in distribution systems to help alert the public to natural gas leaks. During interviews conducted by investigators, the NTSB determined that the local residents had not smelled natural gas odorant near the accident home, even though gas was determined to have permeated the ground in the area during postaccident surveys, indicating that the odorant had been stripped from the leaked natural gas that ultimately entered the home. Footnote: Field testing of the gas in the distribution system after the explosion found acceptable odorant concentrations. Although odorant can act as an early warning of a gas release to prevent an explosion and fire, it has been known to become depleted when traveling through soil, as it did in this accident. Previous NTSB investigations have identified occurrences of odorant depletion that allowed natural gas leaks to go undetected, resulting in explosions in Dallas, Texas, in 2018 and in Silver Spring, Maryland, in 2016. Footnote: NTSB. 2021. Atmos Energy Corporation Natural Gas–Fueled Explosion, Dallas, Texas, February 23, 2018. PAR-21/01. Washington, DC: NTSB. Footnote: NTSB. 2019. Building Explosion and Fire, Silver Spring, Maryland, August 10, 2016. PAR-19/01. Washington, DC: NTSB. • Targeted replacement projects. A 2014 California Public Utilities Commission study showed that the vintage of Aldyl A present in this accident, with stress concentrations from rock impingement, squeeze-off, bending, or deflection, were statistically predicted to fail between 22 and 235 years after installation. Footnote: California Public Utilities Commission 2014 Hazard Analysis and Mitigation Report On Aldyl A Polyethylene Gas Pipelines in California. Haine 2014. Because the estimated failure time is imprecise (a range of more than 200 years), and because some environmental conditions—such as the locations of rocks in the backfill material—are unknown, the Enbridge evaluation of the cracking threat to the 1976 vintage Aldyl A did not accurately characterize the risk of rock impingements and prevented Enbridge from identifying effective mitigative actions and targeted replacement projects. Even though Enbridge worked continuously to search for the leak after the explosion, it took them more than 21 hours to find and isolate the natural gas leak. During this time, the pipeline continued to leak natural gas into the ground, increasing the risk to nearby residents, first responders, and others operating in the area. When an underground natural gas pipeline leak occurs rapidly, it can be difficult to safeguard against. Natural gas alarms can provide an early warning of natural gas leaks inside nearby structures and can alert the building occupants to take immediate safety actions. Had in-home natural gas alarms been installed in the homes involved in this accident, they would have alerted the residents to a potential problem and prompted them to evacuate and call 911, reducing or eliminating the fatal consequences of the explosion. The NTSB has previously recommended requiring the installation of natural gas alarms in businesses, residences, and other buildings (Safety Recommendation P 25 05).
Addressee Acronym: ID
Addressee Organization Type: S-State Government
Communication Date: 2026-06-05
Communication Type: Recommendation Mention
Communication Contents: Atmos Energy Corporation Natural Gas–Fueled Home Explosion Pipeline Investigation Report PIR-26-03 published on June 5, 2026: Analysis The explosion and fire occurred after natural gas leaked from a fractured buried main, migrated through an uncapped underground sewer lateral, entered the accident home, and reached an explosive concentration near an unknown ignition source. The investigation did not identify issues with gas pressures in the area of the leak or the timeliness or efficacy of the local emergency response agencies. Postaccident bar-hole testing and excavations found only one source of natural gas: a leak in the gas main near a valve box on the eastern edge of the construction site. On-site examinations of the main found that it was fractured around most of its circumference with a thin strip of metal at the top (12 o’clock position) joining the southern section of pipe to the section still threaded into the valve body. This indicates tension—a stretching force—at the bottom of the pipe along its long axis. Tension along the bottom of the pipe is consistent with a bending stress created by an external downward force. Based on information provided to Atmos by the construction superintendent, a cement truck ran over a valve box at the leak’s location immediately before he heard and smelled natural gas being released. The investigation did not identify another plausible external force that could have damaged the main. The Materials Laboratory examination of the main found fracture characteristics typical of fast crack growth and no signs of significant corrosion or preexisting structural damage that could have contributed to the failure. The fracture was therefore consistent with a sudden application of force by the valve box to the main. Based on the fracture’s location, timing, and fast-cracking characteristics, the valve box transmitted part of the cement truck’s weight to the gas main, causing the main to fracture and leak. Examination of the gas main and valve box involved in this accident found coal tar coating the main and deposited on the bottom edge of the valve box. This indicates that the valve box was in contact with the main. The presence of coal tar alone does not indicate when the contact occurred, but the evidence is consistent with the valve box being installed in contact with the main and therefore able transmit the cement truck’s weight directly to the main near the fracture’s location. Federal regulations at 49 CFR 192.181(c)(3) require that valve boxes not be installed in a manner that transmits external loads to mains, and valve boxes are normally installed with a buffer of soil or other protection between the valve box and the assets immediately below. For example, Atmos’s newer valve boxes are installed with support and base pads to prevent load transmission. However, Atmos was not actively replacing cast iron valve boxes with this newer design. Further, the maintenance crew that removed and reinstalled the valve box about 2 months before the accident did not have a specific standard to follow for reinstalling cast iron valve boxes other than an expectation that the top of the valve box be level with the grade. The lack of a standard likely led to the common reinstallation of valve boxes in contact with mains, as described by an Atmos vice president of operations. If Atmos had adopted either a standard for safely installing cast iron valve boxes or a policy of replacing cast iron valve boxes with the newer design, the protective buffer of soil or support pad would have reduced the load transmitted to the pipe on the day of the accident. There is not enough evidence to determine whether a buffer or pad would have prevented the accident, but it would have made the infrastructure more resilient. Atmos has not reported making changes to its valve box installation practices. After the main fractured, gas propagated undetected through an uncapped underground sewer lateral into the sewer system and then into the accident home, where it reached an explosive concentration. The gas in the sewers remained undetected because Atmos personnel did not test the atmosphere in the sewers prior to the explosion. For about 35 minutes, most of the time between the initial leak and the explosion, there was only one Atmos employee on the scene: an experienced senior service technician. He was equipped with a CGI and checked nearby storm drains for the presence of gas, which was one step in Atmos’s subsurface leak investigation procedure. During his interview with the NTSB, he described planning to check the sewers, another required step, but said that he had already confirmed that there was no threat to life or property. His activities after checking the storm drains are also consistent with a belief that he had finished assessing the risk posed by the leak: he switched to the non-safety-critical work of recording billing information for the damage. The investigation did not find evidence of a natural gas alarm in the accident home, which did not have gas service but was still impacted by a leak from a gas main. It is likely that a natural gas alarm would have provided the home’s occupants with warning of accumulating natural gas and given them an opportunity to evacuate before the explosion. The NTSB has advocated wider installation and use of natural gas alarms for nearly 50 years, including following the investigation into a pair of 2024 home explosions in Jackson, Mississippi, that involved Atmos assets. As a result of that investigation, the NTSB reiterated a recommendation to the 50 states, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: See CAROL for the complete history and current status of this recommendation. The NTSB also recommended that Atmos “develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas” (P-26-10).11F Footnote: See CAROL for the complete history and current status of this recommendation.
Addressee Acronym: ID
Addressee Organization Type: S-State Government
Communication Date: 2026-03-26
Communication Type: Recommendation Reiteration
Communication Contents: From the Report, “Atmos Energy Corporation Natural Gas-Fueled Home Explosions and Fires Jackson, Mississippi, January 24, 2024, and January 27, 2024” published on March 26, 2026. Absence of Natural Gas Detection Alarms in Buildings The Bristol Boulevard accident home and the Shalimar Drive accident home did not have natural gas alarms installed. For nearly 50 years, the NTSB has been recommending natural gas alarms for the early detection of natural gas leaks. In the West Reading accident, several candy factory employees told the NTSB that they had smelled natural gas odorant and did not call 9 1 1 or the gas company but stayed in the building until the explosion occurred. Some of the employees inquired with their managers about what to do, and their managers were equally unaware of the actions to take during a suspected natural gas leak. In the two Jackson accidents, and in many of the pipeline accidents the NTSB has investigated for the last 5 decades, people smelled natural gas odorant and either did not know what actions to take, or they knew the actions necessary to address a potential natural gas emergency but did not execute them. Natural gas distribution pipeline operators must educate the public on pipeline safety through public awareness programs. It is also necessary, however, to have safeguards in place when members of the public (1) smell natural gas odorant and do not take the appropriate safety actions and (2) do not smell natural gas odorant, as was the case in the NTSB investigation of the Dallas accident, and therefore do not take appropriate safety actions. Footnote: The NTSB’s Dallas investigation determined that the occupants in the accident homes did not smell natural gas odorant because it was absorbed and depleted in the soil. Natural gas alarms are safeguards in protecting the public, which is why the NTSB has recommended their installation after many of our pipeline accident investigations. The NTSB found that natural gas alarms likely would have prevented or reduced the consequences of the Dallas and West Reading accidents, and the evidence in this investigation suggests the same. The Shalimar Drive accident home was empty at the time of that accident; however, when the explosion in the Bristol Boulevard accident home occurred, two people were inside. Therefore, the NTSB concludes that had a natural gas alarm been installed inside the Bristol Boulevard accident home, it could have alerted occupants that natural gas was present, prompting them to evacuate and report the leak, making Atmos aware that the leak had likely worsened and required corrective action. As a result of the West Reading investigation, the NTSB recommended that the 50 States, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: Safety Recommendation P-25-5 is currently classified Open—Await Response. As of this report, 7 states and the District of Columbia have provided an initial response; 43 states and the Commonwealth of Puerto Rico have not responded. Footnote: The seven states that have provided an initial response include Colorado, Connecticut, Kansas, Nevada, North Carolina, Virginia, and Wyoming. Mississippi, the state where the two Jackson accidents occurred, is one of the 43 states that have not provided an initial response. The NTSB investigation of the two Jackson accidents has again identified the critical importance of natural gas alarms to alert occupants to natural gas leaks. Therefore, the NTSB reiterates Safety Recommendation P 25-5 to 50 States, the Commonwealth of Puerto Rico, and the District of Columbia. As discussed in section 1.10.1.1, after the Avondale accident, Atmos reported that it provided the public with information, through its website, on the availability of natural gas alarms. However, Atmos can do more to safeguard the public in its distribution areas. The NTSB is aware of multiple natural gas distribution operators that have made natural gas alarms available to people in their service areas. Footnote: Visit http://www.ntsb.gov to find additional information in the public docket for this NTSB accident investigation (case number PLD24FR003). Therefore, the NTSB recommends that Atmos develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas.
Addressee Name: State of Hawaii
Addressee Status: Open - Await Response
Addressee Acronym: HI
Addressee Organization Type: S-State Government
Communication Date: 2025-04-08
Communication Type: Transmittal Letter
Communication Contents: 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 accidents in other modes of transportation—railroad, highway, marine, and pipeline. We determine the probable cause of the accidents and issue safety recommendations aimed at preventing future accidents. In addition, we carry out special studies concerning transportation safety and coordinate the resources of the federal government and other organizations to assist victims and their family members affected by major transportation disasters. We are providing the following information to urge the State of Hawaii to act on the safety recommendation in this letter because we believe your organization can help reduce the risk of future accidents. For more information about the NTSB and our recommendation process, please see the attached one-page summary. This letter also includes information about our March 18, 2025, report, UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, NTSB/PIR-25/01. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. As a result of this investigation, we identified the following safety issues: • Degradation of a retired Aldyl A service tee that was accelerated by elevated ground temperatures from a corroded and cracked steam pipe nearby. • UGI Corporation’s insufficient consideration of pipeline integrity threats, particularly Aldyl A service tees with Delrin inserts at elevated temperatures. • Presence of unmarked and unreported private assets crossing public rights-of-way, excluding them from the Pennsylvania One Call System and increasing the risk of damage to them. • Delayed evacuation of Palmer’s Building 2 despite detection of natural gas by employees and others. • Natural gas safety messaging from pipeline operator public awareness programs that may not reach certain members of the public. • Insufficient guidance on natural gas emergency procedures. • Absence of natural gas alarms in commercial buildings. • Insufficient accessibility of gas distribution line valves. Accordingly, the NTSB makes the following safety recommendation to the State of Hawaii (additional information regarding this recommendation can be found in the noted section of the report): • Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) (See section 2.5.1.) The NTSB is vitally interested in this recommendation because it is designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter, detailing the actions you have taken or intend to take to implement this recommendation. When replying, please refer to the safety recommendation by number (Safety Recommendation P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply, including attachments, exceeds 20 megabytes, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. All communications regarding safety recommendations are stored by the NTSB and viewable by the public. Please do not send privileged or confidential communications in response to this recommendation. Responses marked as confidential or privileged (or similar designations) will be considered nonresponsive. In the likely event that your company uses auto generated and/or preformatted confidentiality statements on letterhead or outgoing e-mails, please include a statement in your letter indicating that the information can be publicly released. If you have concerns about this protocol, please contact us at ExecutiveSecretariat@ntsb.gov. The attached letter from the NTSB Chairman provides information about the March 18, 2025, report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. The NTSB is vitally interested in these recommendations because they are designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter detailing the actions you have taken or intend to take to implement these recommendations. When replying, please refer to the safety recommendation by number (for example, P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply exceeds 20 megabytes, including attachments, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. From the report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1: 2.5.1 Natural Gas Alarms Public awareness is an effective tool to encourage adoption of safety devices like natural gas alarms. The first edition of API RP 1162 requires that public awareness programs include safety messages about the awareness of hazards and prevention measures as well as leak recognition and response but does not specifically require these programs to disseminate safety messages about natural gas alarms. UGI’s public awareness materials distributed before the accident were consistent with federal regulations, and although the materials promoted the use of smoke and carbon monoxide alarms, they did not address natural gas alarms. Following the accident, UGI now includes safety messages encouraging the purchase of natural gas alarms in its public awareness materials. The NTSB concludes that installing natural gas alarms can alert people of a gas leak so they can evacuate the area; however, natural gas customers may not be aware of the necessity of such alarms. The NTSB believes that messages about the benefits of natural gas alarms are critically important and could save lives when natural gas alarms are installed. The NTSB further believes that the natural gas industry can help shape the effectiveness of public awareness program delivery methods so that people in businesses, schools, residences, and other places of congregation are better informed, both about natural gas hazards and the necessity of natural gas alarms. The American Gas Association, which represents natural gas pipeline operators throughout the US, can facilitate industry efforts to improve public awareness program delivery methods and to improve safety, most critically through increasing the installation of natural gas alarms. Therefore, the NTSB recommends that the American Gas Association share the details of the March 24, 2023, natural gas–fueled explosion and fire in West Reading, Pennsylvania, with its members, encouraging them to evaluate the effectiveness of their current delivery methods of public awareness programs and to promote the installation of natural gas alarms in businesses, residences, and other places of congregation that they serve. Evacuation should occur immediately upon detection of the presence of natural gas. In 1976, the NTSB made its first recommendation to require natural gas detection to provide early warning of leaks. Most recently, after a 2016 building explosion in Silver Spring, Maryland, and then again after the 2018 home explosion in Dallas, we made recommendations to the ICC and the NFPA to require natural gas alarms with methane detection in residences (NTSB 2019). We recommended the ICC work with
Addressee Acronym: HI
Addressee Organization Type: S-State Government
Communication Date: 2026-04-07
Communication Type: Recommendation Mention
Communication Contents: Pipeline Investigation Report PIR-26-02, “Enbridge Inc. Natural Gas–Fueled Home Explosion and Fatality, South Jordan, Utah, November 6, 2024” published on April 7, 2026: 2 Analysis On November 6, 2024, a natural gas–fueled home explosion fatally injured one resident and damaged nearby homes. A crack in the 4-inch-diameter Aldyl A gas main near the home allowed natural gas to leak and fuel the home explosion. The NTSB found that the crack originated on the inner surface of the pipe and aligned directly with an oblong impression on the outer surface. Investigators determined that a rock impingement likely caused the oblong impression on the outer surface of the pipe and the resulting crack. They also found that the crack growth features indicated that the crack breached the outer surface in a single abrupt event. As a result, the pipe rapidly transitioned from releasing no gas to releasing up to 48.7 scfm, as measured in the lab. Footnote: The actual leak rate may have been lower, given that the pipeline was buried in soil, which would constrain the pipe and provide back-pressure resistance to gas as it leaked from the pipe. Post-explosion, subsurface gas readings showed that the natural gas migrated about 150 feet from the leak location to the home. Although the exact timing of the leak could not be determined, the residents’ observations of physical symptoms, inability to relight the basement water heater, and an unusually high candle flame before the accident suggest that natural gas may have been present in the home for at least 3 days before the explosion. On November 6, the flammable natural gas–air mixture ignited in the southwest quadrant of the basement. The Utah Deputy State Fire Marshal identified two possible sources of the ignition: a water heater and a furnace. The water heater was turned off at the control point, so the only credible ignition source was the furnace. Footnote: The furnace control valve was found postaccident to have significant thermal damage, consistent with it being the ignition source. Before the accident, Enbridge had implemented safeguards to mitigate the consequences of leaks, including periodic leak surveys, timely response to odor complaints, and targeted replacement projects. However, none of these strategies proved effective for this scenario, because of the following issues related to the strategies: • Periodic leak surveys. Regulators require distribution leak surveys to be conducted every 5 years. Enbridge conducted its most recent leak survey on April 29, 2022—two years before the accident. However, in this accident, through-wall crack propagation occurred too rapidly, causing the leak to go undetected before the explosion. • Timely response to odor complaints. Regulators require odorization of natural gas in distribution systems to help alert the public to natural gas leaks. During interviews conducted by investigators, the NTSB determined that the local residents had not smelled natural gas odorant near the accident home, even though gas was determined to have permeated the ground in the area during postaccident surveys, indicating that the odorant had been stripped from the leaked natural gas that ultimately entered the home. Footnote: Field testing of the gas in the distribution system after the explosion found acceptable odorant concentrations. Although odorant can act as an early warning of a gas release to prevent an explosion and fire, it has been known to become depleted when traveling through soil, as it did in this accident. Previous NTSB investigations have identified occurrences of odorant depletion that allowed natural gas leaks to go undetected, resulting in explosions in Dallas, Texas, in 2018 and in Silver Spring, Maryland, in 2016. Footnote: NTSB. 2021. Atmos Energy Corporation Natural Gas–Fueled Explosion, Dallas, Texas, February 23, 2018. PAR-21/01. Washington, DC: NTSB. Footnote: NTSB. 2019. Building Explosion and Fire, Silver Spring, Maryland, August 10, 2016. PAR-19/01. Washington, DC: NTSB. • Targeted replacement projects. A 2014 California Public Utilities Commission study showed that the vintage of Aldyl A present in this accident, with stress concentrations from rock impingement, squeeze-off, bending, or deflection, were statistically predicted to fail between 22 and 235 years after installation. Footnote: California Public Utilities Commission 2014 Hazard Analysis and Mitigation Report On Aldyl A Polyethylene Gas Pipelines in California. Haine 2014. Because the estimated failure time is imprecise (a range of more than 200 years), and because some environmental conditions—such as the locations of rocks in the backfill material—are unknown, the Enbridge evaluation of the cracking threat to the 1976 vintage Aldyl A did not accurately characterize the risk of rock impingements and prevented Enbridge from identifying effective mitigative actions and targeted replacement projects. Even though Enbridge worked continuously to search for the leak after the explosion, it took them more than 21 hours to find and isolate the natural gas leak. During this time, the pipeline continued to leak natural gas into the ground, increasing the risk to nearby residents, first responders, and others operating in the area. When an underground natural gas pipeline leak occurs rapidly, it can be difficult to safeguard against. Natural gas alarms can provide an early warning of natural gas leaks inside nearby structures and can alert the building occupants to take immediate safety actions. Had in-home natural gas alarms been installed in the homes involved in this accident, they would have alerted the residents to a potential problem and prompted them to evacuate and call 911, reducing or eliminating the fatal consequences of the explosion. The NTSB has previously recommended requiring the installation of natural gas alarms in businesses, residences, and other buildings (Safety Recommendation P 25 05).
Addressee Acronym: HI
Addressee Organization Type: S-State Government
Communication Date: 2026-06-05
Communication Type: Recommendation Mention
Communication Contents: Atmos Energy Corporation Natural Gas–Fueled Home Explosion Pipeline Investigation Report PIR-26-03 published on June 5, 2026: Analysis The explosion and fire occurred after natural gas leaked from a fractured buried main, migrated through an uncapped underground sewer lateral, entered the accident home, and reached an explosive concentration near an unknown ignition source. The investigation did not identify issues with gas pressures in the area of the leak or the timeliness or efficacy of the local emergency response agencies. Postaccident bar-hole testing and excavations found only one source of natural gas: a leak in the gas main near a valve box on the eastern edge of the construction site. On-site examinations of the main found that it was fractured around most of its circumference with a thin strip of metal at the top (12 o’clock position) joining the southern section of pipe to the section still threaded into the valve body. This indicates tension—a stretching force—at the bottom of the pipe along its long axis. Tension along the bottom of the pipe is consistent with a bending stress created by an external downward force. Based on information provided to Atmos by the construction superintendent, a cement truck ran over a valve box at the leak’s location immediately before he heard and smelled natural gas being released. The investigation did not identify another plausible external force that could have damaged the main. The Materials Laboratory examination of the main found fracture characteristics typical of fast crack growth and no signs of significant corrosion or preexisting structural damage that could have contributed to the failure. The fracture was therefore consistent with a sudden application of force by the valve box to the main. Based on the fracture’s location, timing, and fast-cracking characteristics, the valve box transmitted part of the cement truck’s weight to the gas main, causing the main to fracture and leak. Examination of the gas main and valve box involved in this accident found coal tar coating the main and deposited on the bottom edge of the valve box. This indicates that the valve box was in contact with the main. The presence of coal tar alone does not indicate when the contact occurred, but the evidence is consistent with the valve box being installed in contact with the main and therefore able transmit the cement truck’s weight directly to the main near the fracture’s location. Federal regulations at 49 CFR 192.181(c)(3) require that valve boxes not be installed in a manner that transmits external loads to mains, and valve boxes are normally installed with a buffer of soil or other protection between the valve box and the assets immediately below. For example, Atmos’s newer valve boxes are installed with support and base pads to prevent load transmission. However, Atmos was not actively replacing cast iron valve boxes with this newer design. Further, the maintenance crew that removed and reinstalled the valve box about 2 months before the accident did not have a specific standard to follow for reinstalling cast iron valve boxes other than an expectation that the top of the valve box be level with the grade. The lack of a standard likely led to the common reinstallation of valve boxes in contact with mains, as described by an Atmos vice president of operations. If Atmos had adopted either a standard for safely installing cast iron valve boxes or a policy of replacing cast iron valve boxes with the newer design, the protective buffer of soil or support pad would have reduced the load transmitted to the pipe on the day of the accident. There is not enough evidence to determine whether a buffer or pad would have prevented the accident, but it would have made the infrastructure more resilient. Atmos has not reported making changes to its valve box installation practices. After the main fractured, gas propagated undetected through an uncapped underground sewer lateral into the sewer system and then into the accident home, where it reached an explosive concentration. The gas in the sewers remained undetected because Atmos personnel did not test the atmosphere in the sewers prior to the explosion. For about 35 minutes, most of the time between the initial leak and the explosion, there was only one Atmos employee on the scene: an experienced senior service technician. He was equipped with a CGI and checked nearby storm drains for the presence of gas, which was one step in Atmos’s subsurface leak investigation procedure. During his interview with the NTSB, he described planning to check the sewers, another required step, but said that he had already confirmed that there was no threat to life or property. His activities after checking the storm drains are also consistent with a belief that he had finished assessing the risk posed by the leak: he switched to the non-safety-critical work of recording billing information for the damage. The investigation did not find evidence of a natural gas alarm in the accident home, which did not have gas service but was still impacted by a leak from a gas main. It is likely that a natural gas alarm would have provided the home’s occupants with warning of accumulating natural gas and given them an opportunity to evacuate before the explosion. The NTSB has advocated wider installation and use of natural gas alarms for nearly 50 years, including following the investigation into a pair of 2024 home explosions in Jackson, Mississippi, that involved Atmos assets. As a result of that investigation, the NTSB reiterated a recommendation to the 50 states, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: See CAROL for the complete history and current status of this recommendation. The NTSB also recommended that Atmos “develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas” (P-26-10).11F Footnote: See CAROL for the complete history and current status of this recommendation.
Addressee Acronym: HI
Addressee Organization Type: S-State Government
Communication Date: 2026-03-26
Communication Type: Recommendation Reiteration
Communication Contents: From the Report, “Atmos Energy Corporation Natural Gas-Fueled Home Explosions and Fires Jackson, Mississippi, January 24, 2024, and January 27, 2024” published on March 26, 2026. Absence of Natural Gas Detection Alarms in Buildings The Bristol Boulevard accident home and the Shalimar Drive accident home did not have natural gas alarms installed. For nearly 50 years, the NTSB has been recommending natural gas alarms for the early detection of natural gas leaks. In the West Reading accident, several candy factory employees told the NTSB that they had smelled natural gas odorant and did not call 9 1 1 or the gas company but stayed in the building until the explosion occurred. Some of the employees inquired with their managers about what to do, and their managers were equally unaware of the actions to take during a suspected natural gas leak. In the two Jackson accidents, and in many of the pipeline accidents the NTSB has investigated for the last 5 decades, people smelled natural gas odorant and either did not know what actions to take, or they knew the actions necessary to address a potential natural gas emergency but did not execute them. Natural gas distribution pipeline operators must educate the public on pipeline safety through public awareness programs. It is also necessary, however, to have safeguards in place when members of the public (1) smell natural gas odorant and do not take the appropriate safety actions and (2) do not smell natural gas odorant, as was the case in the NTSB investigation of the Dallas accident, and therefore do not take appropriate safety actions. Footnote: The NTSB’s Dallas investigation determined that the occupants in the accident homes did not smell natural gas odorant because it was absorbed and depleted in the soil. Natural gas alarms are safeguards in protecting the public, which is why the NTSB has recommended their installation after many of our pipeline accident investigations. The NTSB found that natural gas alarms likely would have prevented or reduced the consequences of the Dallas and West Reading accidents, and the evidence in this investigation suggests the same. The Shalimar Drive accident home was empty at the time of that accident; however, when the explosion in the Bristol Boulevard accident home occurred, two people were inside. Therefore, the NTSB concludes that had a natural gas alarm been installed inside the Bristol Boulevard accident home, it could have alerted occupants that natural gas was present, prompting them to evacuate and report the leak, making Atmos aware that the leak had likely worsened and required corrective action. As a result of the West Reading investigation, the NTSB recommended that the 50 States, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: Safety Recommendation P-25-5 is currently classified Open—Await Response. As of this report, 7 states and the District of Columbia have provided an initial response; 43 states and the Commonwealth of Puerto Rico have not responded. Footnote: The seven states that have provided an initial response include Colorado, Connecticut, Kansas, Nevada, North Carolina, Virginia, and Wyoming. Mississippi, the state where the two Jackson accidents occurred, is one of the 43 states that have not provided an initial response. The NTSB investigation of the two Jackson accidents has again identified the critical importance of natural gas alarms to alert occupants to natural gas leaks. Therefore, the NTSB reiterates Safety Recommendation P 25-5 to 50 States, the Commonwealth of Puerto Rico, and the District of Columbia. As discussed in section 1.10.1.1, after the Avondale accident, Atmos reported that it provided the public with information, through its website, on the availability of natural gas alarms. However, Atmos can do more to safeguard the public in its distribution areas. The NTSB is aware of multiple natural gas distribution operators that have made natural gas alarms available to people in their service areas. Footnote: Visit http://www.ntsb.gov to find additional information in the public docket for this NTSB accident investigation (case number PLD24FR003). Therefore, the NTSB recommends that Atmos develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas.
Addressee Name: State of Georgia
Addressee Status: Open - Await Response
Addressee Acronym: GA
Addressee Organization Type: S-State Government
Communication Date: 2025-04-08
Communication Type: Transmittal Letter
Communication Contents: 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 accidents in other modes of transportation—railroad, highway, marine, and pipeline. We determine the probable cause of the accidents and issue safety recommendations aimed at preventing future accidents. In addition, we carry out special studies concerning transportation safety and coordinate the resources of the federal government and other organizations to assist victims and their family members affected by major transportation disasters. We are providing the following information to urge the State of Georgia to act on the safety recommendation in this letter because we believe your organization can help reduce the risk of future accidents. For more information about the NTSB and our recommendation process, please see the attached one-page summary. This letter also includes information about our March 18, 2025, report, UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, NTSB/PIR-25/01. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. As a result of this investigation, we identified the following safety issues: • Degradation of a retired Aldyl A service tee that was accelerated by elevated ground temperatures from a corroded and cracked steam pipe nearby. • UGI Corporation’s insufficient consideration of pipeline integrity threats, particularly Aldyl A service tees with Delrin inserts at elevated temperatures. • Presence of unmarked and unreported private assets crossing public rights-of-way, excluding them from the Pennsylvania One Call System and increasing the risk of damage to them. • Delayed evacuation of Palmer’s Building 2 despite detection of natural gas by employees and others. • Natural gas safety messaging from pipeline operator public awareness programs that may not reach certain members of the public. • Insufficient guidance on natural gas emergency procedures. • Absence of natural gas alarms in commercial buildings. • Insufficient accessibility of gas distribution line valves. Accordingly, the NTSB makes the following safety recommendation to the State of Georgia (additional information regarding this recommendation can be found in the noted section of the report): • Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) (See section 2.5.1.) The NTSB is vitally interested in this recommendation because it is designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter, detailing the actions you have taken or intend to take to implement this recommendation. When replying, please refer to the safety recommendation by number (Safety Recommendation P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply, including attachments, exceeds 20 megabytes, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. All communications regarding safety recommendations are stored by the NTSB and viewable by the public. Please do not send privileged or confidential communications in response to this recommendation. Responses marked as confidential or privileged (or similar designations) will be considered nonresponsive. In the likely event that your company uses auto generated and/or preformatted confidentiality statements on letterhead or outgoing e-mails, please include a statement in your letter indicating that the information can be publicly released. If you have concerns about this protocol, please contact us at ExecutiveSecretariat@ntsb.gov. The attached letter from the NTSB Chairman provides information about the March 18, 2025, report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. The NTSB is vitally interested in these recommendations because they are designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter detailing the actions you have taken or intend to take to implement these recommendations. When replying, please refer to the safety recommendation by number (for example, P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply exceeds 20 megabytes, including attachments, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. From the report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1: 2.5.1 Natural Gas Alarms Public awareness is an effective tool to encourage adoption of safety devices like natural gas alarms. The first edition of API RP 1162 requires that public awareness programs include safety messages about the awareness of hazards and prevention measures as well as leak recognition and response but does not specifically require these programs to disseminate safety messages about natural gas alarms. UGI’s public awareness materials distributed before the accident were consistent with federal regulations, and although the materials promoted the use of smoke and carbon monoxide alarms, they did not address natural gas alarms. Following the accident, UGI now includes safety messages encouraging the purchase of natural gas alarms in its public awareness materials. The NTSB concludes that installing natural gas alarms can alert people of a gas leak so they can evacuate the area; however, natural gas customers may not be aware of the necessity of such alarms. The NTSB believes that messages about the benefits of natural gas alarms are critically important and could save lives when natural gas alarms are installed. The NTSB further believes that the natural gas industry can help shape the effectiveness of public awareness program delivery methods so that people in businesses, schools, residences, and other places of congregation are better informed, both about natural gas hazards and the necessity of natural gas alarms. The American Gas Association, which represents natural gas pipeline operators throughout the US, can facilitate industry efforts to improve public awareness program delivery methods and to improve safety, most critically through increasing the installation of natural gas alarms. Therefore, the NTSB recommends that the American Gas Association share the details of the March 24, 2023, natural gas–fueled explosion and fire in West Reading, Pennsylvania, with its members, encouraging them to evaluate the effectiveness of their current delivery methods of public awareness programs and to promote the installation of natural gas alarms in businesses, residences, and other places of congregation that they serve. Evacuation should occur immediately upon detection of the presence of natural gas. In 1976, the NTSB made its first recommendation to require natural gas detection to provide early warning of leaks. Most recently, after a 2016 building explosion in Silver Spring, Maryland, and then again after the 2018 home explosion in Dallas, we made recommendations to the ICC and the NFPA to require natural gas alarms with methane detection in residences (NTSB 2019). We recommended the ICC work wi
Addressee Acronym: GA
Addressee Organization Type: S-State Government
Communication Date: 2026-04-07
Communication Type: Recommendation Mention
Communication Contents: Pipeline Investigation Report PIR-26-02, “Enbridge Inc. Natural Gas–Fueled Home Explosion and Fatality, South Jordan, Utah, November 6, 2024” published on April 7, 2026: 2 Analysis On November 6, 2024, a natural gas–fueled home explosion fatally injured one resident and damaged nearby homes. A crack in the 4-inch-diameter Aldyl A gas main near the home allowed natural gas to leak and fuel the home explosion. The NTSB found that the crack originated on the inner surface of the pipe and aligned directly with an oblong impression on the outer surface. Investigators determined that a rock impingement likely caused the oblong impression on the outer surface of the pipe and the resulting crack. They also found that the crack growth features indicated that the crack breached the outer surface in a single abrupt event. As a result, the pipe rapidly transitioned from releasing no gas to releasing up to 48.7 scfm, as measured in the lab. Footnote: The actual leak rate may have been lower, given that the pipeline was buried in soil, which would constrain the pipe and provide back-pressure resistance to gas as it leaked from the pipe. Post-explosion, subsurface gas readings showed that the natural gas migrated about 150 feet from the leak location to the home. Although the exact timing of the leak could not be determined, the residents’ observations of physical symptoms, inability to relight the basement water heater, and an unusually high candle flame before the accident suggest that natural gas may have been present in the home for at least 3 days before the explosion. On November 6, the flammable natural gas–air mixture ignited in the southwest quadrant of the basement. The Utah Deputy State Fire Marshal identified two possible sources of the ignition: a water heater and a furnace. The water heater was turned off at the control point, so the only credible ignition source was the furnace. Footnote: The furnace control valve was found postaccident to have significant thermal damage, consistent with it being the ignition source. Before the accident, Enbridge had implemented safeguards to mitigate the consequences of leaks, including periodic leak surveys, timely response to odor complaints, and targeted replacement projects. However, none of these strategies proved effective for this scenario, because of the following issues related to the strategies: • Periodic leak surveys. Regulators require distribution leak surveys to be conducted every 5 years. Enbridge conducted its most recent leak survey on April 29, 2022—two years before the accident. However, in this accident, through-wall crack propagation occurred too rapidly, causing the leak to go undetected before the explosion. • Timely response to odor complaints. Regulators require odorization of natural gas in distribution systems to help alert the public to natural gas leaks. During interviews conducted by investigators, the NTSB determined that the local residents had not smelled natural gas odorant near the accident home, even though gas was determined to have permeated the ground in the area during postaccident surveys, indicating that the odorant had been stripped from the leaked natural gas that ultimately entered the home. Footnote: Field testing of the gas in the distribution system after the explosion found acceptable odorant concentrations. Although odorant can act as an early warning of a gas release to prevent an explosion and fire, it has been known to become depleted when traveling through soil, as it did in this accident. Previous NTSB investigations have identified occurrences of odorant depletion that allowed natural gas leaks to go undetected, resulting in explosions in Dallas, Texas, in 2018 and in Silver Spring, Maryland, in 2016. Footnote: NTSB. 2021. Atmos Energy Corporation Natural Gas–Fueled Explosion, Dallas, Texas, February 23, 2018. PAR-21/01. Washington, DC: NTSB. Footnote: NTSB. 2019. Building Explosion and Fire, Silver Spring, Maryland, August 10, 2016. PAR-19/01. Washington, DC: NTSB. • Targeted replacement projects. A 2014 California Public Utilities Commission study showed that the vintage of Aldyl A present in this accident, with stress concentrations from rock impingement, squeeze-off, bending, or deflection, were statistically predicted to fail between 22 and 235 years after installation. Footnote: California Public Utilities Commission 2014 Hazard Analysis and Mitigation Report On Aldyl A Polyethylene Gas Pipelines in California. Haine 2014. Because the estimated failure time is imprecise (a range of more than 200 years), and because some environmental conditions—such as the locations of rocks in the backfill material—are unknown, the Enbridge evaluation of the cracking threat to the 1976 vintage Aldyl A did not accurately characterize the risk of rock impingements and prevented Enbridge from identifying effective mitigative actions and targeted replacement projects. Even though Enbridge worked continuously to search for the leak after the explosion, it took them more than 21 hours to find and isolate the natural gas leak. During this time, the pipeline continued to leak natural gas into the ground, increasing the risk to nearby residents, first responders, and others operating in the area. When an underground natural gas pipeline leak occurs rapidly, it can be difficult to safeguard against. Natural gas alarms can provide an early warning of natural gas leaks inside nearby structures and can alert the building occupants to take immediate safety actions. Had in-home natural gas alarms been installed in the homes involved in this accident, they would have alerted the residents to a potential problem and prompted them to evacuate and call 911, reducing or eliminating the fatal consequences of the explosion. The NTSB has previously recommended requiring the installation of natural gas alarms in businesses, residences, and other buildings (Safety Recommendation P 25 05).
Addressee Acronym: GA
Addressee Organization Type: S-State Government
Communication Date: 2026-06-05
Communication Type: Recommendation Mention
Communication Contents: Atmos Energy Corporation Natural Gas–Fueled Home Explosion Pipeline Investigation Report PIR-26-03 published on June 5, 2026: Analysis The explosion and fire occurred after natural gas leaked from a fractured buried main, migrated through an uncapped underground sewer lateral, entered the accident home, and reached an explosive concentration near an unknown ignition source. The investigation did not identify issues with gas pressures in the area of the leak or the timeliness or efficacy of the local emergency response agencies. Postaccident bar-hole testing and excavations found only one source of natural gas: a leak in the gas main near a valve box on the eastern edge of the construction site. On-site examinations of the main found that it was fractured around most of its circumference with a thin strip of metal at the top (12 o’clock position) joining the southern section of pipe to the section still threaded into the valve body. This indicates tension—a stretching force—at the bottom of the pipe along its long axis. Tension along the bottom of the pipe is consistent with a bending stress created by an external downward force. Based on information provided to Atmos by the construction superintendent, a cement truck ran over a valve box at the leak’s location immediately before he heard and smelled natural gas being released. The investigation did not identify another plausible external force that could have damaged the main. The Materials Laboratory examination of the main found fracture characteristics typical of fast crack growth and no signs of significant corrosion or preexisting structural damage that could have contributed to the failure. The fracture was therefore consistent with a sudden application of force by the valve box to the main. Based on the fracture’s location, timing, and fast-cracking characteristics, the valve box transmitted part of the cement truck’s weight to the gas main, causing the main to fracture and leak. Examination of the gas main and valve box involved in this accident found coal tar coating the main and deposited on the bottom edge of the valve box. This indicates that the valve box was in contact with the main. The presence of coal tar alone does not indicate when the contact occurred, but the evidence is consistent with the valve box being installed in contact with the main and therefore able transmit the cement truck’s weight directly to the main near the fracture’s location. Federal regulations at 49 CFR 192.181(c)(3) require that valve boxes not be installed in a manner that transmits external loads to mains, and valve boxes are normally installed with a buffer of soil or other protection between the valve box and the assets immediately below. For example, Atmos’s newer valve boxes are installed with support and base pads to prevent load transmission. However, Atmos was not actively replacing cast iron valve boxes with this newer design. Further, the maintenance crew that removed and reinstalled the valve box about 2 months before the accident did not have a specific standard to follow for reinstalling cast iron valve boxes other than an expectation that the top of the valve box be level with the grade. The lack of a standard likely led to the common reinstallation of valve boxes in contact with mains, as described by an Atmos vice president of operations. If Atmos had adopted either a standard for safely installing cast iron valve boxes or a policy of replacing cast iron valve boxes with the newer design, the protective buffer of soil or support pad would have reduced the load transmitted to the pipe on the day of the accident. There is not enough evidence to determine whether a buffer or pad would have prevented the accident, but it would have made the infrastructure more resilient. Atmos has not reported making changes to its valve box installation practices. After the main fractured, gas propagated undetected through an uncapped underground sewer lateral into the sewer system and then into the accident home, where it reached an explosive concentration. The gas in the sewers remained undetected because Atmos personnel did not test the atmosphere in the sewers prior to the explosion. For about 35 minutes, most of the time between the initial leak and the explosion, there was only one Atmos employee on the scene: an experienced senior service technician. He was equipped with a CGI and checked nearby storm drains for the presence of gas, which was one step in Atmos’s subsurface leak investigation procedure. During his interview with the NTSB, he described planning to check the sewers, another required step, but said that he had already confirmed that there was no threat to life or property. His activities after checking the storm drains are also consistent with a belief that he had finished assessing the risk posed by the leak: he switched to the non-safety-critical work of recording billing information for the damage. The investigation did not find evidence of a natural gas alarm in the accident home, which did not have gas service but was still impacted by a leak from a gas main. It is likely that a natural gas alarm would have provided the home’s occupants with warning of accumulating natural gas and given them an opportunity to evacuate before the explosion. The NTSB has advocated wider installation and use of natural gas alarms for nearly 50 years, including following the investigation into a pair of 2024 home explosions in Jackson, Mississippi, that involved Atmos assets. As a result of that investigation, the NTSB reiterated a recommendation to the 50 states, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: See CAROL for the complete history and current status of this recommendation. The NTSB also recommended that Atmos “develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas” (P-26-10).11F Footnote: See CAROL for the complete history and current status of this recommendation.
Addressee Acronym: GA
Addressee Organization Type: S-State Government
Communication Date: 2026-03-26
Communication Type: Recommendation Reiteration
Communication Contents: From the Report, “Atmos Energy Corporation Natural Gas-Fueled Home Explosions and Fires Jackson, Mississippi, January 24, 2024, and January 27, 2024” published on March 26, 2026. Absence of Natural Gas Detection Alarms in Buildings The Bristol Boulevard accident home and the Shalimar Drive accident home did not have natural gas alarms installed. For nearly 50 years, the NTSB has been recommending natural gas alarms for the early detection of natural gas leaks. In the West Reading accident, several candy factory employees told the NTSB that they had smelled natural gas odorant and did not call 9 1 1 or the gas company but stayed in the building until the explosion occurred. Some of the employees inquired with their managers about what to do, and their managers were equally unaware of the actions to take during a suspected natural gas leak. In the two Jackson accidents, and in many of the pipeline accidents the NTSB has investigated for the last 5 decades, people smelled natural gas odorant and either did not know what actions to take, or they knew the actions necessary to address a potential natural gas emergency but did not execute them. Natural gas distribution pipeline operators must educate the public on pipeline safety through public awareness programs. It is also necessary, however, to have safeguards in place when members of the public (1) smell natural gas odorant and do not take the appropriate safety actions and (2) do not smell natural gas odorant, as was the case in the NTSB investigation of the Dallas accident, and therefore do not take appropriate safety actions. Footnote: The NTSB’s Dallas investigation determined that the occupants in the accident homes did not smell natural gas odorant because it was absorbed and depleted in the soil. Natural gas alarms are safeguards in protecting the public, which is why the NTSB has recommended their installation after many of our pipeline accident investigations. The NTSB found that natural gas alarms likely would have prevented or reduced the consequences of the Dallas and West Reading accidents, and the evidence in this investigation suggests the same. The Shalimar Drive accident home was empty at the time of that accident; however, when the explosion in the Bristol Boulevard accident home occurred, two people were inside. Therefore, the NTSB concludes that had a natural gas alarm been installed inside the Bristol Boulevard accident home, it could have alerted occupants that natural gas was present, prompting them to evacuate and report the leak, making Atmos aware that the leak had likely worsened and required corrective action. As a result of the West Reading investigation, the NTSB recommended that the 50 States, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: Safety Recommendation P-25-5 is currently classified Open—Await Response. As of this report, 7 states and the District of Columbia have provided an initial response; 43 states and the Commonwealth of Puerto Rico have not responded. Footnote: The seven states that have provided an initial response include Colorado, Connecticut, Kansas, Nevada, North Carolina, Virginia, and Wyoming. Mississippi, the state where the two Jackson accidents occurred, is one of the 43 states that have not provided an initial response. The NTSB investigation of the two Jackson accidents has again identified the critical importance of natural gas alarms to alert occupants to natural gas leaks. Therefore, the NTSB reiterates Safety Recommendation P 25-5 to 50 States, the Commonwealth of Puerto Rico, and the District of Columbia. As discussed in section 1.10.1.1, after the Avondale accident, Atmos reported that it provided the public with information, through its website, on the availability of natural gas alarms. However, Atmos can do more to safeguard the public in its distribution areas. The NTSB is aware of multiple natural gas distribution operators that have made natural gas alarms available to people in their service areas. Footnote: Visit http://www.ntsb.gov to find additional information in the public docket for this NTSB accident investigation (case number PLD24FR003). Therefore, the NTSB recommends that Atmos develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas.
Addressee Name: State of Florida
Addressee Status: Open - Await Response
Addressee Acronym: FL
Addressee Organization Type: S-State Government
Communication Date: 2025-04-08
Communication Type: Transmittal Letter
Communication Contents: 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 accidents in other modes of transportation—railroad, highway, marine, and pipeline. We determine the probable cause of the accidents and issue safety recommendations aimed at preventing future accidents. In addition, we carry out special studies concerning transportation safety and coordinate the resources of the federal government and other organizations to assist victims and their family members affected by major transportation disasters. We are providing the following information to urge the State of Florida to act on the safety recommendation in this letter because we believe your organization can help reduce the risk of future accidents. For more information about the NTSB and our recommendation process, please see the attached one-page summary. This letter also includes information about our March 18, 2025, report, UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, NTSB/PIR-25/01. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. As a result of this investigation, we identified the following safety issues: • Degradation of a retired Aldyl A service tee that was accelerated by elevated ground temperatures from a corroded and cracked steam pipe nearby. • UGI Corporation’s insufficient consideration of pipeline integrity threats, particularly Aldyl A service tees with Delrin inserts at elevated temperatures. • Presence of unmarked and unreported private assets crossing public rights-of-way, excluding them from the Pennsylvania One Call System and increasing the risk of damage to them. • Delayed evacuation of Palmer’s Building 2 despite detection of natural gas by employees and others. • Natural gas safety messaging from pipeline operator public awareness programs that may not reach certain members of the public. • Insufficient guidance on natural gas emergency procedures. • Absence of natural gas alarms in commercial buildings. • Insufficient accessibility of gas distribution line valves. Accordingly, the NTSB makes the following safety recommendation to the State of Florida (additional information regarding this recommendation can be found in the noted section of the report): • Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) (See section 2.5.1.) The NTSB is vitally interested in this recommendation because it is designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter, detailing the actions you have taken or intend to take to implement this recommendation. When replying, please refer to the safety recommendation by number (Safety Recommendation P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply, including attachments, exceeds 20 megabytes, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. All communications regarding safety recommendations are stored by the NTSB and viewable by the public. Please do not send privileged or confidential communications in response to this recommendation. Responses marked as confidential or privileged (or similar designations) will be considered nonresponsive. In the likely event that your company uses auto generated and/or preformatted confidentiality statements on letterhead or outgoing e-mails, please include a statement in your letter indicating that the information can be publicly released. If you have concerns about this protocol, please contact us at ExecutiveSecretariat@ntsb.gov. The attached letter from the NTSB Chairman provides information about the March 18, 2025, report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. The NTSB is vitally interested in these recommendations because they are designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter detailing the actions you have taken or intend to take to implement these recommendations. When replying, please refer to the safety recommendation by number (for example, P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply exceeds 20 megabytes, including attachments, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. From the report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1: 2.5.1 Natural Gas Alarms Public awareness is an effective tool to encourage adoption of safety devices like natural gas alarms. The first edition of API RP 1162 requires that public awareness programs include safety messages about the awareness of hazards and prevention measures as well as leak recognition and response but does not specifically require these programs to disseminate safety messages about natural gas alarms. UGI’s public awareness materials distributed before the accident were consistent with federal regulations, and although the materials promoted the use of smoke and carbon monoxide alarms, they did not address natural gas alarms. Following the accident, UGI now includes safety messages encouraging the purchase of natural gas alarms in its public awareness materials. The NTSB concludes that installing natural gas alarms can alert people of a gas leak so they can evacuate the area; however, natural gas customers may not be aware of the necessity of such alarms. The NTSB believes that messages about the benefits of natural gas alarms are critically important and could save lives when natural gas alarms are installed. The NTSB further believes that the natural gas industry can help shape the effectiveness of public awareness program delivery methods so that people in businesses, schools, residences, and other places of congregation are better informed, both about natural gas hazards and the necessity of natural gas alarms. The American Gas Association, which represents natural gas pipeline operators throughout the US, can facilitate industry efforts to improve public awareness program delivery methods and to improve safety, most critically through increasing the installation of natural gas alarms. Therefore, the NTSB recommends that the American Gas Association share the details of the March 24, 2023, natural gas–fueled explosion and fire in West Reading, Pennsylvania, with its members, encouraging them to evaluate the effectiveness of their current delivery methods of public awareness programs and to promote the installation of natural gas alarms in businesses, residences, and other places of congregation that they serve. Evacuation should occur immediately upon detection of the presence of natural gas. In 1976, the NTSB made its first recommendation to require natural gas detection to provide early warning of leaks. Most recently, after a 2016 building explosion in Silver Spring, Maryland, and then again after the 2018 home explosion in Dallas, we made recommendations to the ICC and the NFPA to require natural gas alarms with methane detection in residences (NTSB 2019). We recommended the ICC work wi
Addressee Acronym: FL
Addressee Organization Type: S-State Government
Communication Date: 2026-04-07
Communication Type: Recommendation Mention
Communication Contents: Pipeline Investigation Report PIR-26-02, “Enbridge Inc. Natural Gas–Fueled Home Explosion and Fatality, South Jordan, Utah, November 6, 2024” published on April 7, 2026: 2 Analysis On November 6, 2024, a natural gas–fueled home explosion fatally injured one resident and damaged nearby homes. A crack in the 4-inch-diameter Aldyl A gas main near the home allowed natural gas to leak and fuel the home explosion. The NTSB found that the crack originated on the inner surface of the pipe and aligned directly with an oblong impression on the outer surface. Investigators determined that a rock impingement likely caused the oblong impression on the outer surface of the pipe and the resulting crack. They also found that the crack growth features indicated that the crack breached the outer surface in a single abrupt event. As a result, the pipe rapidly transitioned from releasing no gas to releasing up to 48.7 scfm, as measured in the lab. Footnote: The actual leak rate may have been lower, given that the pipeline was buried in soil, which would constrain the pipe and provide back-pressure resistance to gas as it leaked from the pipe. Post-explosion, subsurface gas readings showed that the natural gas migrated about 150 feet from the leak location to the home. Although the exact timing of the leak could not be determined, the residents’ observations of physical symptoms, inability to relight the basement water heater, and an unusually high candle flame before the accident suggest that natural gas may have been present in the home for at least 3 days before the explosion. On November 6, the flammable natural gas–air mixture ignited in the southwest quadrant of the basement. The Utah Deputy State Fire Marshal identified two possible sources of the ignition: a water heater and a furnace. The water heater was turned off at the control point, so the only credible ignition source was the furnace. Footnote: The furnace control valve was found postaccident to have significant thermal damage, consistent with it being the ignition source. Before the accident, Enbridge had implemented safeguards to mitigate the consequences of leaks, including periodic leak surveys, timely response to odor complaints, and targeted replacement projects. However, none of these strategies proved effective for this scenario, because of the following issues related to the strategies: • Periodic leak surveys. Regulators require distribution leak surveys to be conducted every 5 years. Enbridge conducted its most recent leak survey on April 29, 2022—two years before the accident. However, in this accident, through-wall crack propagation occurred too rapidly, causing the leak to go undetected before the explosion. • Timely response to odor complaints. Regulators require odorization of natural gas in distribution systems to help alert the public to natural gas leaks. During interviews conducted by investigators, the NTSB determined that the local residents had not smelled natural gas odorant near the accident home, even though gas was determined to have permeated the ground in the area during postaccident surveys, indicating that the odorant had been stripped from the leaked natural gas that ultimately entered the home. Footnote: Field testing of the gas in the distribution system after the explosion found acceptable odorant concentrations. Although odorant can act as an early warning of a gas release to prevent an explosion and fire, it has been known to become depleted when traveling through soil, as it did in this accident. Previous NTSB investigations have identified occurrences of odorant depletion that allowed natural gas leaks to go undetected, resulting in explosions in Dallas, Texas, in 2018 and in Silver Spring, Maryland, in 2016. Footnote: NTSB. 2021. Atmos Energy Corporation Natural Gas–Fueled Explosion, Dallas, Texas, February 23, 2018. PAR-21/01. Washington, DC: NTSB. Footnote: NTSB. 2019. Building Explosion and Fire, Silver Spring, Maryland, August 10, 2016. PAR-19/01. Washington, DC: NTSB. • Targeted replacement projects. A 2014 California Public Utilities Commission study showed that the vintage of Aldyl A present in this accident, with stress concentrations from rock impingement, squeeze-off, bending, or deflection, were statistically predicted to fail between 22 and 235 years after installation. Footnote: California Public Utilities Commission 2014 Hazard Analysis and Mitigation Report On Aldyl A Polyethylene Gas Pipelines in California. Haine 2014. Because the estimated failure time is imprecise (a range of more than 200 years), and because some environmental conditions—such as the locations of rocks in the backfill material—are unknown, the Enbridge evaluation of the cracking threat to the 1976 vintage Aldyl A did not accurately characterize the risk of rock impingements and prevented Enbridge from identifying effective mitigative actions and targeted replacement projects. Even though Enbridge worked continuously to search for the leak after the explosion, it took them more than 21 hours to find and isolate the natural gas leak. During this time, the pipeline continued to leak natural gas into the ground, increasing the risk to nearby residents, first responders, and others operating in the area. When an underground natural gas pipeline leak occurs rapidly, it can be difficult to safeguard against. Natural gas alarms can provide an early warning of natural gas leaks inside nearby structures and can alert the building occupants to take immediate safety actions. Had in-home natural gas alarms been installed in the homes involved in this accident, they would have alerted the residents to a potential problem and prompted them to evacuate and call 911, reducing or eliminating the fatal consequences of the explosion. The NTSB has previously recommended requiring the installation of natural gas alarms in businesses, residences, and other buildings (Safety Recommendation P 25 05).
Addressee Acronym: FL
Addressee Organization Type: S-State Government
Communication Date: 2026-06-05
Communication Type: Recommendation Mention
Communication Contents: Atmos Energy Corporation Natural Gas–Fueled Home Explosion Pipeline Investigation Report PIR-26-03 published on June 5, 2026: Analysis The explosion and fire occurred after natural gas leaked from a fractured buried main, migrated through an uncapped underground sewer lateral, entered the accident home, and reached an explosive concentration near an unknown ignition source. The investigation did not identify issues with gas pressures in the area of the leak or the timeliness or efficacy of the local emergency response agencies. Postaccident bar-hole testing and excavations found only one source of natural gas: a leak in the gas main near a valve box on the eastern edge of the construction site. On-site examinations of the main found that it was fractured around most of its circumference with a thin strip of metal at the top (12 o’clock position) joining the southern section of pipe to the section still threaded into the valve body. This indicates tension—a stretching force—at the bottom of the pipe along its long axis. Tension along the bottom of the pipe is consistent with a bending stress created by an external downward force. Based on information provided to Atmos by the construction superintendent, a cement truck ran over a valve box at the leak’s location immediately before he heard and smelled natural gas being released. The investigation did not identify another plausible external force that could have damaged the main. The Materials Laboratory examination of the main found fracture characteristics typical of fast crack growth and no signs of significant corrosion or preexisting structural damage that could have contributed to the failure. The fracture was therefore consistent with a sudden application of force by the valve box to the main. Based on the fracture’s location, timing, and fast-cracking characteristics, the valve box transmitted part of the cement truck’s weight to the gas main, causing the main to fracture and leak. Examination of the gas main and valve box involved in this accident found coal tar coating the main and deposited on the bottom edge of the valve box. This indicates that the valve box was in contact with the main. The presence of coal tar alone does not indicate when the contact occurred, but the evidence is consistent with the valve box being installed in contact with the main and therefore able transmit the cement truck’s weight directly to the main near the fracture’s location. Federal regulations at 49 CFR 192.181(c)(3) require that valve boxes not be installed in a manner that transmits external loads to mains, and valve boxes are normally installed with a buffer of soil or other protection between the valve box and the assets immediately below. For example, Atmos’s newer valve boxes are installed with support and base pads to prevent load transmission. However, Atmos was not actively replacing cast iron valve boxes with this newer design. Further, the maintenance crew that removed and reinstalled the valve box about 2 months before the accident did not have a specific standard to follow for reinstalling cast iron valve boxes other than an expectation that the top of the valve box be level with the grade. The lack of a standard likely led to the common reinstallation of valve boxes in contact with mains, as described by an Atmos vice president of operations. If Atmos had adopted either a standard for safely installing cast iron valve boxes or a policy of replacing cast iron valve boxes with the newer design, the protective buffer of soil or support pad would have reduced the load transmitted to the pipe on the day of the accident. There is not enough evidence to determine whether a buffer or pad would have prevented the accident, but it would have made the infrastructure more resilient. Atmos has not reported making changes to its valve box installation practices. After the main fractured, gas propagated undetected through an uncapped underground sewer lateral into the sewer system and then into the accident home, where it reached an explosive concentration. The gas in the sewers remained undetected because Atmos personnel did not test the atmosphere in the sewers prior to the explosion. For about 35 minutes, most of the time between the initial leak and the explosion, there was only one Atmos employee on the scene: an experienced senior service technician. He was equipped with a CGI and checked nearby storm drains for the presence of gas, which was one step in Atmos’s subsurface leak investigation procedure. During his interview with the NTSB, he described planning to check the sewers, another required step, but said that he had already confirmed that there was no threat to life or property. His activities after checking the storm drains are also consistent with a belief that he had finished assessing the risk posed by the leak: he switched to the non-safety-critical work of recording billing information for the damage. The investigation did not find evidence of a natural gas alarm in the accident home, which did not have gas service but was still impacted by a leak from a gas main. It is likely that a natural gas alarm would have provided the home’s occupants with warning of accumulating natural gas and given them an opportunity to evacuate before the explosion. The NTSB has advocated wider installation and use of natural gas alarms for nearly 50 years, including following the investigation into a pair of 2024 home explosions in Jackson, Mississippi, that involved Atmos assets. As a result of that investigation, the NTSB reiterated a recommendation to the 50 states, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: See CAROL for the complete history and current status of this recommendation. The NTSB also recommended that Atmos “develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas” (P-26-10).11F Footnote: See CAROL for the complete history and current status of this recommendation.
Addressee Acronym: FL
Addressee Organization Type: S-State Government
Communication Date: 2026-03-26
Communication Type: Recommendation Reiteration
Communication Contents: From the Report, “Atmos Energy Corporation Natural Gas-Fueled Home Explosions and Fires Jackson, Mississippi, January 24, 2024, and January 27, 2024” published on March 26, 2026. Absence of Natural Gas Detection Alarms in Buildings The Bristol Boulevard accident home and the Shalimar Drive accident home did not have natural gas alarms installed. For nearly 50 years, the NTSB has been recommending natural gas alarms for the early detection of natural gas leaks. In the West Reading accident, several candy factory employees told the NTSB that they had smelled natural gas odorant and did not call 9 1 1 or the gas company but stayed in the building until the explosion occurred. Some of the employees inquired with their managers about what to do, and their managers were equally unaware of the actions to take during a suspected natural gas leak. In the two Jackson accidents, and in many of the pipeline accidents the NTSB has investigated for the last 5 decades, people smelled natural gas odorant and either did not know what actions to take, or they knew the actions necessary to address a potential natural gas emergency but did not execute them. Natural gas distribution pipeline operators must educate the public on pipeline safety through public awareness programs. It is also necessary, however, to have safeguards in place when members of the public (1) smell natural gas odorant and do not take the appropriate safety actions and (2) do not smell natural gas odorant, as was the case in the NTSB investigation of the Dallas accident, and therefore do not take appropriate safety actions. Footnote: The NTSB’s Dallas investigation determined that the occupants in the accident homes did not smell natural gas odorant because it was absorbed and depleted in the soil. Natural gas alarms are safeguards in protecting the public, which is why the NTSB has recommended their installation after many of our pipeline accident investigations. The NTSB found that natural gas alarms likely would have prevented or reduced the consequences of the Dallas and West Reading accidents, and the evidence in this investigation suggests the same. The Shalimar Drive accident home was empty at the time of that accident; however, when the explosion in the Bristol Boulevard accident home occurred, two people were inside. Therefore, the NTSB concludes that had a natural gas alarm been installed inside the Bristol Boulevard accident home, it could have alerted occupants that natural gas was present, prompting them to evacuate and report the leak, making Atmos aware that the leak had likely worsened and required corrective action. As a result of the West Reading investigation, the NTSB recommended that the 50 States, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: Safety Recommendation P-25-5 is currently classified Open—Await Response. As of this report, 7 states and the District of Columbia have provided an initial response; 43 states and the Commonwealth of Puerto Rico have not responded. Footnote: The seven states that have provided an initial response include Colorado, Connecticut, Kansas, Nevada, North Carolina, Virginia, and Wyoming. Mississippi, the state where the two Jackson accidents occurred, is one of the 43 states that have not provided an initial response. The NTSB investigation of the two Jackson accidents has again identified the critical importance of natural gas alarms to alert occupants to natural gas leaks. Therefore, the NTSB reiterates Safety Recommendation P 25-5 to 50 States, the Commonwealth of Puerto Rico, and the District of Columbia. As discussed in section 1.10.1.1, after the Avondale accident, Atmos reported that it provided the public with information, through its website, on the availability of natural gas alarms. However, Atmos can do more to safeguard the public in its distribution areas. The NTSB is aware of multiple natural gas distribution operators that have made natural gas alarms available to people in their service areas. Footnote: Visit http://www.ntsb.gov to find additional information in the public docket for this NTSB accident investigation (case number PLD24FR003). Therefore, the NTSB recommends that Atmos develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas.
Addressee Name: State of Delaware
Addressee Status: Open - Await Response
Addressee Acronym: DE
Addressee Organization Type: S-State Government
Communication Date: 2025-04-08
Communication Type: Transmittal Letter
Communication Contents: 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 accidents in other modes of transportation—railroad, highway, marine, and pipeline. We determine the probable cause of the accidents and issue safety recommendations aimed at preventing future accidents. In addition, we carry out special studies concerning transportation safety and coordinate the resources of the federal government and other organizations to assist victims and their family members affected by major transportation disasters. We are providing the following information to urge the State of Delaware to act on the safety recommendation in this letter because we believe your organization can help reduce the risk of future accidents. For more information about the NTSB and our recommendation process, please see the attached one-page summary. This letter also includes information about our March 18, 2025, report, UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, NTSB/PIR-25/01. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. As a result of this investigation, we identified the following safety issues: • Degradation of a retired Aldyl A service tee that was accelerated by elevated ground temperatures from a corroded and cracked steam pipe nearby. • UGI Corporation’s insufficient consideration of pipeline integrity threats, particularly Aldyl A service tees with Delrin inserts at elevated temperatures. • Presence of unmarked and unreported private assets crossing public rights-of-way, excluding them from the Pennsylvania One Call System and increasing the risk of damage to them. • Delayed evacuation of Palmer’s Building 2 despite detection of natural gas by employees and others. • Natural gas safety messaging from pipeline operator public awareness programs that may not reach certain members of the public. • Insufficient guidance on natural gas emergency procedures. • Absence of natural gas alarms in commercial buildings. • Insufficient accessibility of gas distribution line valves. Accordingly, the NTSB makes the following safety recommendation to the State of Delaware (additional information regarding this recommendation can be found in the noted section of the report): • Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) (See section 2.5.1.) The NTSB is vitally interested in this recommendation because it is designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter, detailing the actions you have taken or intend to take to implement this recommendation. When replying, please refer to the safety recommendation by number (Safety Recommendation P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply, including attachments, exceeds 20 megabytes, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. All communications regarding safety recommendations are stored by the NTSB and viewable by the public. Please do not send privileged or confidential communications in response to this recommendation. Responses marked as confidential or privileged (or similar designations) will be considered nonresponsive. In the likely event that your company uses auto generated and/or preformatted confidentiality statements on letterhead or outgoing e-mails, please include a statement in your letter indicating that the information can be publicly released. If you have concerns about this protocol, please contact us at ExecutiveSecretariat@ntsb.gov. The attached letter from the NTSB Chairman provides information about the March 18, 2025, report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. The NTSB is vitally interested in these recommendations because they are designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter detailing the actions you have taken or intend to take to implement these recommendations. When replying, please refer to the safety recommendation by number (for example, P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply exceeds 20 megabytes, including attachments, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. From the report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1: 2.5.1 Natural Gas Alarms Public awareness is an effective tool to encourage adoption of safety devices like natural gas alarms. The first edition of API RP 1162 requires that public awareness programs include safety messages about the awareness of hazards and prevention measures as well as leak recognition and response but does not specifically require these programs to disseminate safety messages about natural gas alarms. UGI’s public awareness materials distributed before the accident were consistent with federal regulations, and although the materials promoted the use of smoke and carbon monoxide alarms, they did not address natural gas alarms. Following the accident, UGI now includes safety messages encouraging the purchase of natural gas alarms in its public awareness materials. The NTSB concludes that installing natural gas alarms can alert people of a gas leak so they can evacuate the area; however, natural gas customers may not be aware of the necessity of such alarms. The NTSB believes that messages about the benefits of natural gas alarms are critically important and could save lives when natural gas alarms are installed. The NTSB further believes that the natural gas industry can help shape the effectiveness of public awareness program delivery methods so that people in businesses, schools, residences, and other places of congregation are better informed, both about natural gas hazards and the necessity of natural gas alarms. The American Gas Association, which represents natural gas pipeline operators throughout the US, can facilitate industry efforts to improve public awareness program delivery methods and to improve safety, most critically through increasing the installation of natural gas alarms. Therefore, the NTSB recommends that the American Gas Association share the details of the March 24, 2023, natural gas–fueled explosion and fire in West Reading, Pennsylvania, with its members, encouraging them to evaluate the effectiveness of their current delivery methods of public awareness programs and to promote the installation of natural gas alarms in businesses, residences, and other places of congregation that they serve. Evacuation should occur immediately upon detection of the presence of natural gas. In 1976, the NTSB made its first recommendation to require natural gas detection to provide early warning of leaks. Most recently, after a 2016 building explosion in Silver Spring, Maryland, and then again after the 2018 home explosion in Dallas, we made recommendations to the ICC and the NFPA to require natural gas alarms with methane detection in residences (NTSB 2019). We recommended the ICC work
Addressee Acronym: DE
Addressee Organization Type: S-State Government
Communication Date: 2026-04-07
Communication Type: Recommendation Mention
Communication Contents: Pipeline Investigation Report PIR-26-02, “Enbridge Inc. Natural Gas–Fueled Home Explosion and Fatality, South Jordan, Utah, November 6, 2024” published on April 7, 2026: 2 Analysis On November 6, 2024, a natural gas–fueled home explosion fatally injured one resident and damaged nearby homes. A crack in the 4-inch-diameter Aldyl A gas main near the home allowed natural gas to leak and fuel the home explosion. The NTSB found that the crack originated on the inner surface of the pipe and aligned directly with an oblong impression on the outer surface. Investigators determined that a rock impingement likely caused the oblong impression on the outer surface of the pipe and the resulting crack. They also found that the crack growth features indicated that the crack breached the outer surface in a single abrupt event. As a result, the pipe rapidly transitioned from releasing no gas to releasing up to 48.7 scfm, as measured in the lab. Footnote: The actual leak rate may have been lower, given that the pipeline was buried in soil, which would constrain the pipe and provide back-pressure resistance to gas as it leaked from the pipe. Post-explosion, subsurface gas readings showed that the natural gas migrated about 150 feet from the leak location to the home. Although the exact timing of the leak could not be determined, the residents’ observations of physical symptoms, inability to relight the basement water heater, and an unusually high candle flame before the accident suggest that natural gas may have been present in the home for at least 3 days before the explosion. On November 6, the flammable natural gas–air mixture ignited in the southwest quadrant of the basement. The Utah Deputy State Fire Marshal identified two possible sources of the ignition: a water heater and a furnace. The water heater was turned off at the control point, so the only credible ignition source was the furnace. Footnote: The furnace control valve was found postaccident to have significant thermal damage, consistent with it being the ignition source. Before the accident, Enbridge had implemented safeguards to mitigate the consequences of leaks, including periodic leak surveys, timely response to odor complaints, and targeted replacement projects. However, none of these strategies proved effective for this scenario, because of the following issues related to the strategies: • Periodic leak surveys. Regulators require distribution leak surveys to be conducted every 5 years. Enbridge conducted its most recent leak survey on April 29, 2022—two years before the accident. However, in this accident, through-wall crack propagation occurred too rapidly, causing the leak to go undetected before the explosion. • Timely response to odor complaints. Regulators require odorization of natural gas in distribution systems to help alert the public to natural gas leaks. During interviews conducted by investigators, the NTSB determined that the local residents had not smelled natural gas odorant near the accident home, even though gas was determined to have permeated the ground in the area during postaccident surveys, indicating that the odorant had been stripped from the leaked natural gas that ultimately entered the home. Footnote: Field testing of the gas in the distribution system after the explosion found acceptable odorant concentrations. Although odorant can act as an early warning of a gas release to prevent an explosion and fire, it has been known to become depleted when traveling through soil, as it did in this accident. Previous NTSB investigations have identified occurrences of odorant depletion that allowed natural gas leaks to go undetected, resulting in explosions in Dallas, Texas, in 2018 and in Silver Spring, Maryland, in 2016. Footnote: NTSB. 2021. Atmos Energy Corporation Natural Gas–Fueled Explosion, Dallas, Texas, February 23, 2018. PAR-21/01. Washington, DC: NTSB. Footnote: NTSB. 2019. Building Explosion and Fire, Silver Spring, Maryland, August 10, 2016. PAR-19/01. Washington, DC: NTSB. • Targeted replacement projects. A 2014 California Public Utilities Commission study showed that the vintage of Aldyl A present in this accident, with stress concentrations from rock impingement, squeeze-off, bending, or deflection, were statistically predicted to fail between 22 and 235 years after installation. Footnote: California Public Utilities Commission 2014 Hazard Analysis and Mitigation Report On Aldyl A Polyethylene Gas Pipelines in California. Haine 2014. Because the estimated failure time is imprecise (a range of more than 200 years), and because some environmental conditions—such as the locations of rocks in the backfill material—are unknown, the Enbridge evaluation of the cracking threat to the 1976 vintage Aldyl A did not accurately characterize the risk of rock impingements and prevented Enbridge from identifying effective mitigative actions and targeted replacement projects. Even though Enbridge worked continuously to search for the leak after the explosion, it took them more than 21 hours to find and isolate the natural gas leak. During this time, the pipeline continued to leak natural gas into the ground, increasing the risk to nearby residents, first responders, and others operating in the area. When an underground natural gas pipeline leak occurs rapidly, it can be difficult to safeguard against. Natural gas alarms can provide an early warning of natural gas leaks inside nearby structures and can alert the building occupants to take immediate safety actions. Had in-home natural gas alarms been installed in the homes involved in this accident, they would have alerted the residents to a potential problem and prompted them to evacuate and call 911, reducing or eliminating the fatal consequences of the explosion. The NTSB has previously recommended requiring the installation of natural gas alarms in businesses, residences, and other buildings (Safety Recommendation P 25 05).
Addressee Acronym: DE
Addressee Organization Type: S-State Government
Communication Date: 2026-06-05
Communication Type: Recommendation Mention
Communication Contents: Atmos Energy Corporation Natural Gas–Fueled Home Explosion Pipeline Investigation Report PIR-26-03 published on June 5, 2026: Analysis The explosion and fire occurred after natural gas leaked from a fractured buried main, migrated through an uncapped underground sewer lateral, entered the accident home, and reached an explosive concentration near an unknown ignition source. The investigation did not identify issues with gas pressures in the area of the leak or the timeliness or efficacy of the local emergency response agencies. Postaccident bar-hole testing and excavations found only one source of natural gas: a leak in the gas main near a valve box on the eastern edge of the construction site. On-site examinations of the main found that it was fractured around most of its circumference with a thin strip of metal at the top (12 o’clock position) joining the southern section of pipe to the section still threaded into the valve body. This indicates tension—a stretching force—at the bottom of the pipe along its long axis. Tension along the bottom of the pipe is consistent with a bending stress created by an external downward force. Based on information provided to Atmos by the construction superintendent, a cement truck ran over a valve box at the leak’s location immediately before he heard and smelled natural gas being released. The investigation did not identify another plausible external force that could have damaged the main. The Materials Laboratory examination of the main found fracture characteristics typical of fast crack growth and no signs of significant corrosion or preexisting structural damage that could have contributed to the failure. The fracture was therefore consistent with a sudden application of force by the valve box to the main. Based on the fracture’s location, timing, and fast-cracking characteristics, the valve box transmitted part of the cement truck’s weight to the gas main, causing the main to fracture and leak. Examination of the gas main and valve box involved in this accident found coal tar coating the main and deposited on the bottom edge of the valve box. This indicates that the valve box was in contact with the main. The presence of coal tar alone does not indicate when the contact occurred, but the evidence is consistent with the valve box being installed in contact with the main and therefore able transmit the cement truck’s weight directly to the main near the fracture’s location. Federal regulations at 49 CFR 192.181(c)(3) require that valve boxes not be installed in a manner that transmits external loads to mains, and valve boxes are normally installed with a buffer of soil or other protection between the valve box and the assets immediately below. For example, Atmos’s newer valve boxes are installed with support and base pads to prevent load transmission. However, Atmos was not actively replacing cast iron valve boxes with this newer design. Further, the maintenance crew that removed and reinstalled the valve box about 2 months before the accident did not have a specific standard to follow for reinstalling cast iron valve boxes other than an expectation that the top of the valve box be level with the grade. The lack of a standard likely led to the common reinstallation of valve boxes in contact with mains, as described by an Atmos vice president of operations. If Atmos had adopted either a standard for safely installing cast iron valve boxes or a policy of replacing cast iron valve boxes with the newer design, the protective buffer of soil or support pad would have reduced the load transmitted to the pipe on the day of the accident. There is not enough evidence to determine whether a buffer or pad would have prevented the accident, but it would have made the infrastructure more resilient. Atmos has not reported making changes to its valve box installation practices. After the main fractured, gas propagated undetected through an uncapped underground sewer lateral into the sewer system and then into the accident home, where it reached an explosive concentration. The gas in the sewers remained undetected because Atmos personnel did not test the atmosphere in the sewers prior to the explosion. For about 35 minutes, most of the time between the initial leak and the explosion, there was only one Atmos employee on the scene: an experienced senior service technician. He was equipped with a CGI and checked nearby storm drains for the presence of gas, which was one step in Atmos’s subsurface leak investigation procedure. During his interview with the NTSB, he described planning to check the sewers, another required step, but said that he had already confirmed that there was no threat to life or property. His activities after checking the storm drains are also consistent with a belief that he had finished assessing the risk posed by the leak: he switched to the non-safety-critical work of recording billing information for the damage. The investigation did not find evidence of a natural gas alarm in the accident home, which did not have gas service but was still impacted by a leak from a gas main. It is likely that a natural gas alarm would have provided the home’s occupants with warning of accumulating natural gas and given them an opportunity to evacuate before the explosion. The NTSB has advocated wider installation and use of natural gas alarms for nearly 50 years, including following the investigation into a pair of 2024 home explosions in Jackson, Mississippi, that involved Atmos assets. As a result of that investigation, the NTSB reiterated a recommendation to the 50 states, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: See CAROL for the complete history and current status of this recommendation. The NTSB also recommended that Atmos “develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas” (P-26-10).11F Footnote: See CAROL for the complete history and current status of this recommendation.
Addressee Acronym: DE
Addressee Organization Type: S-State Government
Communication Date: 2026-03-26
Communication Type: Recommendation Reiteration
Communication Contents: From the Report, “Atmos Energy Corporation Natural Gas-Fueled Home Explosions and Fires Jackson, Mississippi, January 24, 2024, and January 27, 2024” published on March 26, 2026. Absence of Natural Gas Detection Alarms in Buildings The Bristol Boulevard accident home and the Shalimar Drive accident home did not have natural gas alarms installed. For nearly 50 years, the NTSB has been recommending natural gas alarms for the early detection of natural gas leaks. In the West Reading accident, several candy factory employees told the NTSB that they had smelled natural gas odorant and did not call 9 1 1 or the gas company but stayed in the building until the explosion occurred. Some of the employees inquired with their managers about what to do, and their managers were equally unaware of the actions to take during a suspected natural gas leak. In the two Jackson accidents, and in many of the pipeline accidents the NTSB has investigated for the last 5 decades, people smelled natural gas odorant and either did not know what actions to take, or they knew the actions necessary to address a potential natural gas emergency but did not execute them. Natural gas distribution pipeline operators must educate the public on pipeline safety through public awareness programs. It is also necessary, however, to have safeguards in place when members of the public (1) smell natural gas odorant and do not take the appropriate safety actions and (2) do not smell natural gas odorant, as was the case in the NTSB investigation of the Dallas accident, and therefore do not take appropriate safety actions. Footnote: The NTSB’s Dallas investigation determined that the occupants in the accident homes did not smell natural gas odorant because it was absorbed and depleted in the soil. Natural gas alarms are safeguards in protecting the public, which is why the NTSB has recommended their installation after many of our pipeline accident investigations. The NTSB found that natural gas alarms likely would have prevented or reduced the consequences of the Dallas and West Reading accidents, and the evidence in this investigation suggests the same. The Shalimar Drive accident home was empty at the time of that accident; however, when the explosion in the Bristol Boulevard accident home occurred, two people were inside. Therefore, the NTSB concludes that had a natural gas alarm been installed inside the Bristol Boulevard accident home, it could have alerted occupants that natural gas was present, prompting them to evacuate and report the leak, making Atmos aware that the leak had likely worsened and required corrective action. As a result of the West Reading investigation, the NTSB recommended that the 50 States, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: Safety Recommendation P-25-5 is currently classified Open—Await Response. As of this report, 7 states and the District of Columbia have provided an initial response; 43 states and the Commonwealth of Puerto Rico have not responded. Footnote: The seven states that have provided an initial response include Colorado, Connecticut, Kansas, Nevada, North Carolina, Virginia, and Wyoming. Mississippi, the state where the two Jackson accidents occurred, is one of the 43 states that have not provided an initial response. The NTSB investigation of the two Jackson accidents has again identified the critical importance of natural gas alarms to alert occupants to natural gas leaks. Therefore, the NTSB reiterates Safety Recommendation P 25-5 to 50 States, the Commonwealth of Puerto Rico, and the District of Columbia. As discussed in section 1.10.1.1, after the Avondale accident, Atmos reported that it provided the public with information, through its website, on the availability of natural gas alarms. However, Atmos can do more to safeguard the public in its distribution areas. The NTSB is aware of multiple natural gas distribution operators that have made natural gas alarms available to people in their service areas. Footnote: Visit http://www.ntsb.gov to find additional information in the public docket for this NTSB accident investigation (case number PLD24FR003). Therefore, the NTSB recommends that Atmos develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas.
Addressee Name: State of California
Addressee Status: Open - Await Response
Addressee Acronym: CA
Addressee Organization Type: S-State Government
Communication Date: 2025-04-08
Communication Type: Transmittal Letter
Communication Contents: 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 accidents in other modes of transportation—railroad, highway, marine, and pipeline. We determine the probable cause of the accidents and issue safety recommendations aimed at preventing future accidents. In addition, we carry out special studies concerning transportation safety and coordinate the resources of the federal government and other organizations to assist victims and their family members affected by major transportation disasters. We are providing the following information to urge the State of California to act on the safety recommendation in this letter because we believe your organization can help reduce the risk of future accidents. For more information about the NTSB and our recommendation process, please see the attached one-page summary. This letter also includes information about our March 18, 2025, report, UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, NTSB/PIR-25/01. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. As a result of this investigation, we identified the following safety issues: • Degradation of a retired Aldyl A service tee that was accelerated by elevated ground temperatures from a corroded and cracked steam pipe nearby. • UGI Corporation’s insufficient consideration of pipeline integrity threats, particularly Aldyl A service tees with Delrin inserts at elevated temperatures. • Presence of unmarked and unreported private assets crossing public rights-of-way, excluding them from the Pennsylvania One Call System and increasing the risk of damage to them. • Delayed evacuation of Palmer’s Building 2 despite detection of natural gas by employees and others. • Natural gas safety messaging from pipeline operator public awareness programs that may not reach certain members of the public. • Insufficient guidance on natural gas emergency procedures. • Absence of natural gas alarms in commercial buildings. • Insufficient accessibility of gas distribution line valves. Accordingly, the NTSB makes the following safety recommendation to the State of California (additional information regarding this recommendation can be found in the noted section of the report): • Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) (See section 2.5.1.) The NTSB is vitally interested in this recommendation because it is designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter, detailing the actions you have taken or intend to take to implement this recommendation. When replying, please refer to the safety recommendation by number (Safety Recommendation P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply, including attachments, exceeds 20 megabytes, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. All communications regarding safety recommendations are stored by the NTSB and viewable by the public. Please do not send privileged or confidential communications in response to this recommendation. Responses marked as confidential or privileged (or similar designations) will be considered nonresponsive. In the likely event that your company uses auto generated and/or preformatted confidentiality statements on letterhead or outgoing e-mails, please include a statement in your letter indicating that the information can be publicly released. If you have concerns about this protocol, please contact us at ExecutiveSecretariat@ntsb.gov. The attached letter from the NTSB Chairman provides information about the March 18, 2025, report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. The NTSB is vitally interested in these recommendations because they are designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter detailing the actions you have taken or intend to take to implement these recommendations. When replying, please refer to the safety recommendation by number (for example, P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply exceeds 20 megabytes, including attachments, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. From the report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1: 2.5.1 Natural Gas Alarms Public awareness is an effective tool to encourage adoption of safety devices like natural gas alarms. The first edition of API RP 1162 requires that public awareness programs include safety messages about the awareness of hazards and prevention measures as well as leak recognition and response but does not specifically require these programs to disseminate safety messages about natural gas alarms. UGI’s public awareness materials distributed before the accident were consistent with federal regulations, and although the materials promoted the use of smoke and carbon monoxide alarms, they did not address natural gas alarms. Following the accident, UGI now includes safety messages encouraging the purchase of natural gas alarms in its public awareness materials. The NTSB concludes that installing natural gas alarms can alert people of a gas leak so they can evacuate the area; however, natural gas customers may not be aware of the necessity of such alarms. The NTSB believes that messages about the benefits of natural gas alarms are critically important and could save lives when natural gas alarms are installed. The NTSB further believes that the natural gas industry can help shape the effectiveness of public awareness program delivery methods so that people in businesses, schools, residences, and other places of congregation are better informed, both about natural gas hazards and the necessity of natural gas alarms. The American Gas Association, which represents natural gas pipeline operators throughout the US, can facilitate industry efforts to improve public awareness program delivery methods and to improve safety, most critically through increasing the installation of natural gas alarms. Therefore, the NTSB recommends that the American Gas Association share the details of the March 24, 2023, natural gas–fueled explosion and fire in West Reading, Pennsylvania, with its members, encouraging them to evaluate the effectiveness of their current delivery methods of public awareness programs and to promote the installation of natural gas alarms in businesses, residences, and other places of congregation that they serve. Evacuation should occur immediately upon detection of the presence of natural gas. In 1976, the NTSB made its first recommendation to require natural gas detection to provide early warning of leaks. Most recently, after a 2016 building explosion in Silver Spring, Maryland, and then again after the 2018 home explosion in Dallas, we made recommendations to the ICC and the NFPA to require natural gas alarms with methane detection in residences (NTSB 2019). We recommended the ICC w
Addressee Acronym: CA
Addressee Organization Type: S-State Government
Communication Date: 2026-04-07
Communication Type: Recommendation Mention
Communication Contents: Pipeline Investigation Report PIR-26-02, “Enbridge Inc. Natural Gas–Fueled Home Explosion and Fatality, South Jordan, Utah, November 6, 2024” published on April 7, 2026: 2 Analysis On November 6, 2024, a natural gas–fueled home explosion fatally injured one resident and damaged nearby homes. A crack in the 4-inch-diameter Aldyl A gas main near the home allowed natural gas to leak and fuel the home explosion. The NTSB found that the crack originated on the inner surface of the pipe and aligned directly with an oblong impression on the outer surface. Investigators determined that a rock impingement likely caused the oblong impression on the outer surface of the pipe and the resulting crack. They also found that the crack growth features indicated that the crack breached the outer surface in a single abrupt event. As a result, the pipe rapidly transitioned from releasing no gas to releasing up to 48.7 scfm, as measured in the lab. Footnote: The actual leak rate may have been lower, given that the pipeline was buried in soil, which would constrain the pipe and provide back-pressure resistance to gas as it leaked from the pipe. Post-explosion, subsurface gas readings showed that the natural gas migrated about 150 feet from the leak location to the home. Although the exact timing of the leak could not be determined, the residents’ observations of physical symptoms, inability to relight the basement water heater, and an unusually high candle flame before the accident suggest that natural gas may have been present in the home for at least 3 days before the explosion. On November 6, the flammable natural gas–air mixture ignited in the southwest quadrant of the basement. The Utah Deputy State Fire Marshal identified two possible sources of the ignition: a water heater and a furnace. The water heater was turned off at the control point, so the only credible ignition source was the furnace. Footnote: The furnace control valve was found postaccident to have significant thermal damage, consistent with it being the ignition source. Before the accident, Enbridge had implemented safeguards to mitigate the consequences of leaks, including periodic leak surveys, timely response to odor complaints, and targeted replacement projects. However, none of these strategies proved effective for this scenario, because of the following issues related to the strategies: • Periodic leak surveys. Regulators require distribution leak surveys to be conducted every 5 years. Enbridge conducted its most recent leak survey on April 29, 2022—two years before the accident. However, in this accident, through-wall crack propagation occurred too rapidly, causing the leak to go undetected before the explosion. • Timely response to odor complaints. Regulators require odorization of natural gas in distribution systems to help alert the public to natural gas leaks. During interviews conducted by investigators, the NTSB determined that the local residents had not smelled natural gas odorant near the accident home, even though gas was determined to have permeated the ground in the area during postaccident surveys, indicating that the odorant had been stripped from the leaked natural gas that ultimately entered the home. Footnote: Field testing of the gas in the distribution system after the explosion found acceptable odorant concentrations. Although odorant can act as an early warning of a gas release to prevent an explosion and fire, it has been known to become depleted when traveling through soil, as it did in this accident. Previous NTSB investigations have identified occurrences of odorant depletion that allowed natural gas leaks to go undetected, resulting in explosions in Dallas, Texas, in 2018 and in Silver Spring, Maryland, in 2016. Footnote: NTSB. 2021. Atmos Energy Corporation Natural Gas–Fueled Explosion, Dallas, Texas, February 23, 2018. PAR-21/01. Washington, DC: NTSB. Footnote: NTSB. 2019. Building Explosion and Fire, Silver Spring, Maryland, August 10, 2016. PAR-19/01. Washington, DC: NTSB. • Targeted replacement projects. A 2014 California Public Utilities Commission study showed that the vintage of Aldyl A present in this accident, with stress concentrations from rock impingement, squeeze-off, bending, or deflection, were statistically predicted to fail between 22 and 235 years after installation. Footnote: California Public Utilities Commission 2014 Hazard Analysis and Mitigation Report On Aldyl A Polyethylene Gas Pipelines in California. Haine 2014. Because the estimated failure time is imprecise (a range of more than 200 years), and because some environmental conditions—such as the locations of rocks in the backfill material—are unknown, the Enbridge evaluation of the cracking threat to the 1976 vintage Aldyl A did not accurately characterize the risk of rock impingements and prevented Enbridge from identifying effective mitigative actions and targeted replacement projects. Even though Enbridge worked continuously to search for the leak after the explosion, it took them more than 21 hours to find and isolate the natural gas leak. During this time, the pipeline continued to leak natural gas into the ground, increasing the risk to nearby residents, first responders, and others operating in the area. When an underground natural gas pipeline leak occurs rapidly, it can be difficult to safeguard against. Natural gas alarms can provide an early warning of natural gas leaks inside nearby structures and can alert the building occupants to take immediate safety actions. Had in-home natural gas alarms been installed in the homes involved in this accident, they would have alerted the residents to a potential problem and prompted them to evacuate and call 911, reducing or eliminating the fatal consequences of the explosion. The NTSB has previously recommended requiring the installation of natural gas alarms in businesses, residences, and other buildings (Safety Recommendation P 25 05).
Addressee Acronym: CA
Addressee Organization Type: S-State Government
Communication Date: 2026-06-05
Communication Type: Recommendation Mention
Communication Contents: Atmos Energy Corporation Natural Gas–Fueled Home Explosion Pipeline Investigation Report PIR-26-03 published on June 5, 2026: Analysis The explosion and fire occurred after natural gas leaked from a fractured buried main, migrated through an uncapped underground sewer lateral, entered the accident home, and reached an explosive concentration near an unknown ignition source. The investigation did not identify issues with gas pressures in the area of the leak or the timeliness or efficacy of the local emergency response agencies. Postaccident bar-hole testing and excavations found only one source of natural gas: a leak in the gas main near a valve box on the eastern edge of the construction site. On-site examinations of the main found that it was fractured around most of its circumference with a thin strip of metal at the top (12 o’clock position) joining the southern section of pipe to the section still threaded into the valve body. This indicates tension—a stretching force—at the bottom of the pipe along its long axis. Tension along the bottom of the pipe is consistent with a bending stress created by an external downward force. Based on information provided to Atmos by the construction superintendent, a cement truck ran over a valve box at the leak’s location immediately before he heard and smelled natural gas being released. The investigation did not identify another plausible external force that could have damaged the main. The Materials Laboratory examination of the main found fracture characteristics typical of fast crack growth and no signs of significant corrosion or preexisting structural damage that could have contributed to the failure. The fracture was therefore consistent with a sudden application of force by the valve box to the main. Based on the fracture’s location, timing, and fast-cracking characteristics, the valve box transmitted part of the cement truck’s weight to the gas main, causing the main to fracture and leak. Examination of the gas main and valve box involved in this accident found coal tar coating the main and deposited on the bottom edge of the valve box. This indicates that the valve box was in contact with the main. The presence of coal tar alone does not indicate when the contact occurred, but the evidence is consistent with the valve box being installed in contact with the main and therefore able transmit the cement truck’s weight directly to the main near the fracture’s location. Federal regulations at 49 CFR 192.181(c)(3) require that valve boxes not be installed in a manner that transmits external loads to mains, and valve boxes are normally installed with a buffer of soil or other protection between the valve box and the assets immediately below. For example, Atmos’s newer valve boxes are installed with support and base pads to prevent load transmission. However, Atmos was not actively replacing cast iron valve boxes with this newer design. Further, the maintenance crew that removed and reinstalled the valve box about 2 months before the accident did not have a specific standard to follow for reinstalling cast iron valve boxes other than an expectation that the top of the valve box be level with the grade. The lack of a standard likely led to the common reinstallation of valve boxes in contact with mains, as described by an Atmos vice president of operations. If Atmos had adopted either a standard for safely installing cast iron valve boxes or a policy of replacing cast iron valve boxes with the newer design, the protective buffer of soil or support pad would have reduced the load transmitted to the pipe on the day of the accident. There is not enough evidence to determine whether a buffer or pad would have prevented the accident, but it would have made the infrastructure more resilient. Atmos has not reported making changes to its valve box installation practices. After the main fractured, gas propagated undetected through an uncapped underground sewer lateral into the sewer system and then into the accident home, where it reached an explosive concentration. The gas in the sewers remained undetected because Atmos personnel did not test the atmosphere in the sewers prior to the explosion. For about 35 minutes, most of the time between the initial leak and the explosion, there was only one Atmos employee on the scene: an experienced senior service technician. He was equipped with a CGI and checked nearby storm drains for the presence of gas, which was one step in Atmos’s subsurface leak investigation procedure. During his interview with the NTSB, he described planning to check the sewers, another required step, but said that he had already confirmed that there was no threat to life or property. His activities after checking the storm drains are also consistent with a belief that he had finished assessing the risk posed by the leak: he switched to the non-safety-critical work of recording billing information for the damage. The investigation did not find evidence of a natural gas alarm in the accident home, which did not have gas service but was still impacted by a leak from a gas main. It is likely that a natural gas alarm would have provided the home’s occupants with warning of accumulating natural gas and given them an opportunity to evacuate before the explosion. The NTSB has advocated wider installation and use of natural gas alarms for nearly 50 years, including following the investigation into a pair of 2024 home explosions in Jackson, Mississippi, that involved Atmos assets. As a result of that investigation, the NTSB reiterated a recommendation to the 50 states, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: See CAROL for the complete history and current status of this recommendation. The NTSB also recommended that Atmos “develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas” (P-26-10).11F Footnote: See CAROL for the complete history and current status of this recommendation.
Addressee Acronym: CA
Addressee Organization Type: S-State Government
Communication Date: 2026-03-26
Communication Type: Recommendation Reiteration
Communication Contents: From the Report, “Atmos Energy Corporation Natural Gas-Fueled Home Explosions and Fires Jackson, Mississippi, January 24, 2024, and January 27, 2024” published on March 26, 2026. Absence of Natural Gas Detection Alarms in Buildings The Bristol Boulevard accident home and the Shalimar Drive accident home did not have natural gas alarms installed. For nearly 50 years, the NTSB has been recommending natural gas alarms for the early detection of natural gas leaks. In the West Reading accident, several candy factory employees told the NTSB that they had smelled natural gas odorant and did not call 9 1 1 or the gas company but stayed in the building until the explosion occurred. Some of the employees inquired with their managers about what to do, and their managers were equally unaware of the actions to take during a suspected natural gas leak. In the two Jackson accidents, and in many of the pipeline accidents the NTSB has investigated for the last 5 decades, people smelled natural gas odorant and either did not know what actions to take, or they knew the actions necessary to address a potential natural gas emergency but did not execute them. Natural gas distribution pipeline operators must educate the public on pipeline safety through public awareness programs. It is also necessary, however, to have safeguards in place when members of the public (1) smell natural gas odorant and do not take the appropriate safety actions and (2) do not smell natural gas odorant, as was the case in the NTSB investigation of the Dallas accident, and therefore do not take appropriate safety actions. Footnote: The NTSB’s Dallas investigation determined that the occupants in the accident homes did not smell natural gas odorant because it was absorbed and depleted in the soil. Natural gas alarms are safeguards in protecting the public, which is why the NTSB has recommended their installation after many of our pipeline accident investigations. The NTSB found that natural gas alarms likely would have prevented or reduced the consequences of the Dallas and West Reading accidents, and the evidence in this investigation suggests the same. The Shalimar Drive accident home was empty at the time of that accident; however, when the explosion in the Bristol Boulevard accident home occurred, two people were inside. Therefore, the NTSB concludes that had a natural gas alarm been installed inside the Bristol Boulevard accident home, it could have alerted occupants that natural gas was present, prompting them to evacuate and report the leak, making Atmos aware that the leak had likely worsened and required corrective action. As a result of the West Reading investigation, the NTSB recommended that the 50 States, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: Safety Recommendation P-25-5 is currently classified Open—Await Response. As of this report, 7 states and the District of Columbia have provided an initial response; 43 states and the Commonwealth of Puerto Rico have not responded. Footnote: The seven states that have provided an initial response include Colorado, Connecticut, Kansas, Nevada, North Carolina, Virginia, and Wyoming. Mississippi, the state where the two Jackson accidents occurred, is one of the 43 states that have not provided an initial response. The NTSB investigation of the two Jackson accidents has again identified the critical importance of natural gas alarms to alert occupants to natural gas leaks. Therefore, the NTSB reiterates Safety Recommendation P 25-5 to 50 States, the Commonwealth of Puerto Rico, and the District of Columbia. As discussed in section 1.10.1.1, after the Avondale accident, Atmos reported that it provided the public with information, through its website, on the availability of natural gas alarms. However, Atmos can do more to safeguard the public in its distribution areas. The NTSB is aware of multiple natural gas distribution operators that have made natural gas alarms available to people in their service areas. Footnote: Visit http://www.ntsb.gov to find additional information in the public docket for this NTSB accident investigation (case number PLD24FR003). Therefore, the NTSB recommends that Atmos develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas.
Addressee Name: State of Arkansas
Addressee Status: Open - Await Response
Addressee Acronym: AR
Addressee Organization Type: S-State Government
Communication Date: 2025-04-08
Communication Type: Transmittal Letter
Communication Contents: 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 accidents in other modes of transportation—railroad, highway, marine, and pipeline. We determine the probable cause of the accidents and issue safety recommendations aimed at preventing future accidents. In addition, we carry out special studies concerning transportation safety and coordinate the resources of the federal government and other organizations to assist victims and their family members affected by major transportation disasters. We are providing the following information to urge the State of Arkansas to act on the safety recommendation in this letter because we believe your organization can help reduce the risk of future accidents. For more information about the NTSB and our recommendation process, please see the attached one-page summary. This letter also includes information about our March 18, 2025, report, UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, NTSB/PIR-25/01. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. As a result of this investigation, we identified the following safety issues: • Degradation of a retired Aldyl A service tee that was accelerated by elevated ground temperatures from a corroded and cracked steam pipe nearby. • UGI Corporation’s insufficient consideration of pipeline integrity threats, particularly Aldyl A service tees with Delrin inserts at elevated temperatures. • Presence of unmarked and unreported private assets crossing public rights-of-way, excluding them from the Pennsylvania One Call System and increasing the risk of damage to them. • Delayed evacuation of Palmer’s Building 2 despite detection of natural gas by employees and others. • Natural gas safety messaging from pipeline operator public awareness programs that may not reach certain members of the public. • Insufficient guidance on natural gas emergency procedures. • Absence of natural gas alarms in commercial buildings. • Insufficient accessibility of gas distribution line valves. Accordingly, the NTSB makes the following safety recommendation to the State of Arkansas (additional information regarding this recommendation can be found in the noted section of the report): • Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) (See section 2.5.1.) The NTSB is vitally interested in this recommendation because it is designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter, detailing the actions you have taken or intend to take to implement this recommendation. When replying, please refer to the safety recommendation by number (Safety Recommendation P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply, including attachments, exceeds 20 megabytes, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. All communications regarding safety recommendations are stored by the NTSB and viewable by the public. Please do not send privileged or confidential communications in response to this recommendation. Responses marked as confidential or privileged (or similar designations) will be considered nonresponsive. In the likely event that your company uses auto generated and/or preformatted confidentiality statements on letterhead or outgoing e-mails, please include a statement in your letter indicating that the information can be publicly released. If you have concerns about this protocol, please contact us at ExecutiveSecretariat@ntsb.gov. The attached letter from the NTSB Chairman provides information about the March 18, 2025, report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. The NTSB is vitally interested in these recommendations because they are designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter detailing the actions you have taken or intend to take to implement these recommendations. When replying, please refer to the safety recommendation by number (for example, P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply exceeds 20 megabytes, including attachments, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. From the report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1: 2.5.1 Natural Gas Alarms Public awareness is an effective tool to encourage adoption of safety devices like natural gas alarms. The first edition of API RP 1162 requires that public awareness programs include safety messages about the awareness of hazards and prevention measures as well as leak recognition and response but does not specifically require these programs to disseminate safety messages about natural gas alarms. UGI’s public awareness materials distributed before the accident were consistent with federal regulations, and although the materials promoted the use of smoke and carbon monoxide alarms, they did not address natural gas alarms. Following the accident, UGI now includes safety messages encouraging the purchase of natural gas alarms in its public awareness materials. The NTSB concludes that installing natural gas alarms can alert people of a gas leak so they can evacuate the area; however, natural gas customers may not be aware of the necessity of such alarms. The NTSB believes that messages about the benefits of natural gas alarms are critically important and could save lives when natural gas alarms are installed. The NTSB further believes that the natural gas industry can help shape the effectiveness of public awareness program delivery methods so that people in businesses, schools, residences, and other places of congregation are better informed, both about natural gas hazards and the necessity of natural gas alarms. The American Gas Association, which represents natural gas pipeline operators throughout the US, can facilitate industry efforts to improve public awareness program delivery methods and to improve safety, most critically through increasing the installation of natural gas alarms. Therefore, the NTSB recommends that the American Gas Association share the details of the March 24, 2023, natural gas–fueled explosion and fire in West Reading, Pennsylvania, with its members, encouraging them to evaluate the effectiveness of their current delivery methods of public awareness programs and to promote the installation of natural gas alarms in businesses, residences, and other places of congregation that they serve. Evacuation should occur immediately upon detection of the presence of natural gas. In 1976, the NTSB made its first recommendation to require natural gas detection to provide early warning of leaks. Most recently, after a 2016 building explosion in Silver Spring, Maryland, and then again after the 2018 home explosion in Dallas, we made recommendations to the ICC and the NFPA to require natural gas alarms with methane detection in residences (NTSB 2019). We recommended the ICC work
Addressee Acronym: AR
Addressee Organization Type: S-State Government
Communication Date: 2026-04-07
Communication Type: Recommendation Mention
Communication Contents: Pipeline Investigation Report PIR-26-02, “Enbridge Inc. Natural Gas–Fueled Home Explosion and Fatality, South Jordan, Utah, November 6, 2024” published on April 7, 2026: 2 Analysis On November 6, 2024, a natural gas–fueled home explosion fatally injured one resident and damaged nearby homes. A crack in the 4-inch-diameter Aldyl A gas main near the home allowed natural gas to leak and fuel the home explosion. The NTSB found that the crack originated on the inner surface of the pipe and aligned directly with an oblong impression on the outer surface. Investigators determined that a rock impingement likely caused the oblong impression on the outer surface of the pipe and the resulting crack. They also found that the crack growth features indicated that the crack breached the outer surface in a single abrupt event. As a result, the pipe rapidly transitioned from releasing no gas to releasing up to 48.7 scfm, as measured in the lab. Footnote: The actual leak rate may have been lower, given that the pipeline was buried in soil, which would constrain the pipe and provide back-pressure resistance to gas as it leaked from the pipe. Post-explosion, subsurface gas readings showed that the natural gas migrated about 150 feet from the leak location to the home. Although the exact timing of the leak could not be determined, the residents’ observations of physical symptoms, inability to relight the basement water heater, and an unusually high candle flame before the accident suggest that natural gas may have been present in the home for at least 3 days before the explosion. On November 6, the flammable natural gas–air mixture ignited in the southwest quadrant of the basement. The Utah Deputy State Fire Marshal identified two possible sources of the ignition: a water heater and a furnace. The water heater was turned off at the control point, so the only credible ignition source was the furnace. Footnote: The furnace control valve was found postaccident to have significant thermal damage, consistent with it being the ignition source. Before the accident, Enbridge had implemented safeguards to mitigate the consequences of leaks, including periodic leak surveys, timely response to odor complaints, and targeted replacement projects. However, none of these strategies proved effective for this scenario, because of the following issues related to the strategies: • Periodic leak surveys. Regulators require distribution leak surveys to be conducted every 5 years. Enbridge conducted its most recent leak survey on April 29, 2022—two years before the accident. However, in this accident, through-wall crack propagation occurred too rapidly, causing the leak to go undetected before the explosion. • Timely response to odor complaints. Regulators require odorization of natural gas in distribution systems to help alert the public to natural gas leaks. During interviews conducted by investigators, the NTSB determined that the local residents had not smelled natural gas odorant near the accident home, even though gas was determined to have permeated the ground in the area during postaccident surveys, indicating that the odorant had been stripped from the leaked natural gas that ultimately entered the home. Footnote: Field testing of the gas in the distribution system after the explosion found acceptable odorant concentrations. Although odorant can act as an early warning of a gas release to prevent an explosion and fire, it has been known to become depleted when traveling through soil, as it did in this accident. Previous NTSB investigations have identified occurrences of odorant depletion that allowed natural gas leaks to go undetected, resulting in explosions in Dallas, Texas, in 2018 and in Silver Spring, Maryland, in 2016. Footnote: NTSB. 2021. Atmos Energy Corporation Natural Gas–Fueled Explosion, Dallas, Texas, February 23, 2018. PAR-21/01. Washington, DC: NTSB. Footnote: NTSB. 2019. Building Explosion and Fire, Silver Spring, Maryland, August 10, 2016. PAR-19/01. Washington, DC: NTSB. • Targeted replacement projects. A 2014 California Public Utilities Commission study showed that the vintage of Aldyl A present in this accident, with stress concentrations from rock impingement, squeeze-off, bending, or deflection, were statistically predicted to fail between 22 and 235 years after installation. Footnote: California Public Utilities Commission 2014 Hazard Analysis and Mitigation Report On Aldyl A Polyethylene Gas Pipelines in California. Haine 2014. Because the estimated failure time is imprecise (a range of more than 200 years), and because some environmental conditions—such as the locations of rocks in the backfill material—are unknown, the Enbridge evaluation of the cracking threat to the 1976 vintage Aldyl A did not accurately characterize the risk of rock impingements and prevented Enbridge from identifying effective mitigative actions and targeted replacement projects. Even though Enbridge worked continuously to search for the leak after the explosion, it took them more than 21 hours to find and isolate the natural gas leak. During this time, the pipeline continued to leak natural gas into the ground, increasing the risk to nearby residents, first responders, and others operating in the area. When an underground natural gas pipeline leak occurs rapidly, it can be difficult to safeguard against. Natural gas alarms can provide an early warning of natural gas leaks inside nearby structures and can alert the building occupants to take immediate safety actions. Had in-home natural gas alarms been installed in the homes involved in this accident, they would have alerted the residents to a potential problem and prompted them to evacuate and call 911, reducing or eliminating the fatal consequences of the explosion. The NTSB has previously recommended requiring the installation of natural gas alarms in businesses, residences, and other buildings (Safety Recommendation P 25 05).
Addressee Acronym: AR
Addressee Organization Type: S-State Government
Communication Date: 2026-06-05
Communication Type: Recommendation Mention
Communication Contents: Atmos Energy Corporation Natural Gas–Fueled Home Explosion Pipeline Investigation Report PIR-26-03 published on June 5, 2026: Analysis The explosion and fire occurred after natural gas leaked from a fractured buried main, migrated through an uncapped underground sewer lateral, entered the accident home, and reached an explosive concentration near an unknown ignition source. The investigation did not identify issues with gas pressures in the area of the leak or the timeliness or efficacy of the local emergency response agencies. Postaccident bar-hole testing and excavations found only one source of natural gas: a leak in the gas main near a valve box on the eastern edge of the construction site. On-site examinations of the main found that it was fractured around most of its circumference with a thin strip of metal at the top (12 o’clock position) joining the southern section of pipe to the section still threaded into the valve body. This indicates tension—a stretching force—at the bottom of the pipe along its long axis. Tension along the bottom of the pipe is consistent with a bending stress created by an external downward force. Based on information provided to Atmos by the construction superintendent, a cement truck ran over a valve box at the leak’s location immediately before he heard and smelled natural gas being released. The investigation did not identify another plausible external force that could have damaged the main. The Materials Laboratory examination of the main found fracture characteristics typical of fast crack growth and no signs of significant corrosion or preexisting structural damage that could have contributed to the failure. The fracture was therefore consistent with a sudden application of force by the valve box to the main. Based on the fracture’s location, timing, and fast-cracking characteristics, the valve box transmitted part of the cement truck’s weight to the gas main, causing the main to fracture and leak. Examination of the gas main and valve box involved in this accident found coal tar coating the main and deposited on the bottom edge of the valve box. This indicates that the valve box was in contact with the main. The presence of coal tar alone does not indicate when the contact occurred, but the evidence is consistent with the valve box being installed in contact with the main and therefore able transmit the cement truck’s weight directly to the main near the fracture’s location. Federal regulations at 49 CFR 192.181(c)(3) require that valve boxes not be installed in a manner that transmits external loads to mains, and valve boxes are normally installed with a buffer of soil or other protection between the valve box and the assets immediately below. For example, Atmos’s newer valve boxes are installed with support and base pads to prevent load transmission. However, Atmos was not actively replacing cast iron valve boxes with this newer design. Further, the maintenance crew that removed and reinstalled the valve box about 2 months before the accident did not have a specific standard to follow for reinstalling cast iron valve boxes other than an expectation that the top of the valve box be level with the grade. The lack of a standard likely led to the common reinstallation of valve boxes in contact with mains, as described by an Atmos vice president of operations. If Atmos had adopted either a standard for safely installing cast iron valve boxes or a policy of replacing cast iron valve boxes with the newer design, the protective buffer of soil or support pad would have reduced the load transmitted to the pipe on the day of the accident. There is not enough evidence to determine whether a buffer or pad would have prevented the accident, but it would have made the infrastructure more resilient. Atmos has not reported making changes to its valve box installation practices. After the main fractured, gas propagated undetected through an uncapped underground sewer lateral into the sewer system and then into the accident home, where it reached an explosive concentration. The gas in the sewers remained undetected because Atmos personnel did not test the atmosphere in the sewers prior to the explosion. For about 35 minutes, most of the time between the initial leak and the explosion, there was only one Atmos employee on the scene: an experienced senior service technician. He was equipped with a CGI and checked nearby storm drains for the presence of gas, which was one step in Atmos’s subsurface leak investigation procedure. During his interview with the NTSB, he described planning to check the sewers, another required step, but said that he had already confirmed that there was no threat to life or property. His activities after checking the storm drains are also consistent with a belief that he had finished assessing the risk posed by the leak: he switched to the non-safety-critical work of recording billing information for the damage. The investigation did not find evidence of a natural gas alarm in the accident home, which did not have gas service but was still impacted by a leak from a gas main. It is likely that a natural gas alarm would have provided the home’s occupants with warning of accumulating natural gas and given them an opportunity to evacuate before the explosion. The NTSB has advocated wider installation and use of natural gas alarms for nearly 50 years, including following the investigation into a pair of 2024 home explosions in Jackson, Mississippi, that involved Atmos assets. As a result of that investigation, the NTSB reiterated a recommendation to the 50 states, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: See CAROL for the complete history and current status of this recommendation. The NTSB also recommended that Atmos “develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas” (P-26-10).11F Footnote: See CAROL for the complete history and current status of this recommendation.
Addressee Acronym: AR
Addressee Organization Type: S-State Government
Communication Date: 2026-03-26
Communication Type: Recommendation Reiteration
Communication Contents: From the Report, “Atmos Energy Corporation Natural Gas-Fueled Home Explosions and Fires Jackson, Mississippi, January 24, 2024, and January 27, 2024” published on March 26, 2026. Absence of Natural Gas Detection Alarms in Buildings The Bristol Boulevard accident home and the Shalimar Drive accident home did not have natural gas alarms installed. For nearly 50 years, the NTSB has been recommending natural gas alarms for the early detection of natural gas leaks. In the West Reading accident, several candy factory employees told the NTSB that they had smelled natural gas odorant and did not call 9 1 1 or the gas company but stayed in the building until the explosion occurred. Some of the employees inquired with their managers about what to do, and their managers were equally unaware of the actions to take during a suspected natural gas leak. In the two Jackson accidents, and in many of the pipeline accidents the NTSB has investigated for the last 5 decades, people smelled natural gas odorant and either did not know what actions to take, or they knew the actions necessary to address a potential natural gas emergency but did not execute them. Natural gas distribution pipeline operators must educate the public on pipeline safety through public awareness programs. It is also necessary, however, to have safeguards in place when members of the public (1) smell natural gas odorant and do not take the appropriate safety actions and (2) do not smell natural gas odorant, as was the case in the NTSB investigation of the Dallas accident, and therefore do not take appropriate safety actions. Footnote: The NTSB’s Dallas investigation determined that the occupants in the accident homes did not smell natural gas odorant because it was absorbed and depleted in the soil. Natural gas alarms are safeguards in protecting the public, which is why the NTSB has recommended their installation after many of our pipeline accident investigations. The NTSB found that natural gas alarms likely would have prevented or reduced the consequences of the Dallas and West Reading accidents, and the evidence in this investigation suggests the same. The Shalimar Drive accident home was empty at the time of that accident; however, when the explosion in the Bristol Boulevard accident home occurred, two people were inside. Therefore, the NTSB concludes that had a natural gas alarm been installed inside the Bristol Boulevard accident home, it could have alerted occupants that natural gas was present, prompting them to evacuate and report the leak, making Atmos aware that the leak had likely worsened and required corrective action. As a result of the West Reading investigation, the NTSB recommended that the 50 States, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: Safety Recommendation P-25-5 is currently classified Open—Await Response. As of this report, 7 states and the District of Columbia have provided an initial response; 43 states and the Commonwealth of Puerto Rico have not responded. Footnote: The seven states that have provided an initial response include Colorado, Connecticut, Kansas, Nevada, North Carolina, Virginia, and Wyoming. Mississippi, the state where the two Jackson accidents occurred, is one of the 43 states that have not provided an initial response. The NTSB investigation of the two Jackson accidents has again identified the critical importance of natural gas alarms to alert occupants to natural gas leaks. Therefore, the NTSB reiterates Safety Recommendation P 25-5 to 50 States, the Commonwealth of Puerto Rico, and the District of Columbia. As discussed in section 1.10.1.1, after the Avondale accident, Atmos reported that it provided the public with information, through its website, on the availability of natural gas alarms. However, Atmos can do more to safeguard the public in its distribution areas. The NTSB is aware of multiple natural gas distribution operators that have made natural gas alarms available to people in their service areas. Footnote: Visit http://www.ntsb.gov to find additional information in the public docket for this NTSB accident investigation (case number PLD24FR003). Therefore, the NTSB recommends that Atmos develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas.
Addressee Name: State of Arizona
Addressee Status: Open - Await Response
Addressee Acronym: AZ
Addressee Organization Type: S-State Government
Communication Date: 2025-04-08
Communication Type: Transmittal Letter
Communication Contents: 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 accidents in other modes of transportation—railroad, highway, marine, and pipeline. We determine the probable cause of the accidents and issue safety recommendations aimed at preventing future accidents. In addition, we carry out special studies concerning transportation safety and coordinate the resources of the federal government and other organizations to assist victims and their family members affected by major transportation disasters. We are providing the following information to urge the State of Arizona to act on the safety recommendation in this letter because we believe your organization can help reduce the risk of future accidents. For more information about the NTSB and our recommendation process, please see the attached one-page summary. This letter also includes information about our March 18, 2025, report, UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, NTSB/PIR-25/01. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. As a result of this investigation, we identified the following safety issues: • Degradation of a retired Aldyl A service tee that was accelerated by elevated ground temperatures from a corroded and cracked steam pipe nearby. • UGI Corporation’s insufficient consideration of pipeline integrity threats, particularly Aldyl A service tees with Delrin inserts at elevated temperatures. • Presence of unmarked and unreported private assets crossing public rights-of-way, excluding them from the Pennsylvania One Call System and increasing the risk of damage to them. • Delayed evacuation of Palmer’s Building 2 despite detection of natural gas by employees and others. • Natural gas safety messaging from pipeline operator public awareness programs that may not reach certain members of the public. • Insufficient guidance on natural gas emergency procedures. • Absence of natural gas alarms in commercial buildings. • Insufficient accessibility of gas distribution line valves. Accordingly, the NTSB makes the following safety recommendation to the State of Arizona (additional information regarding this recommendation can be found in the noted section of the report): • Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) (See section 2.5.1.) The NTSB is vitally interested in this recommendation because it is designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter, detailing the actions you have taken or intend to take to implement this recommendation. When replying, please refer to the safety recommendation by number (Safety Recommendation P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply, including attachments, exceeds 20 megabytes, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. All communications regarding safety recommendations are stored by the NTSB and viewable by the public. Please do not send privileged or confidential communications in response to this recommendation. Responses marked as confidential or privileged (or similar designations) will be considered nonresponsive. In the likely event that your company uses auto generated and/or preformatted confidentiality statements on letterhead or outgoing e-mails, please include a statement in your letter indicating that the information can be publicly released. If you have concerns about this protocol, please contact us at ExecutiveSecretariat@ntsb.gov. The attached letter from the NTSB Chairman provides information about the March 18, 2025, report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. The NTSB is vitally interested in these recommendations because they are designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter detailing the actions you have taken or intend to take to implement these recommendations. When replying, please refer to the safety recommendation by number (for example, P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply exceeds 20 megabytes, including attachments, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. From the report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1: 2.5.1 Natural Gas Alarms Public awareness is an effective tool to encourage adoption of safety devices like natural gas alarms. The first edition of API RP 1162 requires that public awareness programs include safety messages about the awareness of hazards and prevention measures as well as leak recognition and response but does not specifically require these programs to disseminate safety messages about natural gas alarms. UGI’s public awareness materials distributed before the accident were consistent with federal regulations, and although the materials promoted the use of smoke and carbon monoxide alarms, they did not address natural gas alarms. Following the accident, UGI now includes safety messages encouraging the purchase of natural gas alarms in its public awareness materials. The NTSB concludes that installing natural gas alarms can alert people of a gas leak so they can evacuate the area; however, natural gas customers may not be aware of the necessity of such alarms. The NTSB believes that messages about the benefits of natural gas alarms are critically important and could save lives when natural gas alarms are installed. The NTSB further believes that the natural gas industry can help shape the effectiveness of public awareness program delivery methods so that people in businesses, schools, residences, and other places of congregation are better informed, both about natural gas hazards and the necessity of natural gas alarms. The American Gas Association, which represents natural gas pipeline operators throughout the US, can facilitate industry efforts to improve public awareness program delivery methods and to improve safety, most critically through increasing the installation of natural gas alarms. Therefore, the NTSB recommends that the American Gas Association share the details of the March 24, 2023, natural gas–fueled explosion and fire in West Reading, Pennsylvania, with its members, encouraging them to evaluate the effectiveness of their current delivery methods of public awareness programs and to promote the installation of natural gas alarms in businesses, residences, and other places of congregation that they serve. Evacuation should occur immediately upon detection of the presence of natural gas. In 1976, the NTSB made its first recommendation to require natural gas detection to provide early warning of leaks. Most recently, after a 2016 building explosion in Silver Spring, Maryland, and then again after the 2018 home explosion in Dallas, we made recommendations to the ICC and the NFPA to require natural gas alarms with methane detection in residences (NTSB 2019). We recommended the ICC work wi
Addressee Acronym: AZ
Addressee Organization Type: S-State Government
Communication Date: 2026-04-07
Communication Type: Recommendation Mention
Communication Contents: Pipeline Investigation Report PIR-26-02, “Enbridge Inc. Natural Gas–Fueled Home Explosion and Fatality, South Jordan, Utah, November 6, 2024” published on April 7, 2026: 2 Analysis On November 6, 2024, a natural gas–fueled home explosion fatally injured one resident and damaged nearby homes. A crack in the 4-inch-diameter Aldyl A gas main near the home allowed natural gas to leak and fuel the home explosion. The NTSB found that the crack originated on the inner surface of the pipe and aligned directly with an oblong impression on the outer surface. Investigators determined that a rock impingement likely caused the oblong impression on the outer surface of the pipe and the resulting crack. They also found that the crack growth features indicated that the crack breached the outer surface in a single abrupt event. As a result, the pipe rapidly transitioned from releasing no gas to releasing up to 48.7 scfm, as measured in the lab. Footnote: The actual leak rate may have been lower, given that the pipeline was buried in soil, which would constrain the pipe and provide back-pressure resistance to gas as it leaked from the pipe. Post-explosion, subsurface gas readings showed that the natural gas migrated about 150 feet from the leak location to the home. Although the exact timing of the leak could not be determined, the residents’ observations of physical symptoms, inability to relight the basement water heater, and an unusually high candle flame before the accident suggest that natural gas may have been present in the home for at least 3 days before the explosion. On November 6, the flammable natural gas–air mixture ignited in the southwest quadrant of the basement. The Utah Deputy State Fire Marshal identified two possible sources of the ignition: a water heater and a furnace. The water heater was turned off at the control point, so the only credible ignition source was the furnace. Footnote: The furnace control valve was found postaccident to have significant thermal damage, consistent with it being the ignition source. Before the accident, Enbridge had implemented safeguards to mitigate the consequences of leaks, including periodic leak surveys, timely response to odor complaints, and targeted replacement projects. However, none of these strategies proved effective for this scenario, because of the following issues related to the strategies: • Periodic leak surveys. Regulators require distribution leak surveys to be conducted every 5 years. Enbridge conducted its most recent leak survey on April 29, 2022—two years before the accident. However, in this accident, through-wall crack propagation occurred too rapidly, causing the leak to go undetected before the explosion. • Timely response to odor complaints. Regulators require odorization of natural gas in distribution systems to help alert the public to natural gas leaks. During interviews conducted by investigators, the NTSB determined that the local residents had not smelled natural gas odorant near the accident home, even though gas was determined to have permeated the ground in the area during postaccident surveys, indicating that the odorant had been stripped from the leaked natural gas that ultimately entered the home. Footnote: Field testing of the gas in the distribution system after the explosion found acceptable odorant concentrations. Although odorant can act as an early warning of a gas release to prevent an explosion and fire, it has been known to become depleted when traveling through soil, as it did in this accident. Previous NTSB investigations have identified occurrences of odorant depletion that allowed natural gas leaks to go undetected, resulting in explosions in Dallas, Texas, in 2018 and in Silver Spring, Maryland, in 2016. Footnote: NTSB. 2021. Atmos Energy Corporation Natural Gas–Fueled Explosion, Dallas, Texas, February 23, 2018. PAR-21/01. Washington, DC: NTSB. Footnote: NTSB. 2019. Building Explosion and Fire, Silver Spring, Maryland, August 10, 2016. PAR-19/01. Washington, DC: NTSB. • Targeted replacement projects. A 2014 California Public Utilities Commission study showed that the vintage of Aldyl A present in this accident, with stress concentrations from rock impingement, squeeze-off, bending, or deflection, were statistically predicted to fail between 22 and 235 years after installation. Footnote: California Public Utilities Commission 2014 Hazard Analysis and Mitigation Report On Aldyl A Polyethylene Gas Pipelines in California. Haine 2014. Because the estimated failure time is imprecise (a range of more than 200 years), and because some environmental conditions—such as the locations of rocks in the backfill material—are unknown, the Enbridge evaluation of the cracking threat to the 1976 vintage Aldyl A did not accurately characterize the risk of rock impingements and prevented Enbridge from identifying effective mitigative actions and targeted replacement projects. Even though Enbridge worked continuously to search for the leak after the explosion, it took them more than 21 hours to find and isolate the natural gas leak. During this time, the pipeline continued to leak natural gas into the ground, increasing the risk to nearby residents, first responders, and others operating in the area. When an underground natural gas pipeline leak occurs rapidly, it can be difficult to safeguard against. Natural gas alarms can provide an early warning of natural gas leaks inside nearby structures and can alert the building occupants to take immediate safety actions. Had in-home natural gas alarms been installed in the homes involved in this accident, they would have alerted the residents to a potential problem and prompted them to evacuate and call 911, reducing or eliminating the fatal consequences of the explosion. The NTSB has previously recommended requiring the installation of natural gas alarms in businesses, residences, and other buildings (Safety Recommendation P 25 05).
Addressee Acronym: AZ
Addressee Organization Type: S-State Government
Communication Date: 2026-06-05
Communication Type: Recommendation Mention
Communication Contents: Atmos Energy Corporation Natural Gas–Fueled Home Explosion Pipeline Investigation Report PIR-26-03 published on June 5, 2026: Analysis The explosion and fire occurred after natural gas leaked from a fractured buried main, migrated through an uncapped underground sewer lateral, entered the accident home, and reached an explosive concentration near an unknown ignition source. The investigation did not identify issues with gas pressures in the area of the leak or the timeliness or efficacy of the local emergency response agencies. Postaccident bar-hole testing and excavations found only one source of natural gas: a leak in the gas main near a valve box on the eastern edge of the construction site. On-site examinations of the main found that it was fractured around most of its circumference with a thin strip of metal at the top (12 o’clock position) joining the southern section of pipe to the section still threaded into the valve body. This indicates tension—a stretching force—at the bottom of the pipe along its long axis. Tension along the bottom of the pipe is consistent with a bending stress created by an external downward force. Based on information provided to Atmos by the construction superintendent, a cement truck ran over a valve box at the leak’s location immediately before he heard and smelled natural gas being released. The investigation did not identify another plausible external force that could have damaged the main. The Materials Laboratory examination of the main found fracture characteristics typical of fast crack growth and no signs of significant corrosion or preexisting structural damage that could have contributed to the failure. The fracture was therefore consistent with a sudden application of force by the valve box to the main. Based on the fracture’s location, timing, and fast-cracking characteristics, the valve box transmitted part of the cement truck’s weight to the gas main, causing the main to fracture and leak. Examination of the gas main and valve box involved in this accident found coal tar coating the main and deposited on the bottom edge of the valve box. This indicates that the valve box was in contact with the main. The presence of coal tar alone does not indicate when the contact occurred, but the evidence is consistent with the valve box being installed in contact with the main and therefore able transmit the cement truck’s weight directly to the main near the fracture’s location. Federal regulations at 49 CFR 192.181(c)(3) require that valve boxes not be installed in a manner that transmits external loads to mains, and valve boxes are normally installed with a buffer of soil or other protection between the valve box and the assets immediately below. For example, Atmos’s newer valve boxes are installed with support and base pads to prevent load transmission. However, Atmos was not actively replacing cast iron valve boxes with this newer design. Further, the maintenance crew that removed and reinstalled the valve box about 2 months before the accident did not have a specific standard to follow for reinstalling cast iron valve boxes other than an expectation that the top of the valve box be level with the grade. The lack of a standard likely led to the common reinstallation of valve boxes in contact with mains, as described by an Atmos vice president of operations. If Atmos had adopted either a standard for safely installing cast iron valve boxes or a policy of replacing cast iron valve boxes with the newer design, the protective buffer of soil or support pad would have reduced the load transmitted to the pipe on the day of the accident. There is not enough evidence to determine whether a buffer or pad would have prevented the accident, but it would have made the infrastructure more resilient. Atmos has not reported making changes to its valve box installation practices. After the main fractured, gas propagated undetected through an uncapped underground sewer lateral into the sewer system and then into the accident home, where it reached an explosive concentration. The gas in the sewers remained undetected because Atmos personnel did not test the atmosphere in the sewers prior to the explosion. For about 35 minutes, most of the time between the initial leak and the explosion, there was only one Atmos employee on the scene: an experienced senior service technician. He was equipped with a CGI and checked nearby storm drains for the presence of gas, which was one step in Atmos’s subsurface leak investigation procedure. During his interview with the NTSB, he described planning to check the sewers, another required step, but said that he had already confirmed that there was no threat to life or property. His activities after checking the storm drains are also consistent with a belief that he had finished assessing the risk posed by the leak: he switched to the non-safety-critical work of recording billing information for the damage. The investigation did not find evidence of a natural gas alarm in the accident home, which did not have gas service but was still impacted by a leak from a gas main. It is likely that a natural gas alarm would have provided the home’s occupants with warning of accumulating natural gas and given them an opportunity to evacuate before the explosion. The NTSB has advocated wider installation and use of natural gas alarms for nearly 50 years, including following the investigation into a pair of 2024 home explosions in Jackson, Mississippi, that involved Atmos assets. As a result of that investigation, the NTSB reiterated a recommendation to the 50 states, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: See CAROL for the complete history and current status of this recommendation. The NTSB also recommended that Atmos “develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas” (P-26-10).11F Footnote: See CAROL for the complete history and current status of this recommendation.
Addressee Acronym: AZ
Addressee Organization Type: S-State Government
Communication Date: 2026-03-26
Communication Type: Recommendation Reiteration
Communication Contents: From the Report, “Atmos Energy Corporation Natural Gas-Fueled Home Explosions and Fires Jackson, Mississippi, January 24, 2024, and January 27, 2024” published on March 26, 2026. Absence of Natural Gas Detection Alarms in Buildings The Bristol Boulevard accident home and the Shalimar Drive accident home did not have natural gas alarms installed. For nearly 50 years, the NTSB has been recommending natural gas alarms for the early detection of natural gas leaks. In the West Reading accident, several candy factory employees told the NTSB that they had smelled natural gas odorant and did not call 9 1 1 or the gas company but stayed in the building until the explosion occurred. Some of the employees inquired with their managers about what to do, and their managers were equally unaware of the actions to take during a suspected natural gas leak. In the two Jackson accidents, and in many of the pipeline accidents the NTSB has investigated for the last 5 decades, people smelled natural gas odorant and either did not know what actions to take, or they knew the actions necessary to address a potential natural gas emergency but did not execute them. Natural gas distribution pipeline operators must educate the public on pipeline safety through public awareness programs. It is also necessary, however, to have safeguards in place when members of the public (1) smell natural gas odorant and do not take the appropriate safety actions and (2) do not smell natural gas odorant, as was the case in the NTSB investigation of the Dallas accident, and therefore do not take appropriate safety actions. Footnote: The NTSB’s Dallas investigation determined that the occupants in the accident homes did not smell natural gas odorant because it was absorbed and depleted in the soil. Natural gas alarms are safeguards in protecting the public, which is why the NTSB has recommended their installation after many of our pipeline accident investigations. The NTSB found that natural gas alarms likely would have prevented or reduced the consequences of the Dallas and West Reading accidents, and the evidence in this investigation suggests the same. The Shalimar Drive accident home was empty at the time of that accident; however, when the explosion in the Bristol Boulevard accident home occurred, two people were inside. Therefore, the NTSB concludes that had a natural gas alarm been installed inside the Bristol Boulevard accident home, it could have alerted occupants that natural gas was present, prompting them to evacuate and report the leak, making Atmos aware that the leak had likely worsened and required corrective action. As a result of the West Reading investigation, the NTSB recommended that the 50 States, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: Safety Recommendation P-25-5 is currently classified Open—Await Response. As of this report, 7 states and the District of Columbia have provided an initial response; 43 states and the Commonwealth of Puerto Rico have not responded. Footnote: The seven states that have provided an initial response include Colorado, Connecticut, Kansas, Nevada, North Carolina, Virginia, and Wyoming. Mississippi, the state where the two Jackson accidents occurred, is one of the 43 states that have not provided an initial response. The NTSB investigation of the two Jackson accidents has again identified the critical importance of natural gas alarms to alert occupants to natural gas leaks. Therefore, the NTSB reiterates Safety Recommendation P 25-5 to 50 States, the Commonwealth of Puerto Rico, and the District of Columbia. As discussed in section 1.10.1.1, after the Avondale accident, Atmos reported that it provided the public with information, through its website, on the availability of natural gas alarms. However, Atmos can do more to safeguard the public in its distribution areas. The NTSB is aware of multiple natural gas distribution operators that have made natural gas alarms available to people in their service areas. Footnote: Visit http://www.ntsb.gov to find additional information in the public docket for this NTSB accident investigation (case number PLD24FR003). Therefore, the NTSB recommends that Atmos develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas.
Addressee Name: State of Alaska
Addressee Status: Open - Await Response
Addressee Acronym: AK
Addressee Organization Type: S-State Government
Communication Date: 2025-04-08
Communication Type: Transmittal Letter
Communication Contents: 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 accidents in other modes of transportation—railroad, highway, marine, and pipeline. We determine the probable cause of the accidents and issue safety recommendations aimed at preventing future accidents. In addition, we carry out special studies concerning transportation safety and coordinate the resources of the federal government and other organizations to assist victims and their family members affected by major transportation disasters. We are providing the following information to urge the State of Alaska to act on the safety recommendation in this letter because we believe your organization can help reduce the risk of future accidents. For more information about the NTSB and our recommendation process, please see the attached one-page summary. This letter also includes information about our March 18, 2025, report, UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, NTSB/PIR-25/01. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. As a result of this investigation, we identified the following safety issues: • Degradation of a retired Aldyl A service tee that was accelerated by elevated ground temperatures from a corroded and cracked steam pipe nearby. • UGI Corporation’s insufficient consideration of pipeline integrity threats, particularly Aldyl A service tees with Delrin inserts at elevated temperatures. • Presence of unmarked and unreported private assets crossing public rights-of-way, excluding them from the Pennsylvania One Call System and increasing the risk of damage to them. • Delayed evacuation of Palmer’s Building 2 despite detection of natural gas by employees and others. • Natural gas safety messaging from pipeline operator public awareness programs that may not reach certain members of the public. • Insufficient guidance on natural gas emergency procedures. • Absence of natural gas alarms in commercial buildings. • Insufficient accessibility of gas distribution line valves. Accordingly, the NTSB makes the following safety recommendation to the State of Alaska (additional information regarding this recommendation can be found in the noted section of the report): • Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) (See section 2.5.1.) The NTSB is vitally interested in this recommendation because it is designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter, detailing the actions you have taken or intend to take to implement this recommendation. When replying, please refer to the safety recommendation by number (Safety Recommendation P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply, including attachments, exceeds 20 megabytes, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. All communications regarding safety recommendations are stored by the NTSB and viewable by the public. Please do not send privileged or confidential communications in response to this recommendation. Responses marked as confidential or privileged (or similar designations) will be considered nonresponsive. In the likely event that your company uses auto generated and/or preformatted confidentiality statements on letterhead or outgoing e-mails, please include a statement in your letter indicating that the information can be publicly released. If you have concerns about this protocol, please contact us at ExecutiveSecretariat@ntsb.gov. The attached letter from the NTSB Chairman provides information about the March 18, 2025, report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. The NTSB is vitally interested in these recommendations because they are designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter detailing the actions you have taken or intend to take to implement these recommendations. When replying, please refer to the safety recommendation by number (for example, P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply exceeds 20 megabytes, including attachments, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. From the report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1: 2.5.1 Natural Gas Alarms Public awareness is an effective tool to encourage adoption of safety devices like natural gas alarms. The first edition of API RP 1162 requires that public awareness programs include safety messages about the awareness of hazards and prevention measures as well as leak recognition and response but does not specifically require these programs to disseminate safety messages about natural gas alarms. UGI’s public awareness materials distributed before the accident were consistent with federal regulations, and although the materials promoted the use of smoke and carbon monoxide alarms, they did not address natural gas alarms. Following the accident, UGI now includes safety messages encouraging the purchase of natural gas alarms in its public awareness materials. The NTSB concludes that installing natural gas alarms can alert people of a gas leak so they can evacuate the area; however, natural gas customers may not be aware of the necessity of such alarms. The NTSB believes that messages about the benefits of natural gas alarms are critically important and could save lives when natural gas alarms are installed. The NTSB further believes that the natural gas industry can help shape the effectiveness of public awareness program delivery methods so that people in businesses, schools, residences, and other places of congregation are better informed, both about natural gas hazards and the necessity of natural gas alarms. The American Gas Association, which represents natural gas pipeline operators throughout the US, can facilitate industry efforts to improve public awareness program delivery methods and to improve safety, most critically through increasing the installation of natural gas alarms. Therefore, the NTSB recommends that the American Gas Association share the details of the March 24, 2023, natural gas–fueled explosion and fire in West Reading, Pennsylvania, with its members, encouraging them to evaluate the effectiveness of their current delivery methods of public awareness programs and to promote the installation of natural gas alarms in businesses, residences, and other places of congregation that they serve. Evacuation should occur immediately upon detection of the presence of natural gas. In 1976, the NTSB made its first recommendation to require natural gas detection to provide early warning of leaks. Most recently, after a 2016 building explosion in Silver Spring, Maryland, and then again after the 2018 home explosion in Dallas, we made recommendations to the ICC and the NFPA to require natural gas alarms with methane detection in residences (NTSB 2019). We recommended the ICC work with
Addressee Acronym: AK
Addressee Organization Type: S-State Government
Communication Date: 2026-04-07
Communication Type: Recommendation Mention
Communication Contents: Pipeline Investigation Report PIR-26-02, “Enbridge Inc. Natural Gas–Fueled Home Explosion and Fatality, South Jordan, Utah, November 6, 2024” published on April 7, 2026: 2 Analysis On November 6, 2024, a natural gas–fueled home explosion fatally injured one resident and damaged nearby homes. A crack in the 4-inch-diameter Aldyl A gas main near the home allowed natural gas to leak and fuel the home explosion. The NTSB found that the crack originated on the inner surface of the pipe and aligned directly with an oblong impression on the outer surface. Investigators determined that a rock impingement likely caused the oblong impression on the outer surface of the pipe and the resulting crack. They also found that the crack growth features indicated that the crack breached the outer surface in a single abrupt event. As a result, the pipe rapidly transitioned from releasing no gas to releasing up to 48.7 scfm, as measured in the lab. Footnote: The actual leak rate may have been lower, given that the pipeline was buried in soil, which would constrain the pipe and provide back-pressure resistance to gas as it leaked from the pipe. Post-explosion, subsurface gas readings showed that the natural gas migrated about 150 feet from the leak location to the home. Although the exact timing of the leak could not be determined, the residents’ observations of physical symptoms, inability to relight the basement water heater, and an unusually high candle flame before the accident suggest that natural gas may have been present in the home for at least 3 days before the explosion. On November 6, the flammable natural gas–air mixture ignited in the southwest quadrant of the basement. The Utah Deputy State Fire Marshal identified two possible sources of the ignition: a water heater and a furnace. The water heater was turned off at the control point, so the only credible ignition source was the furnace. Footnote: The furnace control valve was found postaccident to have significant thermal damage, consistent with it being the ignition source. Before the accident, Enbridge had implemented safeguards to mitigate the consequences of leaks, including periodic leak surveys, timely response to odor complaints, and targeted replacement projects. However, none of these strategies proved effective for this scenario, because of the following issues related to the strategies: • Periodic leak surveys. Regulators require distribution leak surveys to be conducted every 5 years. Enbridge conducted its most recent leak survey on April 29, 2022—two years before the accident. However, in this accident, through-wall crack propagation occurred too rapidly, causing the leak to go undetected before the explosion. • Timely response to odor complaints. Regulators require odorization of natural gas in distribution systems to help alert the public to natural gas leaks. During interviews conducted by investigators, the NTSB determined that the local residents had not smelled natural gas odorant near the accident home, even though gas was determined to have permeated the ground in the area during postaccident surveys, indicating that the odorant had been stripped from the leaked natural gas that ultimately entered the home. Footnote: Field testing of the gas in the distribution system after the explosion found acceptable odorant concentrations. Although odorant can act as an early warning of a gas release to prevent an explosion and fire, it has been known to become depleted when traveling through soil, as it did in this accident. Previous NTSB investigations have identified occurrences of odorant depletion that allowed natural gas leaks to go undetected, resulting in explosions in Dallas, Texas, in 2018 and in Silver Spring, Maryland, in 2016. Footnote: NTSB. 2021. Atmos Energy Corporation Natural Gas–Fueled Explosion, Dallas, Texas, February 23, 2018. PAR-21/01. Washington, DC: NTSB. Footnote: NTSB. 2019. Building Explosion and Fire, Silver Spring, Maryland, August 10, 2016. PAR-19/01. Washington, DC: NTSB. • Targeted replacement projects. A 2014 California Public Utilities Commission study showed that the vintage of Aldyl A present in this accident, with stress concentrations from rock impingement, squeeze-off, bending, or deflection, were statistically predicted to fail between 22 and 235 years after installation. Footnote: California Public Utilities Commission 2014 Hazard Analysis and Mitigation Report On Aldyl A Polyethylene Gas Pipelines in California. Haine 2014. Because the estimated failure time is imprecise (a range of more than 200 years), and because some environmental conditions—such as the locations of rocks in the backfill material—are unknown, the Enbridge evaluation of the cracking threat to the 1976 vintage Aldyl A did not accurately characterize the risk of rock impingements and prevented Enbridge from identifying effective mitigative actions and targeted replacement projects. Even though Enbridge worked continuously to search for the leak after the explosion, it took them more than 21 hours to find and isolate the natural gas leak. During this time, the pipeline continued to leak natural gas into the ground, increasing the risk to nearby residents, first responders, and others operating in the area. When an underground natural gas pipeline leak occurs rapidly, it can be difficult to safeguard against. Natural gas alarms can provide an early warning of natural gas leaks inside nearby structures and can alert the building occupants to take immediate safety actions. Had in-home natural gas alarms been installed in the homes involved in this accident, they would have alerted the residents to a potential problem and prompted them to evacuate and call 911, reducing or eliminating the fatal consequences of the explosion. The NTSB has previously recommended requiring the installation of natural gas alarms in businesses, residences, and other buildings (Safety Recommendation P 25 05).
Addressee Acronym: AK
Addressee Organization Type: S-State Government
Communication Date: 2026-06-05
Communication Type: Recommendation Mention
Communication Contents: Atmos Energy Corporation Natural Gas–Fueled Home Explosion Pipeline Investigation Report PIR-26-03 published on June 5, 2026: Analysis The explosion and fire occurred after natural gas leaked from a fractured buried main, migrated through an uncapped underground sewer lateral, entered the accident home, and reached an explosive concentration near an unknown ignition source. The investigation did not identify issues with gas pressures in the area of the leak or the timeliness or efficacy of the local emergency response agencies. Postaccident bar-hole testing and excavations found only one source of natural gas: a leak in the gas main near a valve box on the eastern edge of the construction site. On-site examinations of the main found that it was fractured around most of its circumference with a thin strip of metal at the top (12 o’clock position) joining the southern section of pipe to the section still threaded into the valve body. This indicates tension—a stretching force—at the bottom of the pipe along its long axis. Tension along the bottom of the pipe is consistent with a bending stress created by an external downward force. Based on information provided to Atmos by the construction superintendent, a cement truck ran over a valve box at the leak’s location immediately before he heard and smelled natural gas being released. The investigation did not identify another plausible external force that could have damaged the main. The Materials Laboratory examination of the main found fracture characteristics typical of fast crack growth and no signs of significant corrosion or preexisting structural damage that could have contributed to the failure. The fracture was therefore consistent with a sudden application of force by the valve box to the main. Based on the fracture’s location, timing, and fast-cracking characteristics, the valve box transmitted part of the cement truck’s weight to the gas main, causing the main to fracture and leak. Examination of the gas main and valve box involved in this accident found coal tar coating the main and deposited on the bottom edge of the valve box. This indicates that the valve box was in contact with the main. The presence of coal tar alone does not indicate when the contact occurred, but the evidence is consistent with the valve box being installed in contact with the main and therefore able transmit the cement truck’s weight directly to the main near the fracture’s location. Federal regulations at 49 CFR 192.181(c)(3) require that valve boxes not be installed in a manner that transmits external loads to mains, and valve boxes are normally installed with a buffer of soil or other protection between the valve box and the assets immediately below. For example, Atmos’s newer valve boxes are installed with support and base pads to prevent load transmission. However, Atmos was not actively replacing cast iron valve boxes with this newer design. Further, the maintenance crew that removed and reinstalled the valve box about 2 months before the accident did not have a specific standard to follow for reinstalling cast iron valve boxes other than an expectation that the top of the valve box be level with the grade. The lack of a standard likely led to the common reinstallation of valve boxes in contact with mains, as described by an Atmos vice president of operations. If Atmos had adopted either a standard for safely installing cast iron valve boxes or a policy of replacing cast iron valve boxes with the newer design, the protective buffer of soil or support pad would have reduced the load transmitted to the pipe on the day of the accident. There is not enough evidence to determine whether a buffer or pad would have prevented the accident, but it would have made the infrastructure more resilient. Atmos has not reported making changes to its valve box installation practices. After the main fractured, gas propagated undetected through an uncapped underground sewer lateral into the sewer system and then into the accident home, where it reached an explosive concentration. The gas in the sewers remained undetected because Atmos personnel did not test the atmosphere in the sewers prior to the explosion. For about 35 minutes, most of the time between the initial leak and the explosion, there was only one Atmos employee on the scene: an experienced senior service technician. He was equipped with a CGI and checked nearby storm drains for the presence of gas, which was one step in Atmos’s subsurface leak investigation procedure. During his interview with the NTSB, he described planning to check the sewers, another required step, but said that he had already confirmed that there was no threat to life or property. His activities after checking the storm drains are also consistent with a belief that he had finished assessing the risk posed by the leak: he switched to the non-safety-critical work of recording billing information for the damage. The investigation did not find evidence of a natural gas alarm in the accident home, which did not have gas service but was still impacted by a leak from a gas main. It is likely that a natural gas alarm would have provided the home’s occupants with warning of accumulating natural gas and given them an opportunity to evacuate before the explosion. The NTSB has advocated wider installation and use of natural gas alarms for nearly 50 years, including following the investigation into a pair of 2024 home explosions in Jackson, Mississippi, that involved Atmos assets. As a result of that investigation, the NTSB reiterated a recommendation to the 50 states, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: See CAROL for the complete history and current status of this recommendation. The NTSB also recommended that Atmos “develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas” (P-26-10).11F Footnote: See CAROL for the complete history and current status of this recommendation.
Addressee Acronym: AK
Addressee Organization Type: S-State Government
Communication Date: 2026-03-26
Communication Type: Recommendation Reiteration
Communication Contents: From the Report, “Atmos Energy Corporation Natural Gas-Fueled Home Explosions and Fires Jackson, Mississippi, January 24, 2024, and January 27, 2024” published on March 26, 2026. Absence of Natural Gas Detection Alarms in Buildings The Bristol Boulevard accident home and the Shalimar Drive accident home did not have natural gas alarms installed. For nearly 50 years, the NTSB has been recommending natural gas alarms for the early detection of natural gas leaks. In the West Reading accident, several candy factory employees told the NTSB that they had smelled natural gas odorant and did not call 9 1 1 or the gas company but stayed in the building until the explosion occurred. Some of the employees inquired with their managers about what to do, and their managers were equally unaware of the actions to take during a suspected natural gas leak. In the two Jackson accidents, and in many of the pipeline accidents the NTSB has investigated for the last 5 decades, people smelled natural gas odorant and either did not know what actions to take, or they knew the actions necessary to address a potential natural gas emergency but did not execute them. Natural gas distribution pipeline operators must educate the public on pipeline safety through public awareness programs. It is also necessary, however, to have safeguards in place when members of the public (1) smell natural gas odorant and do not take the appropriate safety actions and (2) do not smell natural gas odorant, as was the case in the NTSB investigation of the Dallas accident, and therefore do not take appropriate safety actions. Footnote: The NTSB’s Dallas investigation determined that the occupants in the accident homes did not smell natural gas odorant because it was absorbed and depleted in the soil. Natural gas alarms are safeguards in protecting the public, which is why the NTSB has recommended their installation after many of our pipeline accident investigations. The NTSB found that natural gas alarms likely would have prevented or reduced the consequences of the Dallas and West Reading accidents, and the evidence in this investigation suggests the same. The Shalimar Drive accident home was empty at the time of that accident; however, when the explosion in the Bristol Boulevard accident home occurred, two people were inside. Therefore, the NTSB concludes that had a natural gas alarm been installed inside the Bristol Boulevard accident home, it could have alerted occupants that natural gas was present, prompting them to evacuate and report the leak, making Atmos aware that the leak had likely worsened and required corrective action. As a result of the West Reading investigation, the NTSB recommended that the 50 States, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: Safety Recommendation P-25-5 is currently classified Open—Await Response. As of this report, 7 states and the District of Columbia have provided an initial response; 43 states and the Commonwealth of Puerto Rico have not responded. Footnote: The seven states that have provided an initial response include Colorado, Connecticut, Kansas, Nevada, North Carolina, Virginia, and Wyoming. Mississippi, the state where the two Jackson accidents occurred, is one of the 43 states that have not provided an initial response. The NTSB investigation of the two Jackson accidents has again identified the critical importance of natural gas alarms to alert occupants to natural gas leaks. Therefore, the NTSB reiterates Safety Recommendation P 25-5 to 50 States, the Commonwealth of Puerto Rico, and the District of Columbia. As discussed in section 1.10.1.1, after the Avondale accident, Atmos reported that it provided the public with information, through its website, on the availability of natural gas alarms. However, Atmos can do more to safeguard the public in its distribution areas. The NTSB is aware of multiple natural gas distribution operators that have made natural gas alarms available to people in their service areas. Footnote: Visit http://www.ntsb.gov to find additional information in the public docket for this NTSB accident investigation (case number PLD24FR003). Therefore, the NTSB recommends that Atmos develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas.
Addressee Name: State of Alabama
Addressee Status: Open - Await Response
Addressee Acronym: AL
Addressee Organization Type: S-State Government
Communication Date: 2025-04-08
Communication Type: Transmittal Letter
Communication Contents: 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 accidents in other modes of transportation—railroad, highway, marine, and pipeline. We determine the probable cause of the accidents and issue safety recommendations aimed at preventing future accidents. In addition, we carry out special studies concerning transportation safety and coordinate the resources of the federal government and other organizations to assist victims and their family members affected by major transportation disasters. We are providing the following information to urge the State of Alabama to act on the safety recommendation in this letter because we believe your organization can help reduce the risk of future accidents. For more information about the NTSB and our recommendation process, please see the attached one-page summary. This letter also includes information about our March 18, 2025, report, UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, NTSB/PIR-25/01. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. As a result of this investigation, we identified the following safety issues: • Degradation of a retired Aldyl A service tee that was accelerated by elevated ground temperatures from a corroded and cracked steam pipe nearby. • UGI Corporation’s insufficient consideration of pipeline integrity threats, particularly Aldyl A service tees with Delrin inserts at elevated temperatures. • Presence of unmarked and unreported private assets crossing public rights-of-way, excluding them from the Pennsylvania One Call System and increasing the risk of damage to them. • Delayed evacuation of Palmer’s Building 2 despite detection of natural gas by employees and others. • Natural gas safety messaging from pipeline operator public awareness programs that may not reach certain members of the public. • Insufficient guidance on natural gas emergency procedures. • Absence of natural gas alarms in commercial buildings. • Insufficient accessibility of gas distribution line valves. Accordingly, the NTSB makes the following safety recommendation to the State of Alabama (additional information regarding this recommendation can be found in the noted section of the report): • Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) (See section 2.5.1.) The NTSB is vitally interested in this recommendation because it is designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter, detailing the actions you have taken or intend to take to implement this recommendation. When replying, please refer to the safety recommendation by number (Safety Recommendation P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply, including attachments, exceeds 20 megabytes, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. All communications regarding safety recommendations are stored by the NTSB and viewable by the public. Please do not send privileged or confidential communications in response to this recommendation. Responses marked as confidential or privileged (or similar designations) will be considered nonresponsive. In the likely event that your company uses auto generated and/or preformatted confidentiality statements on letterhead or outgoing e-mails, please include a statement in your letter indicating that the information can be publicly released. If you have concerns about this protocol, please contact us at ExecutiveSecretariat@ntsb.gov. The attached letter from the NTSB Chairman provides information about the March 18, 2025, report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. The NTSB is vitally interested in these recommendations because they are designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter detailing the actions you have taken or intend to take to implement these recommendations. When replying, please refer to the safety recommendation by number (for example, P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply exceeds 20 megabytes, including attachments, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. From the report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1: 2.5.1 Natural Gas Alarms Public awareness is an effective tool to encourage adoption of safety devices like natural gas alarms. The first edition of API RP 1162 requires that public awareness programs include safety messages about the awareness of hazards and prevention measures as well as leak recognition and response but does not specifically require these programs to disseminate safety messages about natural gas alarms. UGI’s public awareness materials distributed before the accident were consistent with federal regulations, and although the materials promoted the use of smoke and carbon monoxide alarms, they did not address natural gas alarms. Following the accident, UGI now includes safety messages encouraging the purchase of natural gas alarms in its public awareness materials. The NTSB concludes that installing natural gas alarms can alert people of a gas leak so they can evacuate the area; however, natural gas customers may not be aware of the necessity of such alarms. The NTSB believes that messages about the benefits of natural gas alarms are critically important and could save lives when natural gas alarms are installed. The NTSB further believes that the natural gas industry can help shape the effectiveness of public awareness program delivery methods so that people in businesses, schools, residences, and other places of congregation are better informed, both about natural gas hazards and the necessity of natural gas alarms. The American Gas Association, which represents natural gas pipeline operators throughout the US, can facilitate industry efforts to improve public awareness program delivery methods and to improve safety, most critically through increasing the installation of natural gas alarms. Therefore, the NTSB recommends that the American Gas Association share the details of the March 24, 2023, natural gas–fueled explosion and fire in West Reading, Pennsylvania, with its members, encouraging them to evaluate the effectiveness of their current delivery methods of public awareness programs and to promote the installation of natural gas alarms in businesses, residences, and other places of congregation that they serve. Evacuation should occur immediately upon detection of the presence of natural gas. In 1976, the NTSB made its first recommendation to require natural gas detection to provide early warning of leaks. Most recently, after a 2016 building explosion in Silver Spring, Maryland, and then again after the 2018 home explosion in Dallas, we made recommendations to the ICC and the NFPA to require natural gas alarms with methane detection in residences (NTSB 2019). We recommended the ICC work wi
Addressee Acronym: AL
Addressee Organization Type: S-State Government
Communication Date: 2026-04-07
Communication Type: Recommendation Mention
Communication Contents: Pipeline Investigation Report PIR-26-02, “Enbridge Inc. Natural Gas–Fueled Home Explosion and Fatality, South Jordan, Utah, November 6, 2024” published on April 7, 2026: 2 Analysis On November 6, 2024, a natural gas–fueled home explosion fatally injured one resident and damaged nearby homes. A crack in the 4-inch-diameter Aldyl A gas main near the home allowed natural gas to leak and fuel the home explosion. The NTSB found that the crack originated on the inner surface of the pipe and aligned directly with an oblong impression on the outer surface. Investigators determined that a rock impingement likely caused the oblong impression on the outer surface of the pipe and the resulting crack. They also found that the crack growth features indicated that the crack breached the outer surface in a single abrupt event. As a result, the pipe rapidly transitioned from releasing no gas to releasing up to 48.7 scfm, as measured in the lab. Footnote: The actual leak rate may have been lower, given that the pipeline was buried in soil, which would constrain the pipe and provide back-pressure resistance to gas as it leaked from the pipe. Post-explosion, subsurface gas readings showed that the natural gas migrated about 150 feet from the leak location to the home. Although the exact timing of the leak could not be determined, the residents’ observations of physical symptoms, inability to relight the basement water heater, and an unusually high candle flame before the accident suggest that natural gas may have been present in the home for at least 3 days before the explosion. On November 6, the flammable natural gas–air mixture ignited in the southwest quadrant of the basement. The Utah Deputy State Fire Marshal identified two possible sources of the ignition: a water heater and a furnace. The water heater was turned off at the control point, so the only credible ignition source was the furnace. Footnote: The furnace control valve was found postaccident to have significant thermal damage, consistent with it being the ignition source. Before the accident, Enbridge had implemented safeguards to mitigate the consequences of leaks, including periodic leak surveys, timely response to odor complaints, and targeted replacement projects. However, none of these strategies proved effective for this scenario, because of the following issues related to the strategies: • Periodic leak surveys. Regulators require distribution leak surveys to be conducted every 5 years. Enbridge conducted its most recent leak survey on April 29, 2022—two years before the accident. However, in this accident, through-wall crack propagation occurred too rapidly, causing the leak to go undetected before the explosion. • Timely response to odor complaints. Regulators require odorization of natural gas in distribution systems to help alert the public to natural gas leaks. During interviews conducted by investigators, the NTSB determined that the local residents had not smelled natural gas odorant near the accident home, even though gas was determined to have permeated the ground in the area during postaccident surveys, indicating that the odorant had been stripped from the leaked natural gas that ultimately entered the home. Footnote: Field testing of the gas in the distribution system after the explosion found acceptable odorant concentrations. Although odorant can act as an early warning of a gas release to prevent an explosion and fire, it has been known to become depleted when traveling through soil, as it did in this accident. Previous NTSB investigations have identified occurrences of odorant depletion that allowed natural gas leaks to go undetected, resulting in explosions in Dallas, Texas, in 2018 and in Silver Spring, Maryland, in 2016. Footnote: NTSB. 2021. Atmos Energy Corporation Natural Gas–Fueled Explosion, Dallas, Texas, February 23, 2018. PAR-21/01. Washington, DC: NTSB. Footnote: NTSB. 2019. Building Explosion and Fire, Silver Spring, Maryland, August 10, 2016. PAR-19/01. Washington, DC: NTSB. • Targeted replacement projects. A 2014 California Public Utilities Commission study showed that the vintage of Aldyl A present in this accident, with stress concentrations from rock impingement, squeeze-off, bending, or deflection, were statistically predicted to fail between 22 and 235 years after installation. Footnote: California Public Utilities Commission 2014 Hazard Analysis and Mitigation Report On Aldyl A Polyethylene Gas Pipelines in California. Haine 2014. Because the estimated failure time is imprecise (a range of more than 200 years), and because some environmental conditions—such as the locations of rocks in the backfill material—are unknown, the Enbridge evaluation of the cracking threat to the 1976 vintage Aldyl A did not accurately characterize the risk of rock impingements and prevented Enbridge from identifying effective mitigative actions and targeted replacement projects. Even though Enbridge worked continuously to search for the leak after the explosion, it took them more than 21 hours to find and isolate the natural gas leak. During this time, the pipeline continued to leak natural gas into the ground, increasing the risk to nearby residents, first responders, and others operating in the area. When an underground natural gas pipeline leak occurs rapidly, it can be difficult to safeguard against. Natural gas alarms can provide an early warning of natural gas leaks inside nearby structures and can alert the building occupants to take immediate safety actions. Had in-home natural gas alarms been installed in the homes involved in this accident, they would have alerted the residents to a potential problem and prompted them to evacuate and call 911, reducing or eliminating the fatal consequences of the explosion. The NTSB has previously recommended requiring the installation of natural gas alarms in businesses, residences, and other buildings (Safety Recommendation P 25 05).
Addressee Acronym: AL
Addressee Organization Type: S-State Government
Communication Date: 2026-06-05
Communication Type: Recommendation Mention
Communication Contents: Atmos Energy Corporation Natural Gas–Fueled Home Explosion Pipeline Investigation Report PIR-26-03 published on June 5, 2026: Analysis The explosion and fire occurred after natural gas leaked from a fractured buried main, migrated through an uncapped underground sewer lateral, entered the accident home, and reached an explosive concentration near an unknown ignition source. The investigation did not identify issues with gas pressures in the area of the leak or the timeliness or efficacy of the local emergency response agencies. Postaccident bar-hole testing and excavations found only one source of natural gas: a leak in the gas main near a valve box on the eastern edge of the construction site. On-site examinations of the main found that it was fractured around most of its circumference with a thin strip of metal at the top (12 o’clock position) joining the southern section of pipe to the section still threaded into the valve body. This indicates tension—a stretching force—at the bottom of the pipe along its long axis. Tension along the bottom of the pipe is consistent with a bending stress created by an external downward force. Based on information provided to Atmos by the construction superintendent, a cement truck ran over a valve box at the leak’s location immediately before he heard and smelled natural gas being released. The investigation did not identify another plausible external force that could have damaged the main. The Materials Laboratory examination of the main found fracture characteristics typical of fast crack growth and no signs of significant corrosion or preexisting structural damage that could have contributed to the failure. The fracture was therefore consistent with a sudden application of force by the valve box to the main. Based on the fracture’s location, timing, and fast-cracking characteristics, the valve box transmitted part of the cement truck’s weight to the gas main, causing the main to fracture and leak. Examination of the gas main and valve box involved in this accident found coal tar coating the main and deposited on the bottom edge of the valve box. This indicates that the valve box was in contact with the main. The presence of coal tar alone does not indicate when the contact occurred, but the evidence is consistent with the valve box being installed in contact with the main and therefore able transmit the cement truck’s weight directly to the main near the fracture’s location. Federal regulations at 49 CFR 192.181(c)(3) require that valve boxes not be installed in a manner that transmits external loads to mains, and valve boxes are normally installed with a buffer of soil or other protection between the valve box and the assets immediately below. For example, Atmos’s newer valve boxes are installed with support and base pads to prevent load transmission. However, Atmos was not actively replacing cast iron valve boxes with this newer design. Further, the maintenance crew that removed and reinstalled the valve box about 2 months before the accident did not have a specific standard to follow for reinstalling cast iron valve boxes other than an expectation that the top of the valve box be level with the grade. The lack of a standard likely led to the common reinstallation of valve boxes in contact with mains, as described by an Atmos vice president of operations. If Atmos had adopted either a standard for safely installing cast iron valve boxes or a policy of replacing cast iron valve boxes with the newer design, the protective buffer of soil or support pad would have reduced the load transmitted to the pipe on the day of the accident. There is not enough evidence to determine whether a buffer or pad would have prevented the accident, but it would have made the infrastructure more resilient. Atmos has not reported making changes to its valve box installation practices. After the main fractured, gas propagated undetected through an uncapped underground sewer lateral into the sewer system and then into the accident home, where it reached an explosive concentration. The gas in the sewers remained undetected because Atmos personnel did not test the atmosphere in the sewers prior to the explosion. For about 35 minutes, most of the time between the initial leak and the explosion, there was only one Atmos employee on the scene: an experienced senior service technician. He was equipped with a CGI and checked nearby storm drains for the presence of gas, which was one step in Atmos’s subsurface leak investigation procedure. During his interview with the NTSB, he described planning to check the sewers, another required step, but said that he had already confirmed that there was no threat to life or property. His activities after checking the storm drains are also consistent with a belief that he had finished assessing the risk posed by the leak: he switched to the non-safety-critical work of recording billing information for the damage. The investigation did not find evidence of a natural gas alarm in the accident home, which did not have gas service but was still impacted by a leak from a gas main. It is likely that a natural gas alarm would have provided the home’s occupants with warning of accumulating natural gas and given them an opportunity to evacuate before the explosion. The NTSB has advocated wider installation and use of natural gas alarms for nearly 50 years, including following the investigation into a pair of 2024 home explosions in Jackson, Mississippi, that involved Atmos assets. As a result of that investigation, the NTSB reiterated a recommendation to the 50 states, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: See CAROL for the complete history and current status of this recommendation. The NTSB also recommended that Atmos “develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas” (P-26-10).11F Footnote: See CAROL for the complete history and current status of this recommendation.
Addressee Acronym: AL
Addressee Organization Type: S-State Government
Communication Date: 2026-03-26
Communication Type: Recommendation Reiteration
Communication Contents: From the Report, “Atmos Energy Corporation Natural Gas-Fueled Home Explosions and Fires Jackson, Mississippi, January 24, 2024, and January 27, 2024” published on March 26, 2026. Absence of Natural Gas Detection Alarms in Buildings The Bristol Boulevard accident home and the Shalimar Drive accident home did not have natural gas alarms installed. For nearly 50 years, the NTSB has been recommending natural gas alarms for the early detection of natural gas leaks. In the West Reading accident, several candy factory employees told the NTSB that they had smelled natural gas odorant and did not call 9 1 1 or the gas company but stayed in the building until the explosion occurred. Some of the employees inquired with their managers about what to do, and their managers were equally unaware of the actions to take during a suspected natural gas leak. In the two Jackson accidents, and in many of the pipeline accidents the NTSB has investigated for the last 5 decades, people smelled natural gas odorant and either did not know what actions to take, or they knew the actions necessary to address a potential natural gas emergency but did not execute them. Natural gas distribution pipeline operators must educate the public on pipeline safety through public awareness programs. It is also necessary, however, to have safeguards in place when members of the public (1) smell natural gas odorant and do not take the appropriate safety actions and (2) do not smell natural gas odorant, as was the case in the NTSB investigation of the Dallas accident, and therefore do not take appropriate safety actions. Footnote: The NTSB’s Dallas investigation determined that the occupants in the accident homes did not smell natural gas odorant because it was absorbed and depleted in the soil. Natural gas alarms are safeguards in protecting the public, which is why the NTSB has recommended their installation after many of our pipeline accident investigations. The NTSB found that natural gas alarms likely would have prevented or reduced the consequences of the Dallas and West Reading accidents, and the evidence in this investigation suggests the same. The Shalimar Drive accident home was empty at the time of that accident; however, when the explosion in the Bristol Boulevard accident home occurred, two people were inside. Therefore, the NTSB concludes that had a natural gas alarm been installed inside the Bristol Boulevard accident home, it could have alerted occupants that natural gas was present, prompting them to evacuate and report the leak, making Atmos aware that the leak had likely worsened and required corrective action. As a result of the West Reading investigation, the NTSB recommended that the 50 States, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: Safety Recommendation P-25-5 is currently classified Open—Await Response. As of this report, 7 states and the District of Columbia have provided an initial response; 43 states and the Commonwealth of Puerto Rico have not responded. Footnote: The seven states that have provided an initial response include Colorado, Connecticut, Kansas, Nevada, North Carolina, Virginia, and Wyoming. Mississippi, the state where the two Jackson accidents occurred, is one of the 43 states that have not provided an initial response. The NTSB investigation of the two Jackson accidents has again identified the critical importance of natural gas alarms to alert occupants to natural gas leaks. Therefore, the NTSB reiterates Safety Recommendation P 25-5 to 50 States, the Commonwealth of Puerto Rico, and the District of Columbia. As discussed in section 1.10.1.1, after the Avondale accident, Atmos reported that it provided the public with information, through its website, on the availability of natural gas alarms. However, Atmos can do more to safeguard the public in its distribution areas. The NTSB is aware of multiple natural gas distribution operators that have made natural gas alarms available to people in their service areas. Footnote: Visit http://www.ntsb.gov to find additional information in the public docket for this NTSB accident investigation (case number PLD24FR003). Therefore, the NTSB recommends that Atmos develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas.
Addressee Acronym: AL
Addressee Organization Type: S-State Government
Communication Date: 2026-03-26
Communication Type: Recommendation Reiteration
Communication Contents: From the Report, “Atmos Energy Corporation Natural Gas-Fueled Home Explosions and Fires Jackson, Mississippi, January 24, 2024, and January 27, 2024” published on March 26, 2026. Absence of Natural Gas Detection Alarms in Buildings The Bristol Boulevard accident home and the Shalimar Drive accident home did not have natural gas alarms installed. For nearly 50 years, the NTSB has been recommending natural gas alarms for the early detection of natural gas leaks. In the West Reading accident, several candy factory employees told the NTSB that they had smelled natural gas odorant and did not call 9 1 1 or the gas company but stayed in the building until the explosion occurred. Some of the employees inquired with their managers about what to do, and their managers were equally unaware of the actions to take during a suspected natural gas leak. In the two Jackson accidents, and in many of the pipeline accidents the NTSB has investigated for the last 5 decades, people smelled natural gas odorant and either did not know what actions to take, or they knew the actions necessary to address a potential natural gas emergency but did not execute them. Natural gas distribution pipeline operators must educate the public on pipeline safety through public awareness programs. It is also necessary, however, to have safeguards in place when members of the public (1) smell natural gas odorant and do not take the appropriate safety actions and (2) do not smell natural gas odorant, as was the case in the NTSB investigation of the Dallas accident, and therefore do not take appropriate safety actions. Footnote: The NTSB’s Dallas investigation determined that the occupants in the accident homes did not smell natural gas odorant because it was absorbed and depleted in the soil. Natural gas alarms are safeguards in protecting the public, which is why the NTSB has recommended their installation after many of our pipeline accident investigations. The NTSB found that natural gas alarms likely would have prevented or reduced the consequences of the Dallas and West Reading accidents, and the evidence in this investigation suggests the same. The Shalimar Drive accident home was empty at the time of that accident; however, when the explosion in the Bristol Boulevard accident home occurred, two people were inside. Therefore, the NTSB concludes that had a natural gas alarm been installed inside the Bristol Boulevard accident home, it could have alerted occupants that natural gas was present, prompting them to evacuate and report the leak, making Atmos aware that the leak had likely worsened and required corrective action. As a result of the West Reading investigation, the NTSB recommended that the 50 States, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: Safety Recommendation P-25-5 is currently classified Open—Await Response. As of this report, 7 states and the District of Columbia have provided an initial response; 43 states and the Commonwealth of Puerto Rico have not responded. Footnote: The seven states that have provided an initial response include Colorado, Connecticut, Kansas, Nevada, North Carolina, Virginia, and Wyoming. Mississippi, the state where the two Jackson accidents occurred, is one of the 43 states that have not provided an initial response. The NTSB investigation of the two Jackson accidents has again identified the critical importance of natural gas alarms to alert occupants to natural gas leaks. Therefore, the NTSB reiterates Safety Recommendation P 25-5 to 50 States, the Commonwealth of Puerto Rico, and the District of Columbia. As discussed in section 1.10.1.1, after the Avondale accident, Atmos reported that it provided the public with information, through its website, on the availability of natural gas alarms. However, Atmos can do more to safeguard the public in its distribution areas. The NTSB is aware of multiple natural gas distribution operators that have made natural gas alarms available to people in their service areas. Footnote: Visit http://www.ntsb.gov to find additional information in the public docket for this NTSB accident investigation (case number PLD24FR003). Therefore, the NTSB recommends that Atmos develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas.
Addressee Name: Commonwealth of Puerto Rico
Addressee Status: Open - Await Response
Addressee Acronym: PR
Addressee Organization Type: L-Local Government
Communication Date: 2026-03-26
Communication Type: Recommendation Reiteration
Communication Contents: From the Report, “Atmos Energy Corporation Natural Gas-Fueled Home Explosions and Fires Jackson, Mississippi, January 24, 2024, and January 27, 2024” published on March 26, 2026. Absence of Natural Gas Detection Alarms in Buildings The Bristol Boulevard accident home and the Shalimar Drive accident home did not have natural gas alarms installed. For nearly 50 years, the NTSB has been recommending natural gas alarms for the early detection of natural gas leaks. In the West Reading accident, several candy factory employees told the NTSB that they had smelled natural gas odorant and did not call 9 1 1 or the gas company but stayed in the building until the explosion occurred. Some of the employees inquired with their managers about what to do, and their managers were equally unaware of the actions to take during a suspected natural gas leak. In the two Jackson accidents, and in many of the pipeline accidents the NTSB has investigated for the last 5 decades, people smelled natural gas odorant and either did not know what actions to take, or they knew the actions necessary to address a potential natural gas emergency but did not execute them. Natural gas distribution pipeline operators must educate the public on pipeline safety through public awareness programs. It is also necessary, however, to have safeguards in place when members of the public (1) smell natural gas odorant and do not take the appropriate safety actions and (2) do not smell natural gas odorant, as was the case in the NTSB investigation of the Dallas accident, and therefore do not take appropriate safety actions. Footnote: The NTSB’s Dallas investigation determined that the occupants in the accident homes did not smell natural gas odorant because it was absorbed and depleted in the soil. Natural gas alarms are safeguards in protecting the public, which is why the NTSB has recommended their installation after many of our pipeline accident investigations. The NTSB found that natural gas alarms likely would have prevented or reduced the consequences of the Dallas and West Reading accidents, and the evidence in this investigation suggests the same. The Shalimar Drive accident home was empty at the time of that accident; however, when the explosion in the Bristol Boulevard accident home occurred, two people were inside. Therefore, the NTSB concludes that had a natural gas alarm been installed inside the Bristol Boulevard accident home, it could have alerted occupants that natural gas was present, prompting them to evacuate and report the leak, making Atmos aware that the leak had likely worsened and required corrective action. As a result of the West Reading investigation, the NTSB recommended that the 50 States, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: Safety Recommendation P-25-5 is currently classified Open—Await Response. As of this report, 7 states and the District of Columbia have provided an initial response; 43 states and the Commonwealth of Puerto Rico have not responded. Footnote: The seven states that have provided an initial response include Colorado, Connecticut, Kansas, Nevada, North Carolina, Virginia, and Wyoming. Mississippi, the state where the two Jackson accidents occurred, is one of the 43 states that have not provided an initial response. The NTSB investigation of the two Jackson accidents has again identified the critical importance of natural gas alarms to alert occupants to natural gas leaks. Therefore, the NTSB reiterates Safety Recommendation P 25-5 to 50 States, the Commonwealth of Puerto Rico, and the District of Columbia. As discussed in section 1.10.1.1, after the Avondale accident, Atmos reported that it provided the public with information, through its website, on the availability of natural gas alarms. However, Atmos can do more to safeguard the public in its distribution areas. The NTSB is aware of multiple natural gas distribution operators that have made natural gas alarms available to people in their service areas. Footnote: Visit http://www.ntsb.gov to find additional information in the public docket for this NTSB accident investigation (case number PLD24FR003). Therefore, the NTSB recommends that Atmos develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas.
Addressee Acronym: PR
Addressee Organization Type: L-Local Government
Communication Date: 2026-04-07
Communication Type: Recommendation Mention
Communication Contents: Pipeline Investigation Report PIR-26-02, “Enbridge Inc. Natural Gas–Fueled Home Explosion and Fatality, South Jordan, Utah, November 6, 2024” published on April 7, 2026: 2 Analysis On November 6, 2024, a natural gas–fueled home explosion fatally injured one resident and damaged nearby homes. A crack in the 4-inch-diameter Aldyl A gas main near the home allowed natural gas to leak and fuel the home explosion. The NTSB found that the crack originated on the inner surface of the pipe and aligned directly with an oblong impression on the outer surface. Investigators determined that a rock impingement likely caused the oblong impression on the outer surface of the pipe and the resulting crack. They also found that the crack growth features indicated that the crack breached the outer surface in a single abrupt event. As a result, the pipe rapidly transitioned from releasing no gas to releasing up to 48.7 scfm, as measured in the lab. Footnote: The actual leak rate may have been lower, given that the pipeline was buried in soil, which would constrain the pipe and provide back-pressure resistance to gas as it leaked from the pipe. Post-explosion, subsurface gas readings showed that the natural gas migrated about 150 feet from the leak location to the home. Although the exact timing of the leak could not be determined, the residents’ observations of physical symptoms, inability to relight the basement water heater, and an unusually high candle flame before the accident suggest that natural gas may have been present in the home for at least 3 days before the explosion. On November 6, the flammable natural gas–air mixture ignited in the southwest quadrant of the basement. The Utah Deputy State Fire Marshal identified two possible sources of the ignition: a water heater and a furnace. The water heater was turned off at the control point, so the only credible ignition source was the furnace. Footnote: The furnace control valve was found postaccident to have significant thermal damage, consistent with it being the ignition source. Before the accident, Enbridge had implemented safeguards to mitigate the consequences of leaks, including periodic leak surveys, timely response to odor complaints, and targeted replacement projects. However, none of these strategies proved effective for this scenario, because of the following issues related to the strategies: • Periodic leak surveys. Regulators require distribution leak surveys to be conducted every 5 years. Enbridge conducted its most recent leak survey on April 29, 2022—two years before the accident. However, in this accident, through-wall crack propagation occurred too rapidly, causing the leak to go undetected before the explosion. • Timely response to odor complaints. Regulators require odorization of natural gas in distribution systems to help alert the public to natural gas leaks. During interviews conducted by investigators, the NTSB determined that the local residents had not smelled natural gas odorant near the accident home, even though gas was determined to have permeated the ground in the area during postaccident surveys, indicating that the odorant had been stripped from the leaked natural gas that ultimately entered the home. Footnote: Field testing of the gas in the distribution system after the explosion found acceptable odorant concentrations. Although odorant can act as an early warning of a gas release to prevent an explosion and fire, it has been known to become depleted when traveling through soil, as it did in this accident. Previous NTSB investigations have identified occurrences of odorant depletion that allowed natural gas leaks to go undetected, resulting in explosions in Dallas, Texas, in 2018 and in Silver Spring, Maryland, in 2016. Footnote: NTSB. 2021. Atmos Energy Corporation Natural Gas–Fueled Explosion, Dallas, Texas, February 23, 2018. PAR-21/01. Washington, DC: NTSB. Footnote: NTSB. 2019. Building Explosion and Fire, Silver Spring, Maryland, August 10, 2016. PAR-19/01. Washington, DC: NTSB. • Targeted replacement projects. A 2014 California Public Utilities Commission study showed that the vintage of Aldyl A present in this accident, with stress concentrations from rock impingement, squeeze-off, bending, or deflection, were statistically predicted to fail between 22 and 235 years after installation. Footnote: California Public Utilities Commission 2014 Hazard Analysis and Mitigation Report On Aldyl A Polyethylene Gas Pipelines in California. Haine 2014. Because the estimated failure time is imprecise (a range of more than 200 years), and because some environmental conditions—such as the locations of rocks in the backfill material—are unknown, the Enbridge evaluation of the cracking threat to the 1976 vintage Aldyl A did not accurately characterize the risk of rock impingements and prevented Enbridge from identifying effective mitigative actions and targeted replacement projects. Even though Enbridge worked continuously to search for the leak after the explosion, it took them more than 21 hours to find and isolate the natural gas leak. During this time, the pipeline continued to leak natural gas into the ground, increasing the risk to nearby residents, first responders, and others operating in the area. When an underground natural gas pipeline leak occurs rapidly, it can be difficult to safeguard against. Natural gas alarms can provide an early warning of natural gas leaks inside nearby structures and can alert the building occupants to take immediate safety actions. Had in-home natural gas alarms been installed in the homes involved in this accident, they would have alerted the residents to a potential problem and prompted them to evacuate and call 911, reducing or eliminating the fatal consequences of the explosion. The NTSB has previously recommended requiring the installation of natural gas alarms in businesses, residences, and other buildings (Safety Recommendation P 25 05).
Addressee Acronym: PR
Addressee Organization Type: L-Local Government
Communication Date: 2026-06-05
Communication Type: Recommendation Mention
Communication Contents: Atmos Energy Corporation Natural Gas–Fueled Home Explosion Pipeline Investigation Report PIR-26-03 published on June 5, 2026: Analysis The explosion and fire occurred after natural gas leaked from a fractured buried main, migrated through an uncapped underground sewer lateral, entered the accident home, and reached an explosive concentration near an unknown ignition source. The investigation did not identify issues with gas pressures in the area of the leak or the timeliness or efficacy of the local emergency response agencies. Postaccident bar-hole testing and excavations found only one source of natural gas: a leak in the gas main near a valve box on the eastern edge of the construction site. On-site examinations of the main found that it was fractured around most of its circumference with a thin strip of metal at the top (12 o’clock position) joining the southern section of pipe to the section still threaded into the valve body. This indicates tension—a stretching force—at the bottom of the pipe along its long axis. Tension along the bottom of the pipe is consistent with a bending stress created by an external downward force. Based on information provided to Atmos by the construction superintendent, a cement truck ran over a valve box at the leak’s location immediately before he heard and smelled natural gas being released. The investigation did not identify another plausible external force that could have damaged the main. The Materials Laboratory examination of the main found fracture characteristics typical of fast crack growth and no signs of significant corrosion or preexisting structural damage that could have contributed to the failure. The fracture was therefore consistent with a sudden application of force by the valve box to the main. Based on the fracture’s location, timing, and fast-cracking characteristics, the valve box transmitted part of the cement truck’s weight to the gas main, causing the main to fracture and leak. Examination of the gas main and valve box involved in this accident found coal tar coating the main and deposited on the bottom edge of the valve box. This indicates that the valve box was in contact with the main. The presence of coal tar alone does not indicate when the contact occurred, but the evidence is consistent with the valve box being installed in contact with the main and therefore able transmit the cement truck’s weight directly to the main near the fracture’s location. Federal regulations at 49 CFR 192.181(c)(3) require that valve boxes not be installed in a manner that transmits external loads to mains, and valve boxes are normally installed with a buffer of soil or other protection between the valve box and the assets immediately below. For example, Atmos’s newer valve boxes are installed with support and base pads to prevent load transmission. However, Atmos was not actively replacing cast iron valve boxes with this newer design. Further, the maintenance crew that removed and reinstalled the valve box about 2 months before the accident did not have a specific standard to follow for reinstalling cast iron valve boxes other than an expectation that the top of the valve box be level with the grade. The lack of a standard likely led to the common reinstallation of valve boxes in contact with mains, as described by an Atmos vice president of operations. If Atmos had adopted either a standard for safely installing cast iron valve boxes or a policy of replacing cast iron valve boxes with the newer design, the protective buffer of soil or support pad would have reduced the load transmitted to the pipe on the day of the accident. There is not enough evidence to determine whether a buffer or pad would have prevented the accident, but it would have made the infrastructure more resilient. Atmos has not reported making changes to its valve box installation practices. After the main fractured, gas propagated undetected through an uncapped underground sewer lateral into the sewer system and then into the accident home, where it reached an explosive concentration. The gas in the sewers remained undetected because Atmos personnel did not test the atmosphere in the sewers prior to the explosion. For about 35 minutes, most of the time between the initial leak and the explosion, there was only one Atmos employee on the scene: an experienced senior service technician. He was equipped with a CGI and checked nearby storm drains for the presence of gas, which was one step in Atmos’s subsurface leak investigation procedure. During his interview with the NTSB, he described planning to check the sewers, another required step, but said that he had already confirmed that there was no threat to life or property. His activities after checking the storm drains are also consistent with a belief that he had finished assessing the risk posed by the leak: he switched to the non-safety-critical work of recording billing information for the damage. The investigation did not find evidence of a natural gas alarm in the accident home, which did not have gas service but was still impacted by a leak from a gas main. It is likely that a natural gas alarm would have provided the home’s occupants with warning of accumulating natural gas and given them an opportunity to evacuate before the explosion. The NTSB has advocated wider installation and use of natural gas alarms for nearly 50 years, including following the investigation into a pair of 2024 home explosions in Jackson, Mississippi, that involved Atmos assets. As a result of that investigation, the NTSB reiterated a recommendation to the 50 states, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: See CAROL for the complete history and current status of this recommendation. The NTSB also recommended that Atmos “develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas” (P-26-10).11F Footnote: See CAROL for the complete history and current status of this recommendation.
Addressee Acronym: PR
Addressee Organization Type: L-Local Government
Communication Date: 2025-04-08
Communication Type: Transmittal Letter
Communication Contents: 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 accidents in other modes of transportation—railroad, highway, marine, and pipeline. We determine the probable cause of the accidents and issue safety recommendations aimed at preventing future accidents. In addition, we carry out special studies concerning transportation safety and coordinate the resources of the federal government and other organizations to assist victims and their family members affected by major transportation disasters. We are providing the following information to urge the Commonwealth of Puerto Rico to act on the safety recommendation in this letter because we believe your organization can help reduce the risk of future accidents. For more information about the NTSB and our recommendation process, please see the attached one-page summary. This letter also includes information about our March 18, 2025, report, UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, NTSB/PIR-25/01. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. As a result of this investigation, we identified the following safety issues: • Degradation of a retired Aldyl A service tee that was accelerated by elevated ground temperatures from a corroded and cracked steam pipe nearby. • UGI Corporation’s insufficient consideration of pipeline integrity threats, particularly Aldyl A service tees with Delrin inserts at elevated temperatures. • Presence of unmarked and unreported private assets crossing public rights-of-way, excluding them from the Pennsylvania One Call System and increasing the risk of damage to them. • Delayed evacuation of Palmer’s Building 2 despite detection of natural gas by employees and others. • Natural gas safety messaging from pipeline operator public awareness programs that may not reach certain members of the public. • Insufficient guidance on natural gas emergency procedures. • Absence of natural gas alarms in commercial buildings. • Insufficient accessibility of gas distribution line valves. Accordingly, the NTSB makes the following safety recommendation to the Commonwealth of Puerto Rico (additional information regarding this recommendation can be found in the noted section of the report): • Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) (See section 2.5.1.) The NTSB is vitally interested in this recommendation because it is designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter, detailing the actions you have taken or intend to take to implement this recommendation. When replying, please refer to the safety recommendation by number (Safety Recommendation P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply, including attachments, exceeds 20 megabytes, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. All communications regarding safety recommendations are stored by the NTSB and viewable by the public. Please do not send privileged or confidential communications in response to this recommendation. Responses marked as confidential or privileged (or similar designations) will be considered nonresponsive. In the likely event that your company uses auto generated and/or preformatted confidentiality statements on letterhead or outgoing e-mails, please include a statement in your letter indicating that the information can be publicly released. If you have concerns about this protocol, please contact us at ExecutiveSecretariat@ntsb.gov. The attached letter from the NTSB Chairman provides information about the March 18, 2025, report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. The NTSB is vitally interested in these recommendations because they are designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter detailing the actions you have taken or intend to take to implement these recommendations. When replying, please refer to the safety recommendation by number (for example, P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply exceeds 20 megabytes, including attachments, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. From the report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1: 2.5.1 Natural Gas Alarms Public awareness is an effective tool to encourage adoption of safety devices like natural gas alarms. The first edition of API RP 1162 requires that public awareness programs include safety messages about the awareness of hazards and prevention measures as well as leak recognition and response but does not specifically require these programs to disseminate safety messages about natural gas alarms. UGI’s public awareness materials distributed before the accident were consistent with federal regulations, and although the materials promoted the use of smoke and carbon monoxide alarms, they did not address natural gas alarms. Following the accident, UGI now includes safety messages encouraging the purchase of natural gas alarms in its public awareness materials. The NTSB concludes that installing natural gas alarms can alert people of a gas leak so they can evacuate the area; however, natural gas customers may not be aware of the necessity of such alarms. The NTSB believes that messages about the benefits of natural gas alarms are critically important and could save lives when natural gas alarms are installed. The NTSB further believes that the natural gas industry can help shape the effectiveness of public awareness program delivery methods so that people in businesses, schools, residences, and other places of congregation are better informed, both about natural gas hazards and the necessity of natural gas alarms. The American Gas Association, which represents natural gas pipeline operators throughout the US, can facilitate industry efforts to improve public awareness program delivery methods and to improve safety, most critically through increasing the installation of natural gas alarms. Therefore, the NTSB recommends that the American Gas Association share the details of the March 24, 2023, natural gas–fueled explosion and fire in West Reading, Pennsylvania, with its members, encouraging them to evaluate the effectiveness of their current delivery methods of public awareness programs and to promote the installation of natural gas alarms in businesses, residences, and other places of congregation that they serve. Evacuation should occur immediately upon detection of the presence of natural gas. In 1976, the NTSB made its first recommendation to require natural gas detection to provide early warning of leaks. Most recently, after a 2016 building explosion in Silver Spring, Maryland, and then again after the 2018 home explosion in Dallas, we made recommendations to the ICC and the NFPA to require natural gas alarms with methane detection in residences (NTSB 2019). We recom
Addressee Name: District of Columbia
Addressee Status: Open - Initial Response Received
Addressee Acronym: DC
Addressee Organization Type: L-Local Government
Communication Date: 2026-03-26
Communication Type: Recommendation Reiteration
Communication Contents: From the Report, “Atmos Energy Corporation Natural Gas-Fueled Home Explosions and Fires Jackson, Mississippi, January 24, 2024, and January 27, 2024” published on March 26, 2026. Absence of Natural Gas Detection Alarms in Buildings The Bristol Boulevard accident home and the Shalimar Drive accident home did not have natural gas alarms installed. For nearly 50 years, the NTSB has been recommending natural gas alarms for the early detection of natural gas leaks. In the West Reading accident, several candy factory employees told the NTSB that they had smelled natural gas odorant and did not call 9 1 1 or the gas company but stayed in the building until the explosion occurred. Some of the employees inquired with their managers about what to do, and their managers were equally unaware of the actions to take during a suspected natural gas leak. In the two Jackson accidents, and in many of the pipeline accidents the NTSB has investigated for the last 5 decades, people smelled natural gas odorant and either did not know what actions to take, or they knew the actions necessary to address a potential natural gas emergency but did not execute them. Natural gas distribution pipeline operators must educate the public on pipeline safety through public awareness programs. It is also necessary, however, to have safeguards in place when members of the public (1) smell natural gas odorant and do not take the appropriate safety actions and (2) do not smell natural gas odorant, as was the case in the NTSB investigation of the Dallas accident, and therefore do not take appropriate safety actions. Footnote: The NTSB’s Dallas investigation determined that the occupants in the accident homes did not smell natural gas odorant because it was absorbed and depleted in the soil. Natural gas alarms are safeguards in protecting the public, which is why the NTSB has recommended their installation after many of our pipeline accident investigations. The NTSB found that natural gas alarms likely would have prevented or reduced the consequences of the Dallas and West Reading accidents, and the evidence in this investigation suggests the same. The Shalimar Drive accident home was empty at the time of that accident; however, when the explosion in the Bristol Boulevard accident home occurred, two people were inside. Therefore, the NTSB concludes that had a natural gas alarm been installed inside the Bristol Boulevard accident home, it could have alerted occupants that natural gas was present, prompting them to evacuate and report the leak, making Atmos aware that the leak had likely worsened and required corrective action. As a result of the West Reading investigation, the NTSB recommended that the 50 States, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: Safety Recommendation P-25-5 is currently classified Open—Await Response. As of this report, 7 states and the District of Columbia have provided an initial response; 43 states and the Commonwealth of Puerto Rico have not responded. Footnote: The seven states that have provided an initial response include Colorado, Connecticut, Kansas, Nevada, North Carolina, Virginia, and Wyoming. Mississippi, the state where the two Jackson accidents occurred, is one of the 43 states that have not provided an initial response. The NTSB investigation of the two Jackson accidents has again identified the critical importance of natural gas alarms to alert occupants to natural gas leaks. Therefore, the NTSB reiterates Safety Recommendation P 25-5 to 50 States, the Commonwealth of Puerto Rico, and the District of Columbia. As discussed in section 1.10.1.1, after the Avondale accident, Atmos reported that it provided the public with information, through its website, on the availability of natural gas alarms. However, Atmos can do more to safeguard the public in its distribution areas. The NTSB is aware of multiple natural gas distribution operators that have made natural gas alarms available to people in their service areas. Footnote: Visit http://www.ntsb.gov to find additional information in the public docket for this NTSB accident investigation (case number PLD24FR003). Therefore, the NTSB recommends that Atmos develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas.
Addressee Acronym: DC
Addressee Organization Type: L-Local Government
Communication Date: 2026-04-07
Communication Type: Recommendation Mention
Communication Contents: Pipeline Investigation Report PIR-26-02, “Enbridge Inc. Natural Gas–Fueled Home Explosion and Fatality, South Jordan, Utah, November 6, 2024” published on April 7, 2026: 2 Analysis On November 6, 2024, a natural gas–fueled home explosion fatally injured one resident and damaged nearby homes. A crack in the 4-inch-diameter Aldyl A gas main near the home allowed natural gas to leak and fuel the home explosion. The NTSB found that the crack originated on the inner surface of the pipe and aligned directly with an oblong impression on the outer surface. Investigators determined that a rock impingement likely caused the oblong impression on the outer surface of the pipe and the resulting crack. They also found that the crack growth features indicated that the crack breached the outer surface in a single abrupt event. As a result, the pipe rapidly transitioned from releasing no gas to releasing up to 48.7 scfm, as measured in the lab. Footnote: The actual leak rate may have been lower, given that the pipeline was buried in soil, which would constrain the pipe and provide back-pressure resistance to gas as it leaked from the pipe. Post-explosion, subsurface gas readings showed that the natural gas migrated about 150 feet from the leak location to the home. Although the exact timing of the leak could not be determined, the residents’ observations of physical symptoms, inability to relight the basement water heater, and an unusually high candle flame before the accident suggest that natural gas may have been present in the home for at least 3 days before the explosion. On November 6, the flammable natural gas–air mixture ignited in the southwest quadrant of the basement. The Utah Deputy State Fire Marshal identified two possible sources of the ignition: a water heater and a furnace. The water heater was turned off at the control point, so the only credible ignition source was the furnace. Footnote: The furnace control valve was found postaccident to have significant thermal damage, consistent with it being the ignition source. Before the accident, Enbridge had implemented safeguards to mitigate the consequences of leaks, including periodic leak surveys, timely response to odor complaints, and targeted replacement projects. However, none of these strategies proved effective for this scenario, because of the following issues related to the strategies: • Periodic leak surveys. Regulators require distribution leak surveys to be conducted every 5 years. Enbridge conducted its most recent leak survey on April 29, 2022—two years before the accident. However, in this accident, through-wall crack propagation occurred too rapidly, causing the leak to go undetected before the explosion. • Timely response to odor complaints. Regulators require odorization of natural gas in distribution systems to help alert the public to natural gas leaks. During interviews conducted by investigators, the NTSB determined that the local residents had not smelled natural gas odorant near the accident home, even though gas was determined to have permeated the ground in the area during postaccident surveys, indicating that the odorant had been stripped from the leaked natural gas that ultimately entered the home. Footnote: Field testing of the gas in the distribution system after the explosion found acceptable odorant concentrations. Although odorant can act as an early warning of a gas release to prevent an explosion and fire, it has been known to become depleted when traveling through soil, as it did in this accident. Previous NTSB investigations have identified occurrences of odorant depletion that allowed natural gas leaks to go undetected, resulting in explosions in Dallas, Texas, in 2018 and in Silver Spring, Maryland, in 2016. Footnote: NTSB. 2021. Atmos Energy Corporation Natural Gas–Fueled Explosion, Dallas, Texas, February 23, 2018. PAR-21/01. Washington, DC: NTSB. Footnote: NTSB. 2019. Building Explosion and Fire, Silver Spring, Maryland, August 10, 2016. PAR-19/01. Washington, DC: NTSB. • Targeted replacement projects. A 2014 California Public Utilities Commission study showed that the vintage of Aldyl A present in this accident, with stress concentrations from rock impingement, squeeze-off, bending, or deflection, were statistically predicted to fail between 22 and 235 years after installation. Footnote: California Public Utilities Commission 2014 Hazard Analysis and Mitigation Report On Aldyl A Polyethylene Gas Pipelines in California. Haine 2014. Because the estimated failure time is imprecise (a range of more than 200 years), and because some environmental conditions—such as the locations of rocks in the backfill material—are unknown, the Enbridge evaluation of the cracking threat to the 1976 vintage Aldyl A did not accurately characterize the risk of rock impingements and prevented Enbridge from identifying effective mitigative actions and targeted replacement projects. Even though Enbridge worked continuously to search for the leak after the explosion, it took them more than 21 hours to find and isolate the natural gas leak. During this time, the pipeline continued to leak natural gas into the ground, increasing the risk to nearby residents, first responders, and others operating in the area. When an underground natural gas pipeline leak occurs rapidly, it can be difficult to safeguard against. Natural gas alarms can provide an early warning of natural gas leaks inside nearby structures and can alert the building occupants to take immediate safety actions. Had in-home natural gas alarms been installed in the homes involved in this accident, they would have alerted the residents to a potential problem and prompted them to evacuate and call 911, reducing or eliminating the fatal consequences of the explosion. The NTSB has previously recommended requiring the installation of natural gas alarms in businesses, residences, and other buildings (Safety Recommendation P 25 05).
Addressee Acronym: DC
Addressee Organization Type: L-Local Government
Communication Date: 2026-06-05
Communication Type: Recommendation Mention
Communication Contents: Atmos Energy Corporation Natural Gas–Fueled Home Explosion Pipeline Investigation Report PIR-26-03 published on June 5, 2026: Analysis The explosion and fire occurred after natural gas leaked from a fractured buried main, migrated through an uncapped underground sewer lateral, entered the accident home, and reached an explosive concentration near an unknown ignition source. The investigation did not identify issues with gas pressures in the area of the leak or the timeliness or efficacy of the local emergency response agencies. Postaccident bar-hole testing and excavations found only one source of natural gas: a leak in the gas main near a valve box on the eastern edge of the construction site. On-site examinations of the main found that it was fractured around most of its circumference with a thin strip of metal at the top (12 o’clock position) joining the southern section of pipe to the section still threaded into the valve body. This indicates tension—a stretching force—at the bottom of the pipe along its long axis. Tension along the bottom of the pipe is consistent with a bending stress created by an external downward force. Based on information provided to Atmos by the construction superintendent, a cement truck ran over a valve box at the leak’s location immediately before he heard and smelled natural gas being released. The investigation did not identify another plausible external force that could have damaged the main. The Materials Laboratory examination of the main found fracture characteristics typical of fast crack growth and no signs of significant corrosion or preexisting structural damage that could have contributed to the failure. The fracture was therefore consistent with a sudden application of force by the valve box to the main. Based on the fracture’s location, timing, and fast-cracking characteristics, the valve box transmitted part of the cement truck’s weight to the gas main, causing the main to fracture and leak. Examination of the gas main and valve box involved in this accident found coal tar coating the main and deposited on the bottom edge of the valve box. This indicates that the valve box was in contact with the main. The presence of coal tar alone does not indicate when the contact occurred, but the evidence is consistent with the valve box being installed in contact with the main and therefore able transmit the cement truck’s weight directly to the main near the fracture’s location. Federal regulations at 49 CFR 192.181(c)(3) require that valve boxes not be installed in a manner that transmits external loads to mains, and valve boxes are normally installed with a buffer of soil or other protection between the valve box and the assets immediately below. For example, Atmos’s newer valve boxes are installed with support and base pads to prevent load transmission. However, Atmos was not actively replacing cast iron valve boxes with this newer design. Further, the maintenance crew that removed and reinstalled the valve box about 2 months before the accident did not have a specific standard to follow for reinstalling cast iron valve boxes other than an expectation that the top of the valve box be level with the grade. The lack of a standard likely led to the common reinstallation of valve boxes in contact with mains, as described by an Atmos vice president of operations. If Atmos had adopted either a standard for safely installing cast iron valve boxes or a policy of replacing cast iron valve boxes with the newer design, the protective buffer of soil or support pad would have reduced the load transmitted to the pipe on the day of the accident. There is not enough evidence to determine whether a buffer or pad would have prevented the accident, but it would have made the infrastructure more resilient. Atmos has not reported making changes to its valve box installation practices. After the main fractured, gas propagated undetected through an uncapped underground sewer lateral into the sewer system and then into the accident home, where it reached an explosive concentration. The gas in the sewers remained undetected because Atmos personnel did not test the atmosphere in the sewers prior to the explosion. For about 35 minutes, most of the time between the initial leak and the explosion, there was only one Atmos employee on the scene: an experienced senior service technician. He was equipped with a CGI and checked nearby storm drains for the presence of gas, which was one step in Atmos’s subsurface leak investigation procedure. During his interview with the NTSB, he described planning to check the sewers, another required step, but said that he had already confirmed that there was no threat to life or property. His activities after checking the storm drains are also consistent with a belief that he had finished assessing the risk posed by the leak: he switched to the non-safety-critical work of recording billing information for the damage. The investigation did not find evidence of a natural gas alarm in the accident home, which did not have gas service but was still impacted by a leak from a gas main. It is likely that a natural gas alarm would have provided the home’s occupants with warning of accumulating natural gas and given them an opportunity to evacuate before the explosion. The NTSB has advocated wider installation and use of natural gas alarms for nearly 50 years, including following the investigation into a pair of 2024 home explosions in Jackson, Mississippi, that involved Atmos assets. As a result of that investigation, the NTSB reiterated a recommendation to the 50 states, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: See CAROL for the complete history and current status of this recommendation. The NTSB also recommended that Atmos “develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas” (P-26-10).11F Footnote: See CAROL for the complete history and current status of this recommendation.
Addressee Acronym: DC
Addressee Organization Type: L-Local Government
Communication Date: 2025-04-08
Communication Type: Transmittal Letter
Communication Contents: 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 accidents in other modes of transportation—railroad, highway, marine, and pipeline. We determine the probable cause of the accidents and issue safety recommendations aimed at preventing future accidents. In addition, we carry out special studies concerning transportation safety and coordinate the resources of the federal government and other organizations to assist victims and their family members affected by major transportation disasters. We are providing the following information to urge the District of Columbia to act on the safety recommendation in this letter because we believe your organization can help reduce the risk of future accidents. For more information about the NTSB and our recommendation process, please see the attached one-page summary. This letter also includes information about our March 18, 2025, report, UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, NTSB/PIR-25/01. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. As a result of this investigation, we identified the following safety issues: • Degradation of a retired Aldyl A service tee that was accelerated by elevated ground temperatures from a corroded and cracked steam pipe nearby. • UGI Corporation’s insufficient consideration of pipeline integrity threats, particularly Aldyl A service tees with Delrin inserts at elevated temperatures. • Presence of unmarked and unreported private assets crossing public rights-of-way, excluding them from the Pennsylvania One Call System and increasing the risk of damage to them. • Delayed evacuation of Palmer’s Building 2 despite detection of natural gas by employees and others. • Natural gas safety messaging from pipeline operator public awareness programs that may not reach certain members of the public. • Insufficient guidance on natural gas emergency procedures. • Absence of natural gas alarms in commercial buildings. • Insufficient accessibility of gas distribution line valves. Accordingly, the NTSB makes the following safety recommendation to the District of Columbia (additional information regarding this recommendation can be found in the noted section of the report): • Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) (See section 2.5.1.) The NTSB is vitally interested in this recommendation because it is designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter, detailing the actions you have taken or intend to take to implement this recommendation. When replying, please refer to the safety recommendation by number (Safety Recommendation P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply, including attachments, exceeds 20 megabytes, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. All communications regarding safety recommendations are stored by the NTSB and viewable by the public. Please do not send privileged or confidential communications in response to this recommendation. Responses marked as confidential or privileged (or similar designations) will be considered nonresponsive. In the likely event that your company uses auto generated and/or preformatted confidentiality statements on letterhead or outgoing e-mails, please include a statement in your letter indicating that the information can be publicly released. If you have concerns about this protocol, please contact us at ExecutiveSecretariat@ntsb.gov. The attached letter from the NTSB Chairman provides information about the March 18, 2025, report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. The NTSB is vitally interested in these recommendations because they are designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter detailing the actions you have taken or intend to take to implement these recommendations. When replying, please refer to the safety recommendation by number (for example, P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply exceeds 20 megabytes, including attachments, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. From the report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1: 2.5.1 Natural Gas Alarms Public awareness is an effective tool to encourage adoption of safety devices like natural gas alarms. The first edition of API RP 1162 requires that public awareness programs include safety messages about the awareness of hazards and prevention measures as well as leak recognition and response but does not specifically require these programs to disseminate safety messages about natural gas alarms. UGI’s public awareness materials distributed before the accident were consistent with federal regulations, and although the materials promoted the use of smoke and carbon monoxide alarms, they did not address natural gas alarms. Following the accident, UGI now includes safety messages encouraging the purchase of natural gas alarms in its public awareness materials. The NTSB concludes that installing natural gas alarms can alert people of a gas leak so they can evacuate the area; however, natural gas customers may not be aware of the necessity of such alarms. The NTSB believes that messages about the benefits of natural gas alarms are critically important and could save lives when natural gas alarms are installed. The NTSB further believes that the natural gas industry can help shape the effectiveness of public awareness program delivery methods so that people in businesses, schools, residences, and other places of congregation are better informed, both about natural gas hazards and the necessity of natural gas alarms. The American Gas Association, which represents natural gas pipeline operators throughout the US, can facilitate industry efforts to improve public awareness program delivery methods and to improve safety, most critically through increasing the installation of natural gas alarms. Therefore, the NTSB recommends that the American Gas Association share the details of the March 24, 2023, natural gas–fueled explosion and fire in West Reading, Pennsylvania, with its members, encouraging them to evaluate the effectiveness of their current delivery methods of public awareness programs and to promote the installation of natural gas alarms in businesses, residences, and other places of congregation that they serve. Evacuation should occur immediately upon detection of the presence of natural gas. In 1976, the NTSB made its first recommendation to require natural gas detection to provide early warning of leaks. Most recently, after a 2016 building explosion in Silver Spring, Maryland, and then again after the 2018 home explosion in Dallas, we made recommendations to the ICC and the NFPA to require natural gas alarms with methane detection in residences (NTSB 2019). We recommended the ICC
Addressee Acronym: DC
Addressee Organization Type: L-Local Government
Communication Date: 2025-10-21
Communication Type: Official Correspondence
Communication Contents: -From Melissa G. Shear, Acting Director, Washington, DC Highway Safety Office: After conferring with our Natural Gas utility Washington Gas, the District has an estimated 55,714 installations of Aldyl-A piping. The estimate is based on an analysis from the Company’s DIMP (Distribution Integrity Management Plan), which reflects the installation of Aldyl-A piping between approximately 1971 and 1995. Note that Aldyl-A was the predominate resin used during that time period, but was not used exclusively. This number corresponds to the count of plastic services with records reflecting installation within the defined window. As other resins were in limited use during the defined time period, this is an inclusive estimate. Without knowing how the NTSB defines congregate, we don’t know how many of these Aldyl-A pipes would be impacted by this recommendation. As the NTSB is aware, a substantial number of properties are not regulated by the District Government. While it’s possible for the District to verify the existence of the Aldyl-A piping on federal property, the District cannot regulate or enforce any potential changes that might come with the NTSB’s recommendation. Thank you for your concern and for bringing this to the District’s attention. The District will continue to work with the NTSB on this and other important issues. Should additional information be requested, the District is available.
Addressee Name: State of Wyoming
Addressee Status: Open - Initial Response Received
Addressee Acronym: WY
Addressee Organization Type: S-State Government
Communication Date: 2025-04-08
Communication Type: Transmittal Letter
Communication Contents: 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 accidents in other modes of transportation—railroad, highway, marine, and pipeline. We determine the probable cause of the accidents and issue safety recommendations aimed at preventing future accidents. In addition, we carry out special studies concerning transportation safety and coordinate the resources of the federal government and other organizations to assist victims and their family members affected by major transportation disasters. We are providing the following information to urge the State of Wyoming to act on the safety recommendation in this letter because we believe your organization can help reduce the risk of future accidents. For more information about the NTSB and our recommendation process, please see the attached one-page summary. This letter also includes information about our March 18, 2025, report, UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, NTSB/PIR-25/01. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. As a result of this investigation, we identified the following safety issues: • Degradation of a retired Aldyl A service tee that was accelerated by elevated ground temperatures from a corroded and cracked steam pipe nearby. • UGI Corporation’s insufficient consideration of pipeline integrity threats, particularly Aldyl A service tees with Delrin inserts at elevated temperatures. • Presence of unmarked and unreported private assets crossing public rights-of-way, excluding them from the Pennsylvania One Call System and increasing the risk of damage to them. • Delayed evacuation of Palmer’s Building 2 despite detection of natural gas by employees and others. • Natural gas safety messaging from pipeline operator public awareness programs that may not reach certain members of the public. • Insufficient guidance on natural gas emergency procedures. • Absence of natural gas alarms in commercial buildings. • Insufficient accessibility of gas distribution line valves. Accordingly, the NTSB makes the following safety recommendation to the State of Wyoming (additional information regarding this recommendation can be found in the noted section of the report): • Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) (See section 2.5.1.) The NTSB is vitally interested in this recommendation because it is designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter, detailing the actions you have taken or intend to take to implement this recommendation. When replying, please refer to the safety recommendation by number (Safety Recommendation P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply, including attachments, exceeds 20 megabytes, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. All communications regarding safety recommendations are stored by the NTSB and viewable by the public. Please do not send privileged or confidential communications in response to this recommendation. Responses marked as confidential or privileged (or similar designations) will be considered nonresponsive. In the likely event that your company uses auto generated and/or preformatted confidentiality statements on letterhead or outgoing e-mails, please include a statement in your letter indicating that the information can be publicly released. If you have concerns about this protocol, please contact us at ExecutiveSecretariat@ntsb.gov. The attached letter from the NTSB Chairman provides information about the March 18, 2025, report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. The NTSB is vitally interested in these recommendations because they are designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter detailing the actions you have taken or intend to take to implement these recommendations. When replying, please refer to the safety recommendation by number (for example, P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply exceeds 20 megabytes, including attachments, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. From the report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1: 2.5.1 Natural Gas Alarms Public awareness is an effective tool to encourage adoption of safety devices like natural gas alarms. The first edition of API RP 1162 requires that public awareness programs include safety messages about the awareness of hazards and prevention measures as well as leak recognition and response but does not specifically require these programs to disseminate safety messages about natural gas alarms. UGI’s public awareness materials distributed before the accident were consistent with federal regulations, and although the materials promoted the use of smoke and carbon monoxide alarms, they did not address natural gas alarms. Following the accident, UGI now includes safety messages encouraging the purchase of natural gas alarms in its public awareness materials. The NTSB concludes that installing natural gas alarms can alert people of a gas leak so they can evacuate the area; however, natural gas customers may not be aware of the necessity of such alarms. The NTSB believes that messages about the benefits of natural gas alarms are critically important and could save lives when natural gas alarms are installed. The NTSB further believes that the natural gas industry can help shape the effectiveness of public awareness program delivery methods so that people in businesses, schools, residences, and other places of congregation are better informed, both about natural gas hazards and the necessity of natural gas alarms. The American Gas Association, which represents natural gas pipeline operators throughout the US, can facilitate industry efforts to improve public awareness program delivery methods and to improve safety, most critically through increasing the installation of natural gas alarms. Therefore, the NTSB recommends that the American Gas Association share the details of the March 24, 2023, natural gas–fueled explosion and fire in West Reading, Pennsylvania, with its members, encouraging them to evaluate the effectiveness of their current delivery methods of public awareness programs and to promote the installation of natural gas alarms in businesses, residences, and other places of congregation that they serve. Evacuation should occur immediately upon detection of the presence of natural gas. In 1976, the NTSB made its first recommendation to require natural gas detection to provide early warning of leaks. Most recently, after a 2016 building explosion in Silver Spring, Maryland, and then again after the 2018 home explosion in Dallas, we made recommendations to the ICC and the NFPA to require natural gas alarms with methane detection in residences (NTSB 2019). We recommended the ICC work wi
Addressee Acronym: WY
Addressee Organization Type: S-State Government
Communication Date: 2026-04-07
Communication Type: Recommendation Mention
Communication Contents: Pipeline Investigation Report PIR-26-02, “Enbridge Inc. Natural Gas–Fueled Home Explosion and Fatality, South Jordan, Utah, November 6, 2024” published on April 7, 2026: 2 Analysis On November 6, 2024, a natural gas–fueled home explosion fatally injured one resident and damaged nearby homes. A crack in the 4-inch-diameter Aldyl A gas main near the home allowed natural gas to leak and fuel the home explosion. The NTSB found that the crack originated on the inner surface of the pipe and aligned directly with an oblong impression on the outer surface. Investigators determined that a rock impingement likely caused the oblong impression on the outer surface of the pipe and the resulting crack. They also found that the crack growth features indicated that the crack breached the outer surface in a single abrupt event. As a result, the pipe rapidly transitioned from releasing no gas to releasing up to 48.7 scfm, as measured in the lab. Footnote: The actual leak rate may have been lower, given that the pipeline was buried in soil, which would constrain the pipe and provide back-pressure resistance to gas as it leaked from the pipe. Post-explosion, subsurface gas readings showed that the natural gas migrated about 150 feet from the leak location to the home. Although the exact timing of the leak could not be determined, the residents’ observations of physical symptoms, inability to relight the basement water heater, and an unusually high candle flame before the accident suggest that natural gas may have been present in the home for at least 3 days before the explosion. On November 6, the flammable natural gas–air mixture ignited in the southwest quadrant of the basement. The Utah Deputy State Fire Marshal identified two possible sources of the ignition: a water heater and a furnace. The water heater was turned off at the control point, so the only credible ignition source was the furnace. Footnote: The furnace control valve was found postaccident to have significant thermal damage, consistent with it being the ignition source. Before the accident, Enbridge had implemented safeguards to mitigate the consequences of leaks, including periodic leak surveys, timely response to odor complaints, and targeted replacement projects. However, none of these strategies proved effective for this scenario, because of the following issues related to the strategies: • Periodic leak surveys. Regulators require distribution leak surveys to be conducted every 5 years. Enbridge conducted its most recent leak survey on April 29, 2022—two years before the accident. However, in this accident, through-wall crack propagation occurred too rapidly, causing the leak to go undetected before the explosion. • Timely response to odor complaints. Regulators require odorization of natural gas in distribution systems to help alert the public to natural gas leaks. During interviews conducted by investigators, the NTSB determined that the local residents had not smelled natural gas odorant near the accident home, even though gas was determined to have permeated the ground in the area during postaccident surveys, indicating that the odorant had been stripped from the leaked natural gas that ultimately entered the home. Footnote: Field testing of the gas in the distribution system after the explosion found acceptable odorant concentrations. Although odorant can act as an early warning of a gas release to prevent an explosion and fire, it has been known to become depleted when traveling through soil, as it did in this accident. Previous NTSB investigations have identified occurrences of odorant depletion that allowed natural gas leaks to go undetected, resulting in explosions in Dallas, Texas, in 2018 and in Silver Spring, Maryland, in 2016. Footnote: NTSB. 2021. Atmos Energy Corporation Natural Gas–Fueled Explosion, Dallas, Texas, February 23, 2018. PAR-21/01. Washington, DC: NTSB. Footnote: NTSB. 2019. Building Explosion and Fire, Silver Spring, Maryland, August 10, 2016. PAR-19/01. Washington, DC: NTSB. • Targeted replacement projects. A 2014 California Public Utilities Commission study showed that the vintage of Aldyl A present in this accident, with stress concentrations from rock impingement, squeeze-off, bending, or deflection, were statistically predicted to fail between 22 and 235 years after installation. Footnote: California Public Utilities Commission 2014 Hazard Analysis and Mitigation Report On Aldyl A Polyethylene Gas Pipelines in California. Haine 2014. Because the estimated failure time is imprecise (a range of more than 200 years), and because some environmental conditions—such as the locations of rocks in the backfill material—are unknown, the Enbridge evaluation of the cracking threat to the 1976 vintage Aldyl A did not accurately characterize the risk of rock impingements and prevented Enbridge from identifying effective mitigative actions and targeted replacement projects. Even though Enbridge worked continuously to search for the leak after the explosion, it took them more than 21 hours to find and isolate the natural gas leak. During this time, the pipeline continued to leak natural gas into the ground, increasing the risk to nearby residents, first responders, and others operating in the area. When an underground natural gas pipeline leak occurs rapidly, it can be difficult to safeguard against. Natural gas alarms can provide an early warning of natural gas leaks inside nearby structures and can alert the building occupants to take immediate safety actions. Had in-home natural gas alarms been installed in the homes involved in this accident, they would have alerted the residents to a potential problem and prompted them to evacuate and call 911, reducing or eliminating the fatal consequences of the explosion. The NTSB has previously recommended requiring the installation of natural gas alarms in businesses, residences, and other buildings (Safety Recommendation P 25 05).
Addressee Acronym: WY
Addressee Organization Type: S-State Government
Communication Date: 2026-06-05
Communication Type: Recommendation Mention
Communication Contents: Atmos Energy Corporation Natural Gas–Fueled Home Explosion Pipeline Investigation Report PIR-26-03 published on June 5, 2026: Analysis The explosion and fire occurred after natural gas leaked from a fractured buried main, migrated through an uncapped underground sewer lateral, entered the accident home, and reached an explosive concentration near an unknown ignition source. The investigation did not identify issues with gas pressures in the area of the leak or the timeliness or efficacy of the local emergency response agencies. Postaccident bar-hole testing and excavations found only one source of natural gas: a leak in the gas main near a valve box on the eastern edge of the construction site. On-site examinations of the main found that it was fractured around most of its circumference with a thin strip of metal at the top (12 o’clock position) joining the southern section of pipe to the section still threaded into the valve body. This indicates tension—a stretching force—at the bottom of the pipe along its long axis. Tension along the bottom of the pipe is consistent with a bending stress created by an external downward force. Based on information provided to Atmos by the construction superintendent, a cement truck ran over a valve box at the leak’s location immediately before he heard and smelled natural gas being released. The investigation did not identify another plausible external force that could have damaged the main. The Materials Laboratory examination of the main found fracture characteristics typical of fast crack growth and no signs of significant corrosion or preexisting structural damage that could have contributed to the failure. The fracture was therefore consistent with a sudden application of force by the valve box to the main. Based on the fracture’s location, timing, and fast-cracking characteristics, the valve box transmitted part of the cement truck’s weight to the gas main, causing the main to fracture and leak. Examination of the gas main and valve box involved in this accident found coal tar coating the main and deposited on the bottom edge of the valve box. This indicates that the valve box was in contact with the main. The presence of coal tar alone does not indicate when the contact occurred, but the evidence is consistent with the valve box being installed in contact with the main and therefore able transmit the cement truck’s weight directly to the main near the fracture’s location. Federal regulations at 49 CFR 192.181(c)(3) require that valve boxes not be installed in a manner that transmits external loads to mains, and valve boxes are normally installed with a buffer of soil or other protection between the valve box and the assets immediately below. For example, Atmos’s newer valve boxes are installed with support and base pads to prevent load transmission. However, Atmos was not actively replacing cast iron valve boxes with this newer design. Further, the maintenance crew that removed and reinstalled the valve box about 2 months before the accident did not have a specific standard to follow for reinstalling cast iron valve boxes other than an expectation that the top of the valve box be level with the grade. The lack of a standard likely led to the common reinstallation of valve boxes in contact with mains, as described by an Atmos vice president of operations. If Atmos had adopted either a standard for safely installing cast iron valve boxes or a policy of replacing cast iron valve boxes with the newer design, the protective buffer of soil or support pad would have reduced the load transmitted to the pipe on the day of the accident. There is not enough evidence to determine whether a buffer or pad would have prevented the accident, but it would have made the infrastructure more resilient. Atmos has not reported making changes to its valve box installation practices. After the main fractured, gas propagated undetected through an uncapped underground sewer lateral into the sewer system and then into the accident home, where it reached an explosive concentration. The gas in the sewers remained undetected because Atmos personnel did not test the atmosphere in the sewers prior to the explosion. For about 35 minutes, most of the time between the initial leak and the explosion, there was only one Atmos employee on the scene: an experienced senior service technician. He was equipped with a CGI and checked nearby storm drains for the presence of gas, which was one step in Atmos’s subsurface leak investigation procedure. During his interview with the NTSB, he described planning to check the sewers, another required step, but said that he had already confirmed that there was no threat to life or property. His activities after checking the storm drains are also consistent with a belief that he had finished assessing the risk posed by the leak: he switched to the non-safety-critical work of recording billing information for the damage. The investigation did not find evidence of a natural gas alarm in the accident home, which did not have gas service but was still impacted by a leak from a gas main. It is likely that a natural gas alarm would have provided the home’s occupants with warning of accumulating natural gas and given them an opportunity to evacuate before the explosion. The NTSB has advocated wider installation and use of natural gas alarms for nearly 50 years, including following the investigation into a pair of 2024 home explosions in Jackson, Mississippi, that involved Atmos assets. As a result of that investigation, the NTSB reiterated a recommendation to the 50 states, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: See CAROL for the complete history and current status of this recommendation. The NTSB also recommended that Atmos “develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas” (P-26-10).11F Footnote: See CAROL for the complete history and current status of this recommendation.
Addressee Acronym: WY
Addressee Organization Type: S-State Government
Communication Date: 2026-03-26
Communication Type: Recommendation Reiteration
Communication Contents: From the Report, “Atmos Energy Corporation Natural Gas-Fueled Home Explosions and Fires Jackson, Mississippi, January 24, 2024, and January 27, 2024” published on March 26, 2026. Absence of Natural Gas Detection Alarms in Buildings The Bristol Boulevard accident home and the Shalimar Drive accident home did not have natural gas alarms installed. For nearly 50 years, the NTSB has been recommending natural gas alarms for the early detection of natural gas leaks. In the West Reading accident, several candy factory employees told the NTSB that they had smelled natural gas odorant and did not call 9 1 1 or the gas company but stayed in the building until the explosion occurred. Some of the employees inquired with their managers about what to do, and their managers were equally unaware of the actions to take during a suspected natural gas leak. In the two Jackson accidents, and in many of the pipeline accidents the NTSB has investigated for the last 5 decades, people smelled natural gas odorant and either did not know what actions to take, or they knew the actions necessary to address a potential natural gas emergency but did not execute them. Natural gas distribution pipeline operators must educate the public on pipeline safety through public awareness programs. It is also necessary, however, to have safeguards in place when members of the public (1) smell natural gas odorant and do not take the appropriate safety actions and (2) do not smell natural gas odorant, as was the case in the NTSB investigation of the Dallas accident, and therefore do not take appropriate safety actions. Footnote: The NTSB’s Dallas investigation determined that the occupants in the accident homes did not smell natural gas odorant because it was absorbed and depleted in the soil. Natural gas alarms are safeguards in protecting the public, which is why the NTSB has recommended their installation after many of our pipeline accident investigations. The NTSB found that natural gas alarms likely would have prevented or reduced the consequences of the Dallas and West Reading accidents, and the evidence in this investigation suggests the same. The Shalimar Drive accident home was empty at the time of that accident; however, when the explosion in the Bristol Boulevard accident home occurred, two people were inside. Therefore, the NTSB concludes that had a natural gas alarm been installed inside the Bristol Boulevard accident home, it could have alerted occupants that natural gas was present, prompting them to evacuate and report the leak, making Atmos aware that the leak had likely worsened and required corrective action. As a result of the West Reading investigation, the NTSB recommended that the 50 States, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: Safety Recommendation P-25-5 is currently classified Open—Await Response. As of this report, 7 states and the District of Columbia have provided an initial response; 43 states and the Commonwealth of Puerto Rico have not responded. Footnote: The seven states that have provided an initial response include Colorado, Connecticut, Kansas, Nevada, North Carolina, Virginia, and Wyoming. Mississippi, the state where the two Jackson accidents occurred, is one of the 43 states that have not provided an initial response. The NTSB investigation of the two Jackson accidents has again identified the critical importance of natural gas alarms to alert occupants to natural gas leaks. Therefore, the NTSB reiterates Safety Recommendation P 25-5 to 50 States, the Commonwealth of Puerto Rico, and the District of Columbia. As discussed in section 1.10.1.1, after the Avondale accident, Atmos reported that it provided the public with information, through its website, on the availability of natural gas alarms. However, Atmos can do more to safeguard the public in its distribution areas. The NTSB is aware of multiple natural gas distribution operators that have made natural gas alarms available to people in their service areas. Footnote: Visit http://www.ntsb.gov to find additional information in the public docket for this NTSB accident investigation (case number PLD24FR003). Therefore, the NTSB recommends that Atmos develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas.
Addressee Acronym: WY
Addressee Organization Type: S-State Government
Communication Date: 2025-07-21
Communication Type: Official Correspondence
Communication Contents: -From Mark Gordon, Governor of Wyoming: This letter is in response to the National Transportation Safety Board Safety Recommendation P-25-5, regarding the GI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania. As requested, attached to this letter is a response to the NTBS recommendation provided by the Wyoming Department of Fire Prevention and Electrical Safety. Wyoming is committed to policies that ensure public safety; however, we do not intend to adopt the rule at this time. Our State Fire Marshal has identified that the code mentioned in the letter is relatively new as it was introduced in 2023. The National Standards along with the International Codes Council Codes do not currently require Natural Gas Alarms in buildings. Some states are in the process of passing legislation to mandate Natural Gas Alarms in buildings, but previous efforts have failed in Wyoming. Wyoming only adopts the most recent standards published by the National Fire Protection Association and the International Code Council. It is the State Fire Marshal's advice that Safety Recommendation P-25-5 is presented to the Fire Code Action Committee of the Plumbing/Mechanical/Gas Code Action Committee for consideration. Please see the State Fire Marshall's letter for full details. I appreciate your correspondence with our office. -From Byron Matthews, Wyoming State Fire Marshall, Director Fire Prevention and Electrical Safety: The Department of Fire Prevention and Electrical Safety supports all efforts to ensure and enhance the public safety and reduce the risks to the entire state. We also support the need for updated and improved safety within structures. Thanks for allowing us to provide input into the findings of the investigation after the explosion in West Reading, Pennsylvania. If the recommendation from the NTSB is to install natural gas alarms in all structures we appreciate that recommendation. The best way to accomplish that recommendation is to work with both the Standards and Codes group to address new construction as well as how to attempt to address the retro-fit of these alarms. The State of Wyoming adopts the most recent standards published by the National Fire Protection Association as well as the International Code Council, for life safety and building construction. The current National Standards as well as The International Code Council Codes do not have any requirements for the installation and maintenance of Natural Gas Alarms. We would welcome a partnership with the National Association of State Fire Marshals and the Standards and Codes committees that would be able to address these devices. At this time the National Association of State Fire Marshals continues to work with the NTBS and the Standards and Model Code Committees to determine the correct action forward. The NFPA code that is referenced in the letter is a relatively new standard, first introduced in 2023. We are aware of the work that The Chemical Safety Board has done previously with the International Code Council .. When that work was done the expectation was to have them present their recommendations to the Fire Code Action Committee and/or the Plumbing/Mechanical/Gas Code Action Committee to see if either committee is interested in bringing forward a code change proposal. Past code change proposals to require natural gas alarms in all buildings have failed. Some states do have requirements however the intent seems to be to ensure that all states are afforded this level of protection and in order to do so then it would need to be addressed in the Standards and Model Codes. Two jurisdictions who have legislation or requirements are Maine and NYC both have addressed natural gas alarms in buildings with natural gas appliances, and Illinois has similar legislation pending. It is worth noting that the West Reading incident was the result of an underground pipeline leak that migrated through the ground into the building-and was not related to failures of any building systems. In cases like this, determining whether a building "could be affected by a natural gas leak" due to proximity to distribution pipelines could prove to be a monumental undertaking. All of this information being provided it is our recommendation that the State of Wyoming will wait until the Standards and Codes address this through the consensus code process. There are many impacts to this type of legislation outside of the code process as this change would have impacts on new and existing buildings across the State and the code process allows for the stakeholders affected to have a chance to present and have their concerns heard.
Addressee Name: State of Wisconsin
Addressee Status: Open - Initial Response Received
Addressee Acronym: WI
Addressee Organization Type: S-State Government
Communication Date: 2025-04-08
Communication Type: Transmittal Letter
Communication Contents: 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 accidents in other modes of transportation—railroad, highway, marine, and pipeline. We determine the probable cause of the accidents and issue safety recommendations aimed at preventing future accidents. In addition, we carry out special studies concerning transportation safety and coordinate the resources of the federal government and other organizations to assist victims and their family members affected by major transportation disasters. We are providing the following information to urge the State of Wisconsin to act on the safety recommendation in this letter because we believe your organization can help reduce the risk of future accidents. For more information about the NTSB and our recommendation process, please see the attached one-page summary. This letter also includes information about our March 18, 2025, report, UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, NTSB/PIR-25/01. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. As a result of this investigation, we identified the following safety issues: • Degradation of a retired Aldyl A service tee that was accelerated by elevated ground temperatures from a corroded and cracked steam pipe nearby. • UGI Corporation’s insufficient consideration of pipeline integrity threats, particularly Aldyl A service tees with Delrin inserts at elevated temperatures. • Presence of unmarked and unreported private assets crossing public rights-of-way, excluding them from the Pennsylvania One Call System and increasing the risk of damage to them. • Delayed evacuation of Palmer’s Building 2 despite detection of natural gas by employees and others. • Natural gas safety messaging from pipeline operator public awareness programs that may not reach certain members of the public. • Insufficient guidance on natural gas emergency procedures. • Absence of natural gas alarms in commercial buildings. • Insufficient accessibility of gas distribution line valves. Accordingly, the NTSB makes the following safety recommendation to the State of Wisconsin (additional information regarding this recommendation can be found in the noted section of the report): • Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) (See section 2.5.1.) The NTSB is vitally interested in this recommendation because it is designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter, detailing the actions you have taken or intend to take to implement this recommendation. When replying, please refer to the safety recommendation by number (Safety Recommendation P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply, including attachments, exceeds 20 megabytes, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. All communications regarding safety recommendations are stored by the NTSB and viewable by the public. Please do not send privileged or confidential communications in response to this recommendation. Responses marked as confidential or privileged (or similar designations) will be considered nonresponsive. In the likely event that your company uses auto generated and/or preformatted confidentiality statements on letterhead or outgoing e-mails, please include a statement in your letter indicating that the information can be publicly released. If you have concerns about this protocol, please contact us at ExecutiveSecretariat@ntsb.gov. The attached letter from the NTSB Chairman provides information about the March 18, 2025, report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. The NTSB is vitally interested in these recommendations because they are designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter detailing the actions you have taken or intend to take to implement these recommendations. When replying, please refer to the safety recommendation by number (for example, P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply exceeds 20 megabytes, including attachments, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. From the report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1: 2.5.1 Natural Gas Alarms Public awareness is an effective tool to encourage adoption of safety devices like natural gas alarms. The first edition of API RP 1162 requires that public awareness programs include safety messages about the awareness of hazards and prevention measures as well as leak recognition and response but does not specifically require these programs to disseminate safety messages about natural gas alarms. UGI’s public awareness materials distributed before the accident were consistent with federal regulations, and although the materials promoted the use of smoke and carbon monoxide alarms, they did not address natural gas alarms. Following the accident, UGI now includes safety messages encouraging the purchase of natural gas alarms in its public awareness materials. The NTSB concludes that installing natural gas alarms can alert people of a gas leak so they can evacuate the area; however, natural gas customers may not be aware of the necessity of such alarms. The NTSB believes that messages about the benefits of natural gas alarms are critically important and could save lives when natural gas alarms are installed. The NTSB further believes that the natural gas industry can help shape the effectiveness of public awareness program delivery methods so that people in businesses, schools, residences, and other places of congregation are better informed, both about natural gas hazards and the necessity of natural gas alarms. The American Gas Association, which represents natural gas pipeline operators throughout the US, can facilitate industry efforts to improve public awareness program delivery methods and to improve safety, most critically through increasing the installation of natural gas alarms. Therefore, the NTSB recommends that the American Gas Association share the details of the March 24, 2023, natural gas–fueled explosion and fire in West Reading, Pennsylvania, with its members, encouraging them to evaluate the effectiveness of their current delivery methods of public awareness programs and to promote the installation of natural gas alarms in businesses, residences, and other places of congregation that they serve. Evacuation should occur immediately upon detection of the presence of natural gas. In 1976, the NTSB made its first recommendation to require natural gas detection to provide early warning of leaks. Most recently, after a 2016 building explosion in Silver Spring, Maryland, and then again after the 2018 home explosion in Dallas, we made recommendations to the ICC and the NFPA to require natural gas alarms with methane detection in residences (NTSB 2019). We recommended the ICC wor
Addressee Acronym: WI
Addressee Organization Type: S-State Government
Communication Date: 2026-04-07
Communication Type: Recommendation Mention
Communication Contents: Pipeline Investigation Report PIR-26-02, “Enbridge Inc. Natural Gas–Fueled Home Explosion and Fatality, South Jordan, Utah, November 6, 2024” published on April 7, 2026: 2 Analysis On November 6, 2024, a natural gas–fueled home explosion fatally injured one resident and damaged nearby homes. A crack in the 4-inch-diameter Aldyl A gas main near the home allowed natural gas to leak and fuel the home explosion. The NTSB found that the crack originated on the inner surface of the pipe and aligned directly with an oblong impression on the outer surface. Investigators determined that a rock impingement likely caused the oblong impression on the outer surface of the pipe and the resulting crack. They also found that the crack growth features indicated that the crack breached the outer surface in a single abrupt event. As a result, the pipe rapidly transitioned from releasing no gas to releasing up to 48.7 scfm, as measured in the lab. Footnote: The actual leak rate may have been lower, given that the pipeline was buried in soil, which would constrain the pipe and provide back-pressure resistance to gas as it leaked from the pipe. Post-explosion, subsurface gas readings showed that the natural gas migrated about 150 feet from the leak location to the home. Although the exact timing of the leak could not be determined, the residents’ observations of physical symptoms, inability to relight the basement water heater, and an unusually high candle flame before the accident suggest that natural gas may have been present in the home for at least 3 days before the explosion. On November 6, the flammable natural gas–air mixture ignited in the southwest quadrant of the basement. The Utah Deputy State Fire Marshal identified two possible sources of the ignition: a water heater and a furnace. The water heater was turned off at the control point, so the only credible ignition source was the furnace. Footnote: The furnace control valve was found postaccident to have significant thermal damage, consistent with it being the ignition source. Before the accident, Enbridge had implemented safeguards to mitigate the consequences of leaks, including periodic leak surveys, timely response to odor complaints, and targeted replacement projects. However, none of these strategies proved effective for this scenario, because of the following issues related to the strategies: • Periodic leak surveys. Regulators require distribution leak surveys to be conducted every 5 years. Enbridge conducted its most recent leak survey on April 29, 2022—two years before the accident. However, in this accident, through-wall crack propagation occurred too rapidly, causing the leak to go undetected before the explosion. • Timely response to odor complaints. Regulators require odorization of natural gas in distribution systems to help alert the public to natural gas leaks. During interviews conducted by investigators, the NTSB determined that the local residents had not smelled natural gas odorant near the accident home, even though gas was determined to have permeated the ground in the area during postaccident surveys, indicating that the odorant had been stripped from the leaked natural gas that ultimately entered the home. Footnote: Field testing of the gas in the distribution system after the explosion found acceptable odorant concentrations. Although odorant can act as an early warning of a gas release to prevent an explosion and fire, it has been known to become depleted when traveling through soil, as it did in this accident. Previous NTSB investigations have identified occurrences of odorant depletion that allowed natural gas leaks to go undetected, resulting in explosions in Dallas, Texas, in 2018 and in Silver Spring, Maryland, in 2016. Footnote: NTSB. 2021. Atmos Energy Corporation Natural Gas–Fueled Explosion, Dallas, Texas, February 23, 2018. PAR-21/01. Washington, DC: NTSB. Footnote: NTSB. 2019. Building Explosion and Fire, Silver Spring, Maryland, August 10, 2016. PAR-19/01. Washington, DC: NTSB. • Targeted replacement projects. A 2014 California Public Utilities Commission study showed that the vintage of Aldyl A present in this accident, with stress concentrations from rock impingement, squeeze-off, bending, or deflection, were statistically predicted to fail between 22 and 235 years after installation. Footnote: California Public Utilities Commission 2014 Hazard Analysis and Mitigation Report On Aldyl A Polyethylene Gas Pipelines in California. Haine 2014. Because the estimated failure time is imprecise (a range of more than 200 years), and because some environmental conditions—such as the locations of rocks in the backfill material—are unknown, the Enbridge evaluation of the cracking threat to the 1976 vintage Aldyl A did not accurately characterize the risk of rock impingements and prevented Enbridge from identifying effective mitigative actions and targeted replacement projects. Even though Enbridge worked continuously to search for the leak after the explosion, it took them more than 21 hours to find and isolate the natural gas leak. During this time, the pipeline continued to leak natural gas into the ground, increasing the risk to nearby residents, first responders, and others operating in the area. When an underground natural gas pipeline leak occurs rapidly, it can be difficult to safeguard against. Natural gas alarms can provide an early warning of natural gas leaks inside nearby structures and can alert the building occupants to take immediate safety actions. Had in-home natural gas alarms been installed in the homes involved in this accident, they would have alerted the residents to a potential problem and prompted them to evacuate and call 911, reducing or eliminating the fatal consequences of the explosion. The NTSB has previously recommended requiring the installation of natural gas alarms in businesses, residences, and other buildings (Safety Recommendation P 25 05).
Addressee Acronym: WI
Addressee Organization Type: S-State Government
Communication Date: 2026-06-05
Communication Type: Recommendation Mention
Communication Contents: Atmos Energy Corporation Natural Gas–Fueled Home Explosion Pipeline Investigation Report PIR-26-03 published on June 5, 2026: Analysis The explosion and fire occurred after natural gas leaked from a fractured buried main, migrated through an uncapped underground sewer lateral, entered the accident home, and reached an explosive concentration near an unknown ignition source. The investigation did not identify issues with gas pressures in the area of the leak or the timeliness or efficacy of the local emergency response agencies. Postaccident bar-hole testing and excavations found only one source of natural gas: a leak in the gas main near a valve box on the eastern edge of the construction site. On-site examinations of the main found that it was fractured around most of its circumference with a thin strip of metal at the top (12 o’clock position) joining the southern section of pipe to the section still threaded into the valve body. This indicates tension—a stretching force—at the bottom of the pipe along its long axis. Tension along the bottom of the pipe is consistent with a bending stress created by an external downward force. Based on information provided to Atmos by the construction superintendent, a cement truck ran over a valve box at the leak’s location immediately before he heard and smelled natural gas being released. The investigation did not identify another plausible external force that could have damaged the main. The Materials Laboratory examination of the main found fracture characteristics typical of fast crack growth and no signs of significant corrosion or preexisting structural damage that could have contributed to the failure. The fracture was therefore consistent with a sudden application of force by the valve box to the main. Based on the fracture’s location, timing, and fast-cracking characteristics, the valve box transmitted part of the cement truck’s weight to the gas main, causing the main to fracture and leak. Examination of the gas main and valve box involved in this accident found coal tar coating the main and deposited on the bottom edge of the valve box. This indicates that the valve box was in contact with the main. The presence of coal tar alone does not indicate when the contact occurred, but the evidence is consistent with the valve box being installed in contact with the main and therefore able transmit the cement truck’s weight directly to the main near the fracture’s location. Federal regulations at 49 CFR 192.181(c)(3) require that valve boxes not be installed in a manner that transmits external loads to mains, and valve boxes are normally installed with a buffer of soil or other protection between the valve box and the assets immediately below. For example, Atmos’s newer valve boxes are installed with support and base pads to prevent load transmission. However, Atmos was not actively replacing cast iron valve boxes with this newer design. Further, the maintenance crew that removed and reinstalled the valve box about 2 months before the accident did not have a specific standard to follow for reinstalling cast iron valve boxes other than an expectation that the top of the valve box be level with the grade. The lack of a standard likely led to the common reinstallation of valve boxes in contact with mains, as described by an Atmos vice president of operations. If Atmos had adopted either a standard for safely installing cast iron valve boxes or a policy of replacing cast iron valve boxes with the newer design, the protective buffer of soil or support pad would have reduced the load transmitted to the pipe on the day of the accident. There is not enough evidence to determine whether a buffer or pad would have prevented the accident, but it would have made the infrastructure more resilient. Atmos has not reported making changes to its valve box installation practices. After the main fractured, gas propagated undetected through an uncapped underground sewer lateral into the sewer system and then into the accident home, where it reached an explosive concentration. The gas in the sewers remained undetected because Atmos personnel did not test the atmosphere in the sewers prior to the explosion. For about 35 minutes, most of the time between the initial leak and the explosion, there was only one Atmos employee on the scene: an experienced senior service technician. He was equipped with a CGI and checked nearby storm drains for the presence of gas, which was one step in Atmos’s subsurface leak investigation procedure. During his interview with the NTSB, he described planning to check the sewers, another required step, but said that he had already confirmed that there was no threat to life or property. His activities after checking the storm drains are also consistent with a belief that he had finished assessing the risk posed by the leak: he switched to the non-safety-critical work of recording billing information for the damage. The investigation did not find evidence of a natural gas alarm in the accident home, which did not have gas service but was still impacted by a leak from a gas main. It is likely that a natural gas alarm would have provided the home’s occupants with warning of accumulating natural gas and given them an opportunity to evacuate before the explosion. The NTSB has advocated wider installation and use of natural gas alarms for nearly 50 years, including following the investigation into a pair of 2024 home explosions in Jackson, Mississippi, that involved Atmos assets. As a result of that investigation, the NTSB reiterated a recommendation to the 50 states, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: See CAROL for the complete history and current status of this recommendation. The NTSB also recommended that Atmos “develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas” (P-26-10).11F Footnote: See CAROL for the complete history and current status of this recommendation.
Addressee Acronym: WI
Addressee Organization Type: S-State Government
Communication Date: 2026-03-26
Communication Type: Recommendation Reiteration
Communication Contents: From the Report, “Atmos Energy Corporation Natural Gas-Fueled Home Explosions and Fires Jackson, Mississippi, January 24, 2024, and January 27, 2024” published on March 26, 2026. Absence of Natural Gas Detection Alarms in Buildings The Bristol Boulevard accident home and the Shalimar Drive accident home did not have natural gas alarms installed. For nearly 50 years, the NTSB has been recommending natural gas alarms for the early detection of natural gas leaks. In the West Reading accident, several candy factory employees told the NTSB that they had smelled natural gas odorant and did not call 9 1 1 or the gas company but stayed in the building until the explosion occurred. Some of the employees inquired with their managers about what to do, and their managers were equally unaware of the actions to take during a suspected natural gas leak. In the two Jackson accidents, and in many of the pipeline accidents the NTSB has investigated for the last 5 decades, people smelled natural gas odorant and either did not know what actions to take, or they knew the actions necessary to address a potential natural gas emergency but did not execute them. Natural gas distribution pipeline operators must educate the public on pipeline safety through public awareness programs. It is also necessary, however, to have safeguards in place when members of the public (1) smell natural gas odorant and do not take the appropriate safety actions and (2) do not smell natural gas odorant, as was the case in the NTSB investigation of the Dallas accident, and therefore do not take appropriate safety actions. Footnote: The NTSB’s Dallas investigation determined that the occupants in the accident homes did not smell natural gas odorant because it was absorbed and depleted in the soil. Natural gas alarms are safeguards in protecting the public, which is why the NTSB has recommended their installation after many of our pipeline accident investigations. The NTSB found that natural gas alarms likely would have prevented or reduced the consequences of the Dallas and West Reading accidents, and the evidence in this investigation suggests the same. The Shalimar Drive accident home was empty at the time of that accident; however, when the explosion in the Bristol Boulevard accident home occurred, two people were inside. Therefore, the NTSB concludes that had a natural gas alarm been installed inside the Bristol Boulevard accident home, it could have alerted occupants that natural gas was present, prompting them to evacuate and report the leak, making Atmos aware that the leak had likely worsened and required corrective action. As a result of the West Reading investigation, the NTSB recommended that the 50 States, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: Safety Recommendation P-25-5 is currently classified Open—Await Response. As of this report, 7 states and the District of Columbia have provided an initial response; 43 states and the Commonwealth of Puerto Rico have not responded. Footnote: The seven states that have provided an initial response include Colorado, Connecticut, Kansas, Nevada, North Carolina, Virginia, and Wyoming. Mississippi, the state where the two Jackson accidents occurred, is one of the 43 states that have not provided an initial response. The NTSB investigation of the two Jackson accidents has again identified the critical importance of natural gas alarms to alert occupants to natural gas leaks. Therefore, the NTSB reiterates Safety Recommendation P 25-5 to 50 States, the Commonwealth of Puerto Rico, and the District of Columbia. As discussed in section 1.10.1.1, after the Avondale accident, Atmos reported that it provided the public with information, through its website, on the availability of natural gas alarms. However, Atmos can do more to safeguard the public in its distribution areas. The NTSB is aware of multiple natural gas distribution operators that have made natural gas alarms available to people in their service areas. Footnote: Visit http://www.ntsb.gov to find additional information in the public docket for this NTSB accident investigation (case number PLD24FR003). Therefore, the NTSB recommends that Atmos develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas.
Addressee Acronym: WI
Addressee Organization Type: S-State Government
Communication Date: 2026-04-24
Communication Type: Official Correspondence
Communication Contents: -From Tony Evers, Governor: Thank you for your letter, dated March 26, 2026, recommending the installation of natural gas alarms meeting NFPA 715 specifications in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. Ensuring buildings in Wisconsin are up to date with key technology to keep Wisconsinites safe is important, and I appreciate the NTSB’s work and recommendations. The executive agency which oversees the promulgation of building codes for commercial establishments and dwellings in Wisconsin is the Department of Safety and Professional Services (DSPS). In response to this request, I have instructed DSPS to provide your letter to the Commercial Building Code Council and Uniform Dwelling Code Council for consideration. These Councils provide recommendations to DSPS regarding possible updates to Wisconsin’s Commercial Building Code and Uniform Dwelling Code. Pursuant to Wis. Stat. § 15.407, the Councils are required to meet at least twice per calendar year. Furthermore, please note that your recommendation may require changes to Wisconsin state statute. Currently, requirements pertaining to other types of detectors, such as smoke and carbon monoxide detectors, in certain buildings are set forth in Wisconsin state statute. For example, please see Wis. Stat. §§ 101.145, 101.149, 101.645, 101.647, and 101.745. Since DSPS has no legal authority to create or revise state statutes, I have also instructed DSPS to forward your letter to leadership of the relevant committees in both chambers of the Wisconsin State Legislature for their consideration in future legislation.
Addressee Name: Commonwealth of Virginia
Addressee Status: Open - Initial Response Received
Addressee Acronym: VA
Addressee Organization Type: S-State Government
Communication Date: 2025-04-08
Communication Type: Transmittal Letter
Communication Contents: 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 accidents in other modes of transportation—railroad, highway, marine, and pipeline. We determine the probable cause of the accidents and issue safety recommendations aimed at preventing future accidents. In addition, we carry out special studies concerning transportation safety and coordinate the resources of the federal government and other organizations to assist victims and their family members affected by major transportation disasters. We are providing the following information to urge the Commonwealth of Virginia to act on the safety recommendation in this letter because we believe your organization can help reduce the risk of future accidents. For more information about the NTSB and our recommendation process, please see the attached one-page summary. This letter also includes information about our March 18, 2025, report, UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, NTSB/PIR-25/01. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. As a result of this investigation, we identified the following safety issues: • Degradation of a retired Aldyl A service tee that was accelerated by elevated ground temperatures from a corroded and cracked steam pipe nearby. • UGI Corporation’s insufficient consideration of pipeline integrity threats, particularly Aldyl A service tees with Delrin inserts at elevated temperatures. • Presence of unmarked and unreported private assets crossing public rights-of-way, excluding them from the Pennsylvania One Call System and increasing the risk of damage to them. • Delayed evacuation of Palmer’s Building 2 despite detection of natural gas by employees and others. • Natural gas safety messaging from pipeline operator public awareness programs that may not reach certain members of the public. • Insufficient guidance on natural gas emergency procedures. • Absence of natural gas alarms in commercial buildings. • Insufficient accessibility of gas distribution line valves. Accordingly, the NTSB makes the following safety recommendation to the Commonwealth of Virginia (additional information regarding this recommendation can be found in the noted section of the report): • Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) (See section 2.5.1.) The NTSB is vitally interested in this recommendation because it is designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter, detailing the actions you have taken or intend to take to implement this recommendation. When replying, please refer to the safety recommendation by number (Safety Recommendation P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply, including attachments, exceeds 20 megabytes, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. All communications regarding safety recommendations are stored by the NTSB and viewable by the public. Please do not send privileged or confidential communications in response to this recommendation. Responses marked as confidential or privileged (or similar designations) will be considered nonresponsive. In the likely event that your company uses auto generated and/or preformatted confidentiality statements on letterhead or outgoing e-mails, please include a statement in your letter indicating that the information can be publicly released. If you have concerns about this protocol, please contact us at ExecutiveSecretariat@ntsb.gov. The attached letter from the NTSB Chairman provides information about the March 18, 2025, report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. The NTSB is vitally interested in these recommendations because they are designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter detailing the actions you have taken or intend to take to implement these recommendations. When replying, please refer to the safety recommendation by number (for example, P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply exceeds 20 megabytes, including attachments, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. From the report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1: 2.5.1 Natural Gas Alarms Public awareness is an effective tool to encourage adoption of safety devices like natural gas alarms. The first edition of API RP 1162 requires that public awareness programs include safety messages about the awareness of hazards and prevention measures as well as leak recognition and response but does not specifically require these programs to disseminate safety messages about natural gas alarms. UGI’s public awareness materials distributed before the accident were consistent with federal regulations, and although the materials promoted the use of smoke and carbon monoxide alarms, they did not address natural gas alarms. Following the accident, UGI now includes safety messages encouraging the purchase of natural gas alarms in its public awareness materials. The NTSB concludes that installing natural gas alarms can alert people of a gas leak so they can evacuate the area; however, natural gas customers may not be aware of the necessity of such alarms. The NTSB believes that messages about the benefits of natural gas alarms are critically important and could save lives when natural gas alarms are installed. The NTSB further believes that the natural gas industry can help shape the effectiveness of public awareness program delivery methods so that people in businesses, schools, residences, and other places of congregation are better informed, both about natural gas hazards and the necessity of natural gas alarms. The American Gas Association, which represents natural gas pipeline operators throughout the US, can facilitate industry efforts to improve public awareness program delivery methods and to improve safety, most critically through increasing the installation of natural gas alarms. Therefore, the NTSB recommends that the American Gas Association share the details of the March 24, 2023, natural gas–fueled explosion and fire in West Reading, Pennsylvania, with its members, encouraging them to evaluate the effectiveness of their current delivery methods of public awareness programs and to promote the installation of natural gas alarms in businesses, residences, and other places of congregation that they serve. Evacuation should occur immediately upon detection of the presence of natural gas. In 1976, the NTSB made its first recommendation to require natural gas detection to provide early warning of leaks. Most recently, after a 2016 building explosion in Silver Spring, Maryland, and then again after the 2018 home explosion in Dallas, we made recommendations to the ICC and the NFPA to require natural gas alarms with methane detection in residences (NTSB 2019). We recommended
Addressee Acronym: VA
Addressee Organization Type: S-State Government
Communication Date: 2026-04-07
Communication Type: Recommendation Mention
Communication Contents: Pipeline Investigation Report PIR-26-02, “Enbridge Inc. Natural Gas–Fueled Home Explosion and Fatality, South Jordan, Utah, November 6, 2024” published on April 7, 2026: 2 Analysis On November 6, 2024, a natural gas–fueled home explosion fatally injured one resident and damaged nearby homes. A crack in the 4-inch-diameter Aldyl A gas main near the home allowed natural gas to leak and fuel the home explosion. The NTSB found that the crack originated on the inner surface of the pipe and aligned directly with an oblong impression on the outer surface. Investigators determined that a rock impingement likely caused the oblong impression on the outer surface of the pipe and the resulting crack. They also found that the crack growth features indicated that the crack breached the outer surface in a single abrupt event. As a result, the pipe rapidly transitioned from releasing no gas to releasing up to 48.7 scfm, as measured in the lab. Footnote: The actual leak rate may have been lower, given that the pipeline was buried in soil, which would constrain the pipe and provide back-pressure resistance to gas as it leaked from the pipe. Post-explosion, subsurface gas readings showed that the natural gas migrated about 150 feet from the leak location to the home. Although the exact timing of the leak could not be determined, the residents’ observations of physical symptoms, inability to relight the basement water heater, and an unusually high candle flame before the accident suggest that natural gas may have been present in the home for at least 3 days before the explosion. On November 6, the flammable natural gas–air mixture ignited in the southwest quadrant of the basement. The Utah Deputy State Fire Marshal identified two possible sources of the ignition: a water heater and a furnace. The water heater was turned off at the control point, so the only credible ignition source was the furnace. Footnote: The furnace control valve was found postaccident to have significant thermal damage, consistent with it being the ignition source. Before the accident, Enbridge had implemented safeguards to mitigate the consequences of leaks, including periodic leak surveys, timely response to odor complaints, and targeted replacement projects. However, none of these strategies proved effective for this scenario, because of the following issues related to the strategies: • Periodic leak surveys. Regulators require distribution leak surveys to be conducted every 5 years. Enbridge conducted its most recent leak survey on April 29, 2022—two years before the accident. However, in this accident, through-wall crack propagation occurred too rapidly, causing the leak to go undetected before the explosion. • Timely response to odor complaints. Regulators require odorization of natural gas in distribution systems to help alert the public to natural gas leaks. During interviews conducted by investigators, the NTSB determined that the local residents had not smelled natural gas odorant near the accident home, even though gas was determined to have permeated the ground in the area during postaccident surveys, indicating that the odorant had been stripped from the leaked natural gas that ultimately entered the home. Footnote: Field testing of the gas in the distribution system after the explosion found acceptable odorant concentrations. Although odorant can act as an early warning of a gas release to prevent an explosion and fire, it has been known to become depleted when traveling through soil, as it did in this accident. Previous NTSB investigations have identified occurrences of odorant depletion that allowed natural gas leaks to go undetected, resulting in explosions in Dallas, Texas, in 2018 and in Silver Spring, Maryland, in 2016. Footnote: NTSB. 2021. Atmos Energy Corporation Natural Gas–Fueled Explosion, Dallas, Texas, February 23, 2018. PAR-21/01. Washington, DC: NTSB. Footnote: NTSB. 2019. Building Explosion and Fire, Silver Spring, Maryland, August 10, 2016. PAR-19/01. Washington, DC: NTSB. • Targeted replacement projects. A 2014 California Public Utilities Commission study showed that the vintage of Aldyl A present in this accident, with stress concentrations from rock impingement, squeeze-off, bending, or deflection, were statistically predicted to fail between 22 and 235 years after installation. Footnote: California Public Utilities Commission 2014 Hazard Analysis and Mitigation Report On Aldyl A Polyethylene Gas Pipelines in California. Haine 2014. Because the estimated failure time is imprecise (a range of more than 200 years), and because some environmental conditions—such as the locations of rocks in the backfill material—are unknown, the Enbridge evaluation of the cracking threat to the 1976 vintage Aldyl A did not accurately characterize the risk of rock impingements and prevented Enbridge from identifying effective mitigative actions and targeted replacement projects. Even though Enbridge worked continuously to search for the leak after the explosion, it took them more than 21 hours to find and isolate the natural gas leak. During this time, the pipeline continued to leak natural gas into the ground, increasing the risk to nearby residents, first responders, and others operating in the area. When an underground natural gas pipeline leak occurs rapidly, it can be difficult to safeguard against. Natural gas alarms can provide an early warning of natural gas leaks inside nearby structures and can alert the building occupants to take immediate safety actions. Had in-home natural gas alarms been installed in the homes involved in this accident, they would have alerted the residents to a potential problem and prompted them to evacuate and call 911, reducing or eliminating the fatal consequences of the explosion. The NTSB has previously recommended requiring the installation of natural gas alarms in businesses, residences, and other buildings (Safety Recommendation P 25 05).
Addressee Acronym: VA
Addressee Organization Type: S-State Government
Communication Date: 2026-06-05
Communication Type: Recommendation Mention
Communication Contents: Atmos Energy Corporation Natural Gas–Fueled Home Explosion Pipeline Investigation Report PIR-26-03 published on June 5, 2026: Analysis The explosion and fire occurred after natural gas leaked from a fractured buried main, migrated through an uncapped underground sewer lateral, entered the accident home, and reached an explosive concentration near an unknown ignition source. The investigation did not identify issues with gas pressures in the area of the leak or the timeliness or efficacy of the local emergency response agencies. Postaccident bar-hole testing and excavations found only one source of natural gas: a leak in the gas main near a valve box on the eastern edge of the construction site. On-site examinations of the main found that it was fractured around most of its circumference with a thin strip of metal at the top (12 o’clock position) joining the southern section of pipe to the section still threaded into the valve body. This indicates tension—a stretching force—at the bottom of the pipe along its long axis. Tension along the bottom of the pipe is consistent with a bending stress created by an external downward force. Based on information provided to Atmos by the construction superintendent, a cement truck ran over a valve box at the leak’s location immediately before he heard and smelled natural gas being released. The investigation did not identify another plausible external force that could have damaged the main. The Materials Laboratory examination of the main found fracture characteristics typical of fast crack growth and no signs of significant corrosion or preexisting structural damage that could have contributed to the failure. The fracture was therefore consistent with a sudden application of force by the valve box to the main. Based on the fracture’s location, timing, and fast-cracking characteristics, the valve box transmitted part of the cement truck’s weight to the gas main, causing the main to fracture and leak. Examination of the gas main and valve box involved in this accident found coal tar coating the main and deposited on the bottom edge of the valve box. This indicates that the valve box was in contact with the main. The presence of coal tar alone does not indicate when the contact occurred, but the evidence is consistent with the valve box being installed in contact with the main and therefore able transmit the cement truck’s weight directly to the main near the fracture’s location. Federal regulations at 49 CFR 192.181(c)(3) require that valve boxes not be installed in a manner that transmits external loads to mains, and valve boxes are normally installed with a buffer of soil or other protection between the valve box and the assets immediately below. For example, Atmos’s newer valve boxes are installed with support and base pads to prevent load transmission. However, Atmos was not actively replacing cast iron valve boxes with this newer design. Further, the maintenance crew that removed and reinstalled the valve box about 2 months before the accident did not have a specific standard to follow for reinstalling cast iron valve boxes other than an expectation that the top of the valve box be level with the grade. The lack of a standard likely led to the common reinstallation of valve boxes in contact with mains, as described by an Atmos vice president of operations. If Atmos had adopted either a standard for safely installing cast iron valve boxes or a policy of replacing cast iron valve boxes with the newer design, the protective buffer of soil or support pad would have reduced the load transmitted to the pipe on the day of the accident. There is not enough evidence to determine whether a buffer or pad would have prevented the accident, but it would have made the infrastructure more resilient. Atmos has not reported making changes to its valve box installation practices. After the main fractured, gas propagated undetected through an uncapped underground sewer lateral into the sewer system and then into the accident home, where it reached an explosive concentration. The gas in the sewers remained undetected because Atmos personnel did not test the atmosphere in the sewers prior to the explosion. For about 35 minutes, most of the time between the initial leak and the explosion, there was only one Atmos employee on the scene: an experienced senior service technician. He was equipped with a CGI and checked nearby storm drains for the presence of gas, which was one step in Atmos’s subsurface leak investigation procedure. During his interview with the NTSB, he described planning to check the sewers, another required step, but said that he had already confirmed that there was no threat to life or property. His activities after checking the storm drains are also consistent with a belief that he had finished assessing the risk posed by the leak: he switched to the non-safety-critical work of recording billing information for the damage. The investigation did not find evidence of a natural gas alarm in the accident home, which did not have gas service but was still impacted by a leak from a gas main. It is likely that a natural gas alarm would have provided the home’s occupants with warning of accumulating natural gas and given them an opportunity to evacuate before the explosion. The NTSB has advocated wider installation and use of natural gas alarms for nearly 50 years, including following the investigation into a pair of 2024 home explosions in Jackson, Mississippi, that involved Atmos assets. As a result of that investigation, the NTSB reiterated a recommendation to the 50 states, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: See CAROL for the complete history and current status of this recommendation. The NTSB also recommended that Atmos “develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas” (P-26-10).11F Footnote: See CAROL for the complete history and current status of this recommendation.
Addressee Acronym: VA
Addressee Organization Type: S-State Government
Communication Date: 2026-03-26
Communication Type: Recommendation Reiteration
Communication Contents: From the Report, “Atmos Energy Corporation Natural Gas-Fueled Home Explosions and Fires Jackson, Mississippi, January 24, 2024, and January 27, 2024” published on March 26, 2026. Absence of Natural Gas Detection Alarms in Buildings The Bristol Boulevard accident home and the Shalimar Drive accident home did not have natural gas alarms installed. For nearly 50 years, the NTSB has been recommending natural gas alarms for the early detection of natural gas leaks. In the West Reading accident, several candy factory employees told the NTSB that they had smelled natural gas odorant and did not call 9 1 1 or the gas company but stayed in the building until the explosion occurred. Some of the employees inquired with their managers about what to do, and their managers were equally unaware of the actions to take during a suspected natural gas leak. In the two Jackson accidents, and in many of the pipeline accidents the NTSB has investigated for the last 5 decades, people smelled natural gas odorant and either did not know what actions to take, or they knew the actions necessary to address a potential natural gas emergency but did not execute them. Natural gas distribution pipeline operators must educate the public on pipeline safety through public awareness programs. It is also necessary, however, to have safeguards in place when members of the public (1) smell natural gas odorant and do not take the appropriate safety actions and (2) do not smell natural gas odorant, as was the case in the NTSB investigation of the Dallas accident, and therefore do not take appropriate safety actions. Footnote: The NTSB’s Dallas investigation determined that the occupants in the accident homes did not smell natural gas odorant because it was absorbed and depleted in the soil. Natural gas alarms are safeguards in protecting the public, which is why the NTSB has recommended their installation after many of our pipeline accident investigations. The NTSB found that natural gas alarms likely would have prevented or reduced the consequences of the Dallas and West Reading accidents, and the evidence in this investigation suggests the same. The Shalimar Drive accident home was empty at the time of that accident; however, when the explosion in the Bristol Boulevard accident home occurred, two people were inside. Therefore, the NTSB concludes that had a natural gas alarm been installed inside the Bristol Boulevard accident home, it could have alerted occupants that natural gas was present, prompting them to evacuate and report the leak, making Atmos aware that the leak had likely worsened and required corrective action. As a result of the West Reading investigation, the NTSB recommended that the 50 States, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: Safety Recommendation P-25-5 is currently classified Open—Await Response. As of this report, 7 states and the District of Columbia have provided an initial response; 43 states and the Commonwealth of Puerto Rico have not responded. Footnote: The seven states that have provided an initial response include Colorado, Connecticut, Kansas, Nevada, North Carolina, Virginia, and Wyoming. Mississippi, the state where the two Jackson accidents occurred, is one of the 43 states that have not provided an initial response. The NTSB investigation of the two Jackson accidents has again identified the critical importance of natural gas alarms to alert occupants to natural gas leaks. Therefore, the NTSB reiterates Safety Recommendation P 25-5 to 50 States, the Commonwealth of Puerto Rico, and the District of Columbia. As discussed in section 1.10.1.1, after the Avondale accident, Atmos reported that it provided the public with information, through its website, on the availability of natural gas alarms. However, Atmos can do more to safeguard the public in its distribution areas. The NTSB is aware of multiple natural gas distribution operators that have made natural gas alarms available to people in their service areas. Footnote: Visit http://www.ntsb.gov to find additional information in the public docket for this NTSB accident investigation (case number PLD24FR003). Therefore, the NTSB recommends that Atmos develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas.
Addressee Acronym: VA
Addressee Organization Type: S-State Government
Communication Date: 2025-07-02
Communication Type: Official Correspondence
Communication Contents: -From Maggie Beal, Acting Director, DHCD, Deputy Secretary of Commerce and Trade, Commonwealth of Virginia, Department of Housing and Community Development: On behalf of Governor Youngkin, thank you for your email regarding the recent recommendation of the National Transportation Safety Board (NTSB). I am currently serving as acting director of the Virginia Department of Housing and Community Development (DHCD) which includes the Board of Housing and Community Development (Board). The Board is responsible for promulgating the Uniform Statewide Building Code and Statewide Fire Prevention Code in Virginia. The Board recently began the regulatory process for the review and adoption of the 2024 International Codes and is currently collecting code change proposals from the public for consideration during the review process. Accordingly, the Board will be provided with the recommendation from the NTSB as it pertains to the UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania. Thank you again for bringing the NTSB’s recommendation to our attention. Please let me know if I can provide anything additional.
Addressee Name: State of Tennessee
Addressee Status: Open - Initial Response Received
Addressee Acronym: TN
Addressee Organization Type: S-State Government
Communication Date: 2025-04-08
Communication Type: Transmittal Letter
Communication Contents: 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 accidents in other modes of transportation—railroad, highway, marine, and pipeline. We determine the probable cause of the accidents and issue safety recommendations aimed at preventing future accidents. In addition, we carry out special studies concerning transportation safety and coordinate the resources of the federal government and other organizations to assist victims and their family members affected by major transportation disasters. We are providing the following information to urge the State of Tennessee to act on the safety recommendation in this letter because we believe your organization can help reduce the risk of future accidents. For more information about the NTSB and our recommendation process, please see the attached one-page summary. This letter also includes information about our March 18, 2025, report, UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, NTSB/PIR-25/01. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. As a result of this investigation, we identified the following safety issues: • Degradation of a retired Aldyl A service tee that was accelerated by elevated ground temperatures from a corroded and cracked steam pipe nearby. • UGI Corporation’s insufficient consideration of pipeline integrity threats, particularly Aldyl A service tees with Delrin inserts at elevated temperatures. • Presence of unmarked and unreported private assets crossing public rights-of-way, excluding them from the Pennsylvania One Call System and increasing the risk of damage to them. • Delayed evacuation of Palmer’s Building 2 despite detection of natural gas by employees and others. • Natural gas safety messaging from pipeline operator public awareness programs that may not reach certain members of the public. • Insufficient guidance on natural gas emergency procedures. • Absence of natural gas alarms in commercial buildings. • Insufficient accessibility of gas distribution line valves. Accordingly, the NTSB makes the following safety recommendation to the State of Tennessee (additional information regarding this recommendation can be found in the noted section of the report): • Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) (See section 2.5.1.) The NTSB is vitally interested in this recommendation because it is designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter, detailing the actions you have taken or intend to take to implement this recommendation. When replying, please refer to the safety recommendation by number (Safety Recommendation P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply, including attachments, exceeds 20 megabytes, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. All communications regarding safety recommendations are stored by the NTSB and viewable by the public. Please do not send privileged or confidential communications in response to this recommendation. Responses marked as confidential or privileged (or similar designations) will be considered nonresponsive. In the likely event that your company uses auto generated and/or preformatted confidentiality statements on letterhead or outgoing e-mails, please include a statement in your letter indicating that the information can be publicly released. If you have concerns about this protocol, please contact us at ExecutiveSecretariat@ntsb.gov. The attached letter from the NTSB Chairman provides information about the March 18, 2025, report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. The NTSB is vitally interested in these recommendations because they are designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter detailing the actions you have taken or intend to take to implement these recommendations. When replying, please refer to the safety recommendation by number (for example, P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply exceeds 20 megabytes, including attachments, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. From the report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1: 2.5.1 Natural Gas Alarms Public awareness is an effective tool to encourage adoption of safety devices like natural gas alarms. The first edition of API RP 1162 requires that public awareness programs include safety messages about the awareness of hazards and prevention measures as well as leak recognition and response but does not specifically require these programs to disseminate safety messages about natural gas alarms. UGI’s public awareness materials distributed before the accident were consistent with federal regulations, and although the materials promoted the use of smoke and carbon monoxide alarms, they did not address natural gas alarms. Following the accident, UGI now includes safety messages encouraging the purchase of natural gas alarms in its public awareness materials. The NTSB concludes that installing natural gas alarms can alert people of a gas leak so they can evacuate the area; however, natural gas customers may not be aware of the necessity of such alarms. The NTSB believes that messages about the benefits of natural gas alarms are critically important and could save lives when natural gas alarms are installed. The NTSB further believes that the natural gas industry can help shape the effectiveness of public awareness program delivery methods so that people in businesses, schools, residences, and other places of congregation are better informed, both about natural gas hazards and the necessity of natural gas alarms. The American Gas Association, which represents natural gas pipeline operators throughout the US, can facilitate industry efforts to improve public awareness program delivery methods and to improve safety, most critically through increasing the installation of natural gas alarms. Therefore, the NTSB recommends that the American Gas Association share the details of the March 24, 2023, natural gas–fueled explosion and fire in West Reading, Pennsylvania, with its members, encouraging them to evaluate the effectiveness of their current delivery methods of public awareness programs and to promote the installation of natural gas alarms in businesses, residences, and other places of congregation that they serve. Evacuation should occur immediately upon detection of the presence of natural gas. In 1976, the NTSB made its first recommendation to require natural gas detection to provide early warning of leaks. Most recently, after a 2016 building explosion in Silver Spring, Maryland, and then again after the 2018 home explosion in Dallas, we made recommendations to the ICC and the NFPA to require natural gas alarms with methane detection in residences (NTSB 2019). We recommended the ICC wor
Addressee Acronym: TN
Addressee Organization Type: S-State Government
Communication Date: 2026-04-07
Communication Type: Recommendation Mention
Communication Contents: Pipeline Investigation Report PIR-26-02, “Enbridge Inc. Natural Gas–Fueled Home Explosion and Fatality, South Jordan, Utah, November 6, 2024” published on April 7, 2026: 2 Analysis On November 6, 2024, a natural gas–fueled home explosion fatally injured one resident and damaged nearby homes. A crack in the 4-inch-diameter Aldyl A gas main near the home allowed natural gas to leak and fuel the home explosion. The NTSB found that the crack originated on the inner surface of the pipe and aligned directly with an oblong impression on the outer surface. Investigators determined that a rock impingement likely caused the oblong impression on the outer surface of the pipe and the resulting crack. They also found that the crack growth features indicated that the crack breached the outer surface in a single abrupt event. As a result, the pipe rapidly transitioned from releasing no gas to releasing up to 48.7 scfm, as measured in the lab. Footnote: The actual leak rate may have been lower, given that the pipeline was buried in soil, which would constrain the pipe and provide back-pressure resistance to gas as it leaked from the pipe. Post-explosion, subsurface gas readings showed that the natural gas migrated about 150 feet from the leak location to the home. Although the exact timing of the leak could not be determined, the residents’ observations of physical symptoms, inability to relight the basement water heater, and an unusually high candle flame before the accident suggest that natural gas may have been present in the home for at least 3 days before the explosion. On November 6, the flammable natural gas–air mixture ignited in the southwest quadrant of the basement. The Utah Deputy State Fire Marshal identified two possible sources of the ignition: a water heater and a furnace. The water heater was turned off at the control point, so the only credible ignition source was the furnace. Footnote: The furnace control valve was found postaccident to have significant thermal damage, consistent with it being the ignition source. Before the accident, Enbridge had implemented safeguards to mitigate the consequences of leaks, including periodic leak surveys, timely response to odor complaints, and targeted replacement projects. However, none of these strategies proved effective for this scenario, because of the following issues related to the strategies: • Periodic leak surveys. Regulators require distribution leak surveys to be conducted every 5 years. Enbridge conducted its most recent leak survey on April 29, 2022—two years before the accident. However, in this accident, through-wall crack propagation occurred too rapidly, causing the leak to go undetected before the explosion. • Timely response to odor complaints. Regulators require odorization of natural gas in distribution systems to help alert the public to natural gas leaks. During interviews conducted by investigators, the NTSB determined that the local residents had not smelled natural gas odorant near the accident home, even though gas was determined to have permeated the ground in the area during postaccident surveys, indicating that the odorant had been stripped from the leaked natural gas that ultimately entered the home. Footnote: Field testing of the gas in the distribution system after the explosion found acceptable odorant concentrations. Although odorant can act as an early warning of a gas release to prevent an explosion and fire, it has been known to become depleted when traveling through soil, as it did in this accident. Previous NTSB investigations have identified occurrences of odorant depletion that allowed natural gas leaks to go undetected, resulting in explosions in Dallas, Texas, in 2018 and in Silver Spring, Maryland, in 2016. Footnote: NTSB. 2021. Atmos Energy Corporation Natural Gas–Fueled Explosion, Dallas, Texas, February 23, 2018. PAR-21/01. Washington, DC: NTSB. Footnote: NTSB. 2019. Building Explosion and Fire, Silver Spring, Maryland, August 10, 2016. PAR-19/01. Washington, DC: NTSB. • Targeted replacement projects. A 2014 California Public Utilities Commission study showed that the vintage of Aldyl A present in this accident, with stress concentrations from rock impingement, squeeze-off, bending, or deflection, were statistically predicted to fail between 22 and 235 years after installation. Footnote: California Public Utilities Commission 2014 Hazard Analysis and Mitigation Report On Aldyl A Polyethylene Gas Pipelines in California. Haine 2014. Because the estimated failure time is imprecise (a range of more than 200 years), and because some environmental conditions—such as the locations of rocks in the backfill material—are unknown, the Enbridge evaluation of the cracking threat to the 1976 vintage Aldyl A did not accurately characterize the risk of rock impingements and prevented Enbridge from identifying effective mitigative actions and targeted replacement projects. Even though Enbridge worked continuously to search for the leak after the explosion, it took them more than 21 hours to find and isolate the natural gas leak. During this time, the pipeline continued to leak natural gas into the ground, increasing the risk to nearby residents, first responders, and others operating in the area. When an underground natural gas pipeline leak occurs rapidly, it can be difficult to safeguard against. Natural gas alarms can provide an early warning of natural gas leaks inside nearby structures and can alert the building occupants to take immediate safety actions. Had in-home natural gas alarms been installed in the homes involved in this accident, they would have alerted the residents to a potential problem and prompted them to evacuate and call 911, reducing or eliminating the fatal consequences of the explosion. The NTSB has previously recommended requiring the installation of natural gas alarms in businesses, residences, and other buildings (Safety Recommendation P 25 05).
Addressee Acronym: TN
Addressee Organization Type: S-State Government
Communication Date: 2026-06-05
Communication Type: Recommendation Mention
Communication Contents: Atmos Energy Corporation Natural Gas–Fueled Home Explosion Pipeline Investigation Report PIR-26-03 published on June 5, 2026: Analysis The explosion and fire occurred after natural gas leaked from a fractured buried main, migrated through an uncapped underground sewer lateral, entered the accident home, and reached an explosive concentration near an unknown ignition source. The investigation did not identify issues with gas pressures in the area of the leak or the timeliness or efficacy of the local emergency response agencies. Postaccident bar-hole testing and excavations found only one source of natural gas: a leak in the gas main near a valve box on the eastern edge of the construction site. On-site examinations of the main found that it was fractured around most of its circumference with a thin strip of metal at the top (12 o’clock position) joining the southern section of pipe to the section still threaded into the valve body. This indicates tension—a stretching force—at the bottom of the pipe along its long axis. Tension along the bottom of the pipe is consistent with a bending stress created by an external downward force. Based on information provided to Atmos by the construction superintendent, a cement truck ran over a valve box at the leak’s location immediately before he heard and smelled natural gas being released. The investigation did not identify another plausible external force that could have damaged the main. The Materials Laboratory examination of the main found fracture characteristics typical of fast crack growth and no signs of significant corrosion or preexisting structural damage that could have contributed to the failure. The fracture was therefore consistent with a sudden application of force by the valve box to the main. Based on the fracture’s location, timing, and fast-cracking characteristics, the valve box transmitted part of the cement truck’s weight to the gas main, causing the main to fracture and leak. Examination of the gas main and valve box involved in this accident found coal tar coating the main and deposited on the bottom edge of the valve box. This indicates that the valve box was in contact with the main. The presence of coal tar alone does not indicate when the contact occurred, but the evidence is consistent with the valve box being installed in contact with the main and therefore able transmit the cement truck’s weight directly to the main near the fracture’s location. Federal regulations at 49 CFR 192.181(c)(3) require that valve boxes not be installed in a manner that transmits external loads to mains, and valve boxes are normally installed with a buffer of soil or other protection between the valve box and the assets immediately below. For example, Atmos’s newer valve boxes are installed with support and base pads to prevent load transmission. However, Atmos was not actively replacing cast iron valve boxes with this newer design. Further, the maintenance crew that removed and reinstalled the valve box about 2 months before the accident did not have a specific standard to follow for reinstalling cast iron valve boxes other than an expectation that the top of the valve box be level with the grade. The lack of a standard likely led to the common reinstallation of valve boxes in contact with mains, as described by an Atmos vice president of operations. If Atmos had adopted either a standard for safely installing cast iron valve boxes or a policy of replacing cast iron valve boxes with the newer design, the protective buffer of soil or support pad would have reduced the load transmitted to the pipe on the day of the accident. There is not enough evidence to determine whether a buffer or pad would have prevented the accident, but it would have made the infrastructure more resilient. Atmos has not reported making changes to its valve box installation practices. After the main fractured, gas propagated undetected through an uncapped underground sewer lateral into the sewer system and then into the accident home, where it reached an explosive concentration. The gas in the sewers remained undetected because Atmos personnel did not test the atmosphere in the sewers prior to the explosion. For about 35 minutes, most of the time between the initial leak and the explosion, there was only one Atmos employee on the scene: an experienced senior service technician. He was equipped with a CGI and checked nearby storm drains for the presence of gas, which was one step in Atmos’s subsurface leak investigation procedure. During his interview with the NTSB, he described planning to check the sewers, another required step, but said that he had already confirmed that there was no threat to life or property. His activities after checking the storm drains are also consistent with a belief that he had finished assessing the risk posed by the leak: he switched to the non-safety-critical work of recording billing information for the damage. The investigation did not find evidence of a natural gas alarm in the accident home, which did not have gas service but was still impacted by a leak from a gas main. It is likely that a natural gas alarm would have provided the home’s occupants with warning of accumulating natural gas and given them an opportunity to evacuate before the explosion. The NTSB has advocated wider installation and use of natural gas alarms for nearly 50 years, including following the investigation into a pair of 2024 home explosions in Jackson, Mississippi, that involved Atmos assets. As a result of that investigation, the NTSB reiterated a recommendation to the 50 states, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: See CAROL for the complete history and current status of this recommendation. The NTSB also recommended that Atmos “develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas” (P-26-10).11F Footnote: See CAROL for the complete history and current status of this recommendation.
Addressee Acronym: TN
Addressee Organization Type: S-State Government
Communication Date: 2026-03-26
Communication Type: Recommendation Reiteration
Communication Contents: From the Report, “Atmos Energy Corporation Natural Gas-Fueled Home Explosions and Fires Jackson, Mississippi, January 24, 2024, and January 27, 2024” published on March 26, 2026. Absence of Natural Gas Detection Alarms in Buildings The Bristol Boulevard accident home and the Shalimar Drive accident home did not have natural gas alarms installed. For nearly 50 years, the NTSB has been recommending natural gas alarms for the early detection of natural gas leaks. In the West Reading accident, several candy factory employees told the NTSB that they had smelled natural gas odorant and did not call 9 1 1 or the gas company but stayed in the building until the explosion occurred. Some of the employees inquired with their managers about what to do, and their managers were equally unaware of the actions to take during a suspected natural gas leak. In the two Jackson accidents, and in many of the pipeline accidents the NTSB has investigated for the last 5 decades, people smelled natural gas odorant and either did not know what actions to take, or they knew the actions necessary to address a potential natural gas emergency but did not execute them. Natural gas distribution pipeline operators must educate the public on pipeline safety through public awareness programs. It is also necessary, however, to have safeguards in place when members of the public (1) smell natural gas odorant and do not take the appropriate safety actions and (2) do not smell natural gas odorant, as was the case in the NTSB investigation of the Dallas accident, and therefore do not take appropriate safety actions. Footnote: The NTSB’s Dallas investigation determined that the occupants in the accident homes did not smell natural gas odorant because it was absorbed and depleted in the soil. Natural gas alarms are safeguards in protecting the public, which is why the NTSB has recommended their installation after many of our pipeline accident investigations. The NTSB found that natural gas alarms likely would have prevented or reduced the consequences of the Dallas and West Reading accidents, and the evidence in this investigation suggests the same. The Shalimar Drive accident home was empty at the time of that accident; however, when the explosion in the Bristol Boulevard accident home occurred, two people were inside. Therefore, the NTSB concludes that had a natural gas alarm been installed inside the Bristol Boulevard accident home, it could have alerted occupants that natural gas was present, prompting them to evacuate and report the leak, making Atmos aware that the leak had likely worsened and required corrective action. As a result of the West Reading investigation, the NTSB recommended that the 50 States, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: Safety Recommendation P-25-5 is currently classified Open—Await Response. As of this report, 7 states and the District of Columbia have provided an initial response; 43 states and the Commonwealth of Puerto Rico have not responded. Footnote: The seven states that have provided an initial response include Colorado, Connecticut, Kansas, Nevada, North Carolina, Virginia, and Wyoming. Mississippi, the state where the two Jackson accidents occurred, is one of the 43 states that have not provided an initial response. The NTSB investigation of the two Jackson accidents has again identified the critical importance of natural gas alarms to alert occupants to natural gas leaks. Therefore, the NTSB reiterates Safety Recommendation P 25-5 to 50 States, the Commonwealth of Puerto Rico, and the District of Columbia. As discussed in section 1.10.1.1, after the Avondale accident, Atmos reported that it provided the public with information, through its website, on the availability of natural gas alarms. However, Atmos can do more to safeguard the public in its distribution areas. The NTSB is aware of multiple natural gas distribution operators that have made natural gas alarms available to people in their service areas. Footnote: Visit http://www.ntsb.gov to find additional information in the public docket for this NTSB accident investigation (case number PLD24FR003). Therefore, the NTSB recommends that Atmos develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas.
Addressee Acronym: TN
Addressee Organization Type: S-State Government
Communication Date: 2026-05-28
Communication Type: Official Correspondence
Communication Contents: -From Bryce Keener, Director, Gas Pipeline Safety Division, Tennessee Public Utility Commission: The Tennessee Public Utility Commission (Commission or TPUC) acknowledges receipt of your letter to Governor Bill Lee, dated March 26, 2026, which was forwarded to our agency for a response. We appreciate the National Transportation Safety Board’s thorough investigation of the Atmos Energy natural gas explosions in Jackson, Mississippi, and the resulting recommendations to strengthen public safety. TPUC shares the NTSB’s commitment to the safe operation of natural gas distribution systems and to reducing the risks associated with gas leaks. We also acknowledge the reaffirmed Safety Recommendation P-25-5, which encourages states to require natural-gas-detection alarms compliant with NFPA 715. Your findings on unrepaired compression-coupling leaks, deficiencies in leak management practices, public awareness gaps, and shortcomings in integrity management programs highlight issues of significant importance to state oversight authorities. Coordination With PHMSA Following the incidents in Jackson, the Commission was contacted by the Pipeline and Hazardous Materials Safety Administration (PHMSA) to assist in evaluating Atmos Energy’s operations in Tennessee. The Commission, along with other affected states, provided information on past enforcement actions and inspection findings. Atmos Energy operates eight assets in Tennessee. Each asset receives regular inspections, including at least one corporate-level inspection annually, and all assets are inspected within a two-year cycle. These activities are part of TPUC’s ongoing commitment to pipeline-safety oversight. TPUC Actions in Response to Safety Recommendation P-25-5 The State of Tennessee and the Commission prioritize pipeline safety. We understand the risks linked to natural gas and are dedicated to ensuring the safety and well-being of all residents. Further, TPUC recognizes the value of natural gas detection alarms and the role they can play in mitigating risk. In response, we have communicated the NTSB’s recommendations to all natural gas operators in Tennessee to raise awareness of the issues identified in the report and to encourage proactive safety measures. Although the gas detection alarms are installed on the customer’s side of the pipe and therefore fall outside the Commission's jurisdiction, the Commission supports measures consistent with Safety Recommendation P-25-5. Accordingly, Commission leadership plans to engage the Tennessee Gas Association (TGA) to discuss installing and evaluating natural gas alarms in high profile structures and to assess their performance in real-world settings. In addition, we have shared Safety Recommendation P-25-5 with the Tennessee State Fire Marshal’s Office, which safeguards life and property across the state by ensuring buildings are safe, mitigating hazards, and informing and protecting communities through safety code enforcement, including NFPA standards, and by providing education and outreach to key stakeholders. Public Disclosure This correspondence may be publicly released and contains no privileged or confidential information. In conclusion, we appreciate the NTSB’s continued dedication to improving pipeline safety nationwide and value our partnership in advancing safe natural gas distribution in Tennessee. The Commission looks forward to ongoing coordination as we work to enhance public safety and implement effective risk-reduction measures.
Addressee Name: State of North Carolina
Addressee Status: Open - Initial Response Received
Addressee Acronym: NC
Addressee Organization Type: S-State Government
Communication Date: 2025-04-08
Communication Type: Transmittal Letter
Communication Contents: 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 accidents in other modes of transportation—railroad, highway, marine, and pipeline. We determine the probable cause of the accidents and issue safety recommendations aimed at preventing future accidents. In addition, we carry out special studies concerning transportation safety and coordinate the resources of the federal government and other organizations to assist victims and their family members affected by major transportation disasters. We are providing the following information to urge the State of North Carolina to act on the safety recommendation in this letter because we believe your organization can help reduce the risk of future accidents. For more information about the NTSB and our recommendation process, please see the attached one-page summary. This letter also includes information about our March 18, 2025, report, UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, NTSB/PIR-25/01. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. As a result of this investigation, we identified the following safety issues: • Degradation of a retired Aldyl A service tee that was accelerated by elevated ground temperatures from a corroded and cracked steam pipe nearby. • UGI Corporation’s insufficient consideration of pipeline integrity threats, particularly Aldyl A service tees with Delrin inserts at elevated temperatures. • Presence of unmarked and unreported private assets crossing public rights-of-way, excluding them from the Pennsylvania One Call System and increasing the risk of damage to them. • Delayed evacuation of Palmer’s Building 2 despite detection of natural gas by employees and others. • Natural gas safety messaging from pipeline operator public awareness programs that may not reach certain members of the public. • Insufficient guidance on natural gas emergency procedures. • Absence of natural gas alarms in commercial buildings. • Insufficient accessibility of gas distribution line valves. Accordingly, the NTSB makes the following safety recommendation to the State of North Carolina (additional information regarding this recommendation can be found in the noted section of the report): • Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) (See section 2.5.1.) The NTSB is vitally interested in this recommendation because it is designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter, detailing the actions you have taken or intend to take to implement this recommendation. When replying, please refer to the safety recommendation by number (Safety Recommendation P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply, including attachments, exceeds 20 megabytes, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. All communications regarding safety recommendations are stored by the NTSB and viewable by the public. Please do not send privileged or confidential communications in response to this recommendation. Responses marked as confidential or privileged (or similar designations) will be considered nonresponsive. In the likely event that your company uses auto generated and/or preformatted confidentiality statements on letterhead or outgoing e-mails, please include a statement in your letter indicating that the information can be publicly released. If you have concerns about this protocol, please contact us at ExecutiveSecretariat@ntsb.gov. The attached letter from the NTSB Chairman provides information about the March 18, 2025, report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. The NTSB is vitally interested in these recommendations because they are designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter detailing the actions you have taken or intend to take to implement these recommendations. When replying, please refer to the safety recommendation by number (for example, P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply exceeds 20 megabytes, including attachments, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. From the report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1: 2.5.1 Natural Gas Alarms Public awareness is an effective tool to encourage adoption of safety devices like natural gas alarms. The first edition of API RP 1162 requires that public awareness programs include safety messages about the awareness of hazards and prevention measures as well as leak recognition and response but does not specifically require these programs to disseminate safety messages about natural gas alarms. UGI’s public awareness materials distributed before the accident were consistent with federal regulations, and although the materials promoted the use of smoke and carbon monoxide alarms, they did not address natural gas alarms. Following the accident, UGI now includes safety messages encouraging the purchase of natural gas alarms in its public awareness materials. The NTSB concludes that installing natural gas alarms can alert people of a gas leak so they can evacuate the area; however, natural gas customers may not be aware of the necessity of such alarms. The NTSB believes that messages about the benefits of natural gas alarms are critically important and could save lives when natural gas alarms are installed. The NTSB further believes that the natural gas industry can help shape the effectiveness of public awareness program delivery methods so that people in businesses, schools, residences, and other places of congregation are better informed, both about natural gas hazards and the necessity of natural gas alarms. The American Gas Association, which represents natural gas pipeline operators throughout the US, can facilitate industry efforts to improve public awareness program delivery methods and to improve safety, most critically through increasing the installation of natural gas alarms. Therefore, the NTSB recommends that the American Gas Association share the details of the March 24, 2023, natural gas–fueled explosion and fire in West Reading, Pennsylvania, with its members, encouraging them to evaluate the effectiveness of their current delivery methods of public awareness programs and to promote the installation of natural gas alarms in businesses, residences, and other places of congregation that they serve. Evacuation should occur immediately upon detection of the presence of natural gas. In 1976, the NTSB made its first recommendation to require natural gas detection to provide early warning of leaks. Most recently, after a 2016 building explosion in Silver Spring, Maryland, and then again after the 2018 home explosion in Dallas, we made recommendations to the ICC and the NFPA to require natural gas alarms with methane detection in residences (NTSB 2019). We recommended t
Addressee Acronym: NC
Addressee Organization Type: S-State Government
Communication Date: 2026-04-07
Communication Type: Recommendation Mention
Communication Contents: Pipeline Investigation Report PIR-26-02, “Enbridge Inc. Natural Gas–Fueled Home Explosion and Fatality, South Jordan, Utah, November 6, 2024” published on April 7, 2026: 2 Analysis On November 6, 2024, a natural gas–fueled home explosion fatally injured one resident and damaged nearby homes. A crack in the 4-inch-diameter Aldyl A gas main near the home allowed natural gas to leak and fuel the home explosion. The NTSB found that the crack originated on the inner surface of the pipe and aligned directly with an oblong impression on the outer surface. Investigators determined that a rock impingement likely caused the oblong impression on the outer surface of the pipe and the resulting crack. They also found that the crack growth features indicated that the crack breached the outer surface in a single abrupt event. As a result, the pipe rapidly transitioned from releasing no gas to releasing up to 48.7 scfm, as measured in the lab. Footnote: The actual leak rate may have been lower, given that the pipeline was buried in soil, which would constrain the pipe and provide back-pressure resistance to gas as it leaked from the pipe. Post-explosion, subsurface gas readings showed that the natural gas migrated about 150 feet from the leak location to the home. Although the exact timing of the leak could not be determined, the residents’ observations of physical symptoms, inability to relight the basement water heater, and an unusually high candle flame before the accident suggest that natural gas may have been present in the home for at least 3 days before the explosion. On November 6, the flammable natural gas–air mixture ignited in the southwest quadrant of the basement. The Utah Deputy State Fire Marshal identified two possible sources of the ignition: a water heater and a furnace. The water heater was turned off at the control point, so the only credible ignition source was the furnace. Footnote: The furnace control valve was found postaccident to have significant thermal damage, consistent with it being the ignition source. Before the accident, Enbridge had implemented safeguards to mitigate the consequences of leaks, including periodic leak surveys, timely response to odor complaints, and targeted replacement projects. However, none of these strategies proved effective for this scenario, because of the following issues related to the strategies: • Periodic leak surveys. Regulators require distribution leak surveys to be conducted every 5 years. Enbridge conducted its most recent leak survey on April 29, 2022—two years before the accident. However, in this accident, through-wall crack propagation occurred too rapidly, causing the leak to go undetected before the explosion. • Timely response to odor complaints. Regulators require odorization of natural gas in distribution systems to help alert the public to natural gas leaks. During interviews conducted by investigators, the NTSB determined that the local residents had not smelled natural gas odorant near the accident home, even though gas was determined to have permeated the ground in the area during postaccident surveys, indicating that the odorant had been stripped from the leaked natural gas that ultimately entered the home. Footnote: Field testing of the gas in the distribution system after the explosion found acceptable odorant concentrations. Although odorant can act as an early warning of a gas release to prevent an explosion and fire, it has been known to become depleted when traveling through soil, as it did in this accident. Previous NTSB investigations have identified occurrences of odorant depletion that allowed natural gas leaks to go undetected, resulting in explosions in Dallas, Texas, in 2018 and in Silver Spring, Maryland, in 2016. Footnote: NTSB. 2021. Atmos Energy Corporation Natural Gas–Fueled Explosion, Dallas, Texas, February 23, 2018. PAR-21/01. Washington, DC: NTSB. Footnote: NTSB. 2019. Building Explosion and Fire, Silver Spring, Maryland, August 10, 2016. PAR-19/01. Washington, DC: NTSB. • Targeted replacement projects. A 2014 California Public Utilities Commission study showed that the vintage of Aldyl A present in this accident, with stress concentrations from rock impingement, squeeze-off, bending, or deflection, were statistically predicted to fail between 22 and 235 years after installation. Footnote: California Public Utilities Commission 2014 Hazard Analysis and Mitigation Report On Aldyl A Polyethylene Gas Pipelines in California. Haine 2014. Because the estimated failure time is imprecise (a range of more than 200 years), and because some environmental conditions—such as the locations of rocks in the backfill material—are unknown, the Enbridge evaluation of the cracking threat to the 1976 vintage Aldyl A did not accurately characterize the risk of rock impingements and prevented Enbridge from identifying effective mitigative actions and targeted replacement projects. Even though Enbridge worked continuously to search for the leak after the explosion, it took them more than 21 hours to find and isolate the natural gas leak. During this time, the pipeline continued to leak natural gas into the ground, increasing the risk to nearby residents, first responders, and others operating in the area. When an underground natural gas pipeline leak occurs rapidly, it can be difficult to safeguard against. Natural gas alarms can provide an early warning of natural gas leaks inside nearby structures and can alert the building occupants to take immediate safety actions. Had in-home natural gas alarms been installed in the homes involved in this accident, they would have alerted the residents to a potential problem and prompted them to evacuate and call 911, reducing or eliminating the fatal consequences of the explosion. The NTSB has previously recommended requiring the installation of natural gas alarms in businesses, residences, and other buildings (Safety Recommendation P 25 05).
Addressee Acronym: NC
Addressee Organization Type: S-State Government
Communication Date: 2026-06-05
Communication Type: Recommendation Mention
Communication Contents: Atmos Energy Corporation Natural Gas–Fueled Home Explosion Pipeline Investigation Report PIR-26-03 published on June 5, 2026: Analysis The explosion and fire occurred after natural gas leaked from a fractured buried main, migrated through an uncapped underground sewer lateral, entered the accident home, and reached an explosive concentration near an unknown ignition source. The investigation did not identify issues with gas pressures in the area of the leak or the timeliness or efficacy of the local emergency response agencies. Postaccident bar-hole testing and excavations found only one source of natural gas: a leak in the gas main near a valve box on the eastern edge of the construction site. On-site examinations of the main found that it was fractured around most of its circumference with a thin strip of metal at the top (12 o’clock position) joining the southern section of pipe to the section still threaded into the valve body. This indicates tension—a stretching force—at the bottom of the pipe along its long axis. Tension along the bottom of the pipe is consistent with a bending stress created by an external downward force. Based on information provided to Atmos by the construction superintendent, a cement truck ran over a valve box at the leak’s location immediately before he heard and smelled natural gas being released. The investigation did not identify another plausible external force that could have damaged the main. The Materials Laboratory examination of the main found fracture characteristics typical of fast crack growth and no signs of significant corrosion or preexisting structural damage that could have contributed to the failure. The fracture was therefore consistent with a sudden application of force by the valve box to the main. Based on the fracture’s location, timing, and fast-cracking characteristics, the valve box transmitted part of the cement truck’s weight to the gas main, causing the main to fracture and leak. Examination of the gas main and valve box involved in this accident found coal tar coating the main and deposited on the bottom edge of the valve box. This indicates that the valve box was in contact with the main. The presence of coal tar alone does not indicate when the contact occurred, but the evidence is consistent with the valve box being installed in contact with the main and therefore able transmit the cement truck’s weight directly to the main near the fracture’s location. Federal regulations at 49 CFR 192.181(c)(3) require that valve boxes not be installed in a manner that transmits external loads to mains, and valve boxes are normally installed with a buffer of soil or other protection between the valve box and the assets immediately below. For example, Atmos’s newer valve boxes are installed with support and base pads to prevent load transmission. However, Atmos was not actively replacing cast iron valve boxes with this newer design. Further, the maintenance crew that removed and reinstalled the valve box about 2 months before the accident did not have a specific standard to follow for reinstalling cast iron valve boxes other than an expectation that the top of the valve box be level with the grade. The lack of a standard likely led to the common reinstallation of valve boxes in contact with mains, as described by an Atmos vice president of operations. If Atmos had adopted either a standard for safely installing cast iron valve boxes or a policy of replacing cast iron valve boxes with the newer design, the protective buffer of soil or support pad would have reduced the load transmitted to the pipe on the day of the accident. There is not enough evidence to determine whether a buffer or pad would have prevented the accident, but it would have made the infrastructure more resilient. Atmos has not reported making changes to its valve box installation practices. After the main fractured, gas propagated undetected through an uncapped underground sewer lateral into the sewer system and then into the accident home, where it reached an explosive concentration. The gas in the sewers remained undetected because Atmos personnel did not test the atmosphere in the sewers prior to the explosion. For about 35 minutes, most of the time between the initial leak and the explosion, there was only one Atmos employee on the scene: an experienced senior service technician. He was equipped with a CGI and checked nearby storm drains for the presence of gas, which was one step in Atmos’s subsurface leak investigation procedure. During his interview with the NTSB, he described planning to check the sewers, another required step, but said that he had already confirmed that there was no threat to life or property. His activities after checking the storm drains are also consistent with a belief that he had finished assessing the risk posed by the leak: he switched to the non-safety-critical work of recording billing information for the damage. The investigation did not find evidence of a natural gas alarm in the accident home, which did not have gas service but was still impacted by a leak from a gas main. It is likely that a natural gas alarm would have provided the home’s occupants with warning of accumulating natural gas and given them an opportunity to evacuate before the explosion. The NTSB has advocated wider installation and use of natural gas alarms for nearly 50 years, including following the investigation into a pair of 2024 home explosions in Jackson, Mississippi, that involved Atmos assets. As a result of that investigation, the NTSB reiterated a recommendation to the 50 states, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: See CAROL for the complete history and current status of this recommendation. The NTSB also recommended that Atmos “develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas” (P-26-10).11F Footnote: See CAROL for the complete history and current status of this recommendation.
Addressee Acronym: NC
Addressee Organization Type: S-State Government
Communication Date: 2026-03-26
Communication Type: Recommendation Reiteration
Communication Contents: From the Report, “Atmos Energy Corporation Natural Gas-Fueled Home Explosions and Fires Jackson, Mississippi, January 24, 2024, and January 27, 2024” published on March 26, 2026. Absence of Natural Gas Detection Alarms in Buildings The Bristol Boulevard accident home and the Shalimar Drive accident home did not have natural gas alarms installed. For nearly 50 years, the NTSB has been recommending natural gas alarms for the early detection of natural gas leaks. In the West Reading accident, several candy factory employees told the NTSB that they had smelled natural gas odorant and did not call 9 1 1 or the gas company but stayed in the building until the explosion occurred. Some of the employees inquired with their managers about what to do, and their managers were equally unaware of the actions to take during a suspected natural gas leak. In the two Jackson accidents, and in many of the pipeline accidents the NTSB has investigated for the last 5 decades, people smelled natural gas odorant and either did not know what actions to take, or they knew the actions necessary to address a potential natural gas emergency but did not execute them. Natural gas distribution pipeline operators must educate the public on pipeline safety through public awareness programs. It is also necessary, however, to have safeguards in place when members of the public (1) smell natural gas odorant and do not take the appropriate safety actions and (2) do not smell natural gas odorant, as was the case in the NTSB investigation of the Dallas accident, and therefore do not take appropriate safety actions. Footnote: The NTSB’s Dallas investigation determined that the occupants in the accident homes did not smell natural gas odorant because it was absorbed and depleted in the soil. Natural gas alarms are safeguards in protecting the public, which is why the NTSB has recommended their installation after many of our pipeline accident investigations. The NTSB found that natural gas alarms likely would have prevented or reduced the consequences of the Dallas and West Reading accidents, and the evidence in this investigation suggests the same. The Shalimar Drive accident home was empty at the time of that accident; however, when the explosion in the Bristol Boulevard accident home occurred, two people were inside. Therefore, the NTSB concludes that had a natural gas alarm been installed inside the Bristol Boulevard accident home, it could have alerted occupants that natural gas was present, prompting them to evacuate and report the leak, making Atmos aware that the leak had likely worsened and required corrective action. As a result of the West Reading investigation, the NTSB recommended that the 50 States, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: Safety Recommendation P-25-5 is currently classified Open—Await Response. As of this report, 7 states and the District of Columbia have provided an initial response; 43 states and the Commonwealth of Puerto Rico have not responded. Footnote: The seven states that have provided an initial response include Colorado, Connecticut, Kansas, Nevada, North Carolina, Virginia, and Wyoming. Mississippi, the state where the two Jackson accidents occurred, is one of the 43 states that have not provided an initial response. The NTSB investigation of the two Jackson accidents has again identified the critical importance of natural gas alarms to alert occupants to natural gas leaks. Therefore, the NTSB reiterates Safety Recommendation P 25-5 to 50 States, the Commonwealth of Puerto Rico, and the District of Columbia. As discussed in section 1.10.1.1, after the Avondale accident, Atmos reported that it provided the public with information, through its website, on the availability of natural gas alarms. However, Atmos can do more to safeguard the public in its distribution areas. The NTSB is aware of multiple natural gas distribution operators that have made natural gas alarms available to people in their service areas. Footnote: Visit http://www.ntsb.gov to find additional information in the public docket for this NTSB accident investigation (case number PLD24FR003). Therefore, the NTSB recommends that Atmos develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas.
Addressee Acronym: NC
Addressee Organization Type: S-State Government
Communication Date: 2025-08-28
Communication Type: Official Correspondence
Communication Contents: -From Jennifer Epperson, Deputy General Counsel, State of North Carolina, Office of the Governor: The Board requested a response from North Carolina detailing any actions the state has taken or intends to take in response to this recommendation. To be applicable statewide, a requirement like the one the Board recommends would need to be added to the North Carolina Building Code (Code). The North Carolina Building Code Council has authority to add to or amend the Code, and the Office of the State Fire Marshal (OSFM) enforces the Code. I forwarded the Board's report and recommendation to OSFM and am including with this letter a response from that agency. I have also forwarded the Board's report to the Building Code Council. Thank you for your work and that of the Board in making our communities safer.
Addressee Acronym: NC
Addressee Organization Type: S-State Government
Communication Date: 2025-06-27
Communication Type: Official Correspondence
Communication Contents: -From Brian Taylor, State Fire Marshall, North Carolina Department of Insurance to North Carolina Governor Joshua Stein: Thank you for the opportunity to provide input regarding Safety Recommendation P-25-5 issued by the National Transportation Safety Board (NTSB) in its March 2025 report on the tragic explosion in West Reading, Pennsylvania. The NTSB has recommended that North Carolina require the installation of natural gas alarms meeting NFPA 715 in businesses, residences, and other buildings where people congregate. The Office of State Fire Marshal (OSFM) strongly supports efforts to enhance public safety and reduce the risks associated with natural gas leaks. We agree with the NTSB that improving detection, notification, and evacuation protocols is a critical component of preventing future tragedies. Natural gas alarms may play a valuable role in this regard, particularly in high-risk occupancies. However, we urge caution in how this recommendation is approached. Any proposal to require natural gas alarms through the North Carolina State Building Code must account for its economic impact on new construction and housing affordability. Based on historical precedent, code provisions that impose new device installation requirements tend to increase construction costs and may disproportionately affect lower-income homebuyers. It is also important to clarify that the North Carolina State Building Code is not presumptively retroactive. Even if the Building Code Council were to adopt a provision requiring natural gas alarms in residential settings, it would apply only to new construction unless the General Assembly enacted legislation expressly mandating retroactive compliance for existing buildings. Finally, I must emphasize that the national consensus on this issue is still forming. The International Code Council (ICC) and the National Fire Protection Association (NFPA) – two of the nation’s leading standard-setting organizations – have acknowledged the complexity of this recommendation. According to a recent consensus among national stakeholders, enacting this requirement through state building codes may not be the best approach for achieving the NTSB’s policy goals. Additionally, the National Association of State Fire Marshals (NASFM) is engaged in discussions about coordinating a unified message between NASFM, ICC, NFPA, and the U.S. Department of Transportation. In light of these factors, OSFM recommends that North Carolina approach this issue carefully. A decision of this magnitude warrants thorough technical and economic analysis, including input from builders, code officials, emergency responders, and public safety experts. OSFM stands ready to assist in that process. Thank you again for your leadership on this issue. Please let me know if we can provide additional information or participate in further discussions with your office and stakeholders.
Addressee Name: State of New York
Addressee Status: Open - Initial Response Received
Addressee Acronym: NY
Addressee Organization Type: S-State Government
Communication Date: 2025-04-08
Communication Type: Transmittal Letter
Communication Contents: 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 accidents in other modes of transportation—railroad, highway, marine, and pipeline. We determine the probable cause of the accidents and issue safety recommendations aimed at preventing future accidents. In addition, we carry out special studies concerning transportation safety and coordinate the resources of the federal government and other organizations to assist victims and their family members affected by major transportation disasters. We are providing the following information to urge the State of New York to act on the safety recommendation in this letter because we believe your organization can help reduce the risk of future accidents. For more information about the NTSB and our recommendation process, please see the attached one-page summary. This letter also includes information about our March 18, 2025, report, UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, NTSB/PIR-25/01. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. As a result of this investigation, we identified the following safety issues: • Degradation of a retired Aldyl A service tee that was accelerated by elevated ground temperatures from a corroded and cracked steam pipe nearby. • UGI Corporation’s insufficient consideration of pipeline integrity threats, particularly Aldyl A service tees with Delrin inserts at elevated temperatures. • Presence of unmarked and unreported private assets crossing public rights-of-way, excluding them from the Pennsylvania One Call System and increasing the risk of damage to them. • Delayed evacuation of Palmer’s Building 2 despite detection of natural gas by employees and others. • Natural gas safety messaging from pipeline operator public awareness programs that may not reach certain members of the public. • Insufficient guidance on natural gas emergency procedures. • Absence of natural gas alarms in commercial buildings. • Insufficient accessibility of gas distribution line valves. Accordingly, the NTSB makes the following safety recommendation to the State of New York (additional information regarding this recommendation can be found in the noted section of the report): • Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) (See section 2.5.1.) The NTSB is vitally interested in this recommendation because it is designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter, detailing the actions you have taken or intend to take to implement this recommendation. When replying, please refer to the safety recommendation by number (Safety Recommendation P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply, including attachments, exceeds 20 megabytes, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. All communications regarding safety recommendations are stored by the NTSB and viewable by the public. Please do not send privileged or confidential communications in response to this recommendation. Responses marked as confidential or privileged (or similar designations) will be considered nonresponsive. In the likely event that your company uses auto generated and/or preformatted confidentiality statements on letterhead or outgoing e-mails, please include a statement in your letter indicating that the information can be publicly released. If you have concerns about this protocol, please contact us at ExecutiveSecretariat@ntsb.gov. The attached letter from the NTSB Chairman provides information about the March 18, 2025, report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. The NTSB is vitally interested in these recommendations because they are designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter detailing the actions you have taken or intend to take to implement these recommendations. When replying, please refer to the safety recommendation by number (for example, P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply exceeds 20 megabytes, including attachments, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. From the report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1: 2.5.1 Natural Gas Alarms Public awareness is an effective tool to encourage adoption of safety devices like natural gas alarms. The first edition of API RP 1162 requires that public awareness programs include safety messages about the awareness of hazards and prevention measures as well as leak recognition and response but does not specifically require these programs to disseminate safety messages about natural gas alarms. UGI’s public awareness materials distributed before the accident were consistent with federal regulations, and although the materials promoted the use of smoke and carbon monoxide alarms, they did not address natural gas alarms. Following the accident, UGI now includes safety messages encouraging the purchase of natural gas alarms in its public awareness materials. The NTSB concludes that installing natural gas alarms can alert people of a gas leak so they can evacuate the area; however, natural gas customers may not be aware of the necessity of such alarms. The NTSB believes that messages about the benefits of natural gas alarms are critically important and could save lives when natural gas alarms are installed. The NTSB further believes that the natural gas industry can help shape the effectiveness of public awareness program delivery methods so that people in businesses, schools, residences, and other places of congregation are better informed, both about natural gas hazards and the necessity of natural gas alarms. The American Gas Association, which represents natural gas pipeline operators throughout the US, can facilitate industry efforts to improve public awareness program delivery methods and to improve safety, most critically through increasing the installation of natural gas alarms. Therefore, the NTSB recommends that the American Gas Association share the details of the March 24, 2023, natural gas–fueled explosion and fire in West Reading, Pennsylvania, with its members, encouraging them to evaluate the effectiveness of their current delivery methods of public awareness programs and to promote the installation of natural gas alarms in businesses, residences, and other places of congregation that they serve. Evacuation should occur immediately upon detection of the presence of natural gas. In 1976, the NTSB made its first recommendation to require natural gas detection to provide early warning of leaks. Most recently, after a 2016 building explosion in Silver Spring, Maryland, and then again after the 2018 home explosion in Dallas, we made recommendations to the ICC and the NFPA to require natural gas alarms with methane detection in residences (NTSB 2019). We recommended the ICC work
Addressee Acronym: NY
Addressee Organization Type: S-State Government
Communication Date: 2026-04-07
Communication Type: Recommendation Mention
Communication Contents: Pipeline Investigation Report PIR-26-02, “Enbridge Inc. Natural Gas–Fueled Home Explosion and Fatality, South Jordan, Utah, November 6, 2024” published on April 7, 2026: 2 Analysis On November 6, 2024, a natural gas–fueled home explosion fatally injured one resident and damaged nearby homes. A crack in the 4-inch-diameter Aldyl A gas main near the home allowed natural gas to leak and fuel the home explosion. The NTSB found that the crack originated on the inner surface of the pipe and aligned directly with an oblong impression on the outer surface. Investigators determined that a rock impingement likely caused the oblong impression on the outer surface of the pipe and the resulting crack. They also found that the crack growth features indicated that the crack breached the outer surface in a single abrupt event. As a result, the pipe rapidly transitioned from releasing no gas to releasing up to 48.7 scfm, as measured in the lab. Footnote: The actual leak rate may have been lower, given that the pipeline was buried in soil, which would constrain the pipe and provide back-pressure resistance to gas as it leaked from the pipe. Post-explosion, subsurface gas readings showed that the natural gas migrated about 150 feet from the leak location to the home. Although the exact timing of the leak could not be determined, the residents’ observations of physical symptoms, inability to relight the basement water heater, and an unusually high candle flame before the accident suggest that natural gas may have been present in the home for at least 3 days before the explosion. On November 6, the flammable natural gas–air mixture ignited in the southwest quadrant of the basement. The Utah Deputy State Fire Marshal identified two possible sources of the ignition: a water heater and a furnace. The water heater was turned off at the control point, so the only credible ignition source was the furnace. Footnote: The furnace control valve was found postaccident to have significant thermal damage, consistent with it being the ignition source. Before the accident, Enbridge had implemented safeguards to mitigate the consequences of leaks, including periodic leak surveys, timely response to odor complaints, and targeted replacement projects. However, none of these strategies proved effective for this scenario, because of the following issues related to the strategies: • Periodic leak surveys. Regulators require distribution leak surveys to be conducted every 5 years. Enbridge conducted its most recent leak survey on April 29, 2022—two years before the accident. However, in this accident, through-wall crack propagation occurred too rapidly, causing the leak to go undetected before the explosion. • Timely response to odor complaints. Regulators require odorization of natural gas in distribution systems to help alert the public to natural gas leaks. During interviews conducted by investigators, the NTSB determined that the local residents had not smelled natural gas odorant near the accident home, even though gas was determined to have permeated the ground in the area during postaccident surveys, indicating that the odorant had been stripped from the leaked natural gas that ultimately entered the home. Footnote: Field testing of the gas in the distribution system after the explosion found acceptable odorant concentrations. Although odorant can act as an early warning of a gas release to prevent an explosion and fire, it has been known to become depleted when traveling through soil, as it did in this accident. Previous NTSB investigations have identified occurrences of odorant depletion that allowed natural gas leaks to go undetected, resulting in explosions in Dallas, Texas, in 2018 and in Silver Spring, Maryland, in 2016. Footnote: NTSB. 2021. Atmos Energy Corporation Natural Gas–Fueled Explosion, Dallas, Texas, February 23, 2018. PAR-21/01. Washington, DC: NTSB. Footnote: NTSB. 2019. Building Explosion and Fire, Silver Spring, Maryland, August 10, 2016. PAR-19/01. Washington, DC: NTSB. • Targeted replacement projects. A 2014 California Public Utilities Commission study showed that the vintage of Aldyl A present in this accident, with stress concentrations from rock impingement, squeeze-off, bending, or deflection, were statistically predicted to fail between 22 and 235 years after installation. Footnote: California Public Utilities Commission 2014 Hazard Analysis and Mitigation Report On Aldyl A Polyethylene Gas Pipelines in California. Haine 2014. Because the estimated failure time is imprecise (a range of more than 200 years), and because some environmental conditions—such as the locations of rocks in the backfill material—are unknown, the Enbridge evaluation of the cracking threat to the 1976 vintage Aldyl A did not accurately characterize the risk of rock impingements and prevented Enbridge from identifying effective mitigative actions and targeted replacement projects. Even though Enbridge worked continuously to search for the leak after the explosion, it took them more than 21 hours to find and isolate the natural gas leak. During this time, the pipeline continued to leak natural gas into the ground, increasing the risk to nearby residents, first responders, and others operating in the area. When an underground natural gas pipeline leak occurs rapidly, it can be difficult to safeguard against. Natural gas alarms can provide an early warning of natural gas leaks inside nearby structures and can alert the building occupants to take immediate safety actions. Had in-home natural gas alarms been installed in the homes involved in this accident, they would have alerted the residents to a potential problem and prompted them to evacuate and call 911, reducing or eliminating the fatal consequences of the explosion. The NTSB has previously recommended requiring the installation of natural gas alarms in businesses, residences, and other buildings (Safety Recommendation P 25 05).
Addressee Acronym: NY
Addressee Organization Type: S-State Government
Communication Date: 2026-06-05
Communication Type: Recommendation Mention
Communication Contents: Atmos Energy Corporation Natural Gas–Fueled Home Explosion Pipeline Investigation Report PIR-26-03 published on June 5, 2026: Analysis The explosion and fire occurred after natural gas leaked from a fractured buried main, migrated through an uncapped underground sewer lateral, entered the accident home, and reached an explosive concentration near an unknown ignition source. The investigation did not identify issues with gas pressures in the area of the leak or the timeliness or efficacy of the local emergency response agencies. Postaccident bar-hole testing and excavations found only one source of natural gas: a leak in the gas main near a valve box on the eastern edge of the construction site. On-site examinations of the main found that it was fractured around most of its circumference with a thin strip of metal at the top (12 o’clock position) joining the southern section of pipe to the section still threaded into the valve body. This indicates tension—a stretching force—at the bottom of the pipe along its long axis. Tension along the bottom of the pipe is consistent with a bending stress created by an external downward force. Based on information provided to Atmos by the construction superintendent, a cement truck ran over a valve box at the leak’s location immediately before he heard and smelled natural gas being released. The investigation did not identify another plausible external force that could have damaged the main. The Materials Laboratory examination of the main found fracture characteristics typical of fast crack growth and no signs of significant corrosion or preexisting structural damage that could have contributed to the failure. The fracture was therefore consistent with a sudden application of force by the valve box to the main. Based on the fracture’s location, timing, and fast-cracking characteristics, the valve box transmitted part of the cement truck’s weight to the gas main, causing the main to fracture and leak. Examination of the gas main and valve box involved in this accident found coal tar coating the main and deposited on the bottom edge of the valve box. This indicates that the valve box was in contact with the main. The presence of coal tar alone does not indicate when the contact occurred, but the evidence is consistent with the valve box being installed in contact with the main and therefore able transmit the cement truck’s weight directly to the main near the fracture’s location. Federal regulations at 49 CFR 192.181(c)(3) require that valve boxes not be installed in a manner that transmits external loads to mains, and valve boxes are normally installed with a buffer of soil or other protection between the valve box and the assets immediately below. For example, Atmos’s newer valve boxes are installed with support and base pads to prevent load transmission. However, Atmos was not actively replacing cast iron valve boxes with this newer design. Further, the maintenance crew that removed and reinstalled the valve box about 2 months before the accident did not have a specific standard to follow for reinstalling cast iron valve boxes other than an expectation that the top of the valve box be level with the grade. The lack of a standard likely led to the common reinstallation of valve boxes in contact with mains, as described by an Atmos vice president of operations. If Atmos had adopted either a standard for safely installing cast iron valve boxes or a policy of replacing cast iron valve boxes with the newer design, the protective buffer of soil or support pad would have reduced the load transmitted to the pipe on the day of the accident. There is not enough evidence to determine whether a buffer or pad would have prevented the accident, but it would have made the infrastructure more resilient. Atmos has not reported making changes to its valve box installation practices. After the main fractured, gas propagated undetected through an uncapped underground sewer lateral into the sewer system and then into the accident home, where it reached an explosive concentration. The gas in the sewers remained undetected because Atmos personnel did not test the atmosphere in the sewers prior to the explosion. For about 35 minutes, most of the time between the initial leak and the explosion, there was only one Atmos employee on the scene: an experienced senior service technician. He was equipped with a CGI and checked nearby storm drains for the presence of gas, which was one step in Atmos’s subsurface leak investigation procedure. During his interview with the NTSB, he described planning to check the sewers, another required step, but said that he had already confirmed that there was no threat to life or property. His activities after checking the storm drains are also consistent with a belief that he had finished assessing the risk posed by the leak: he switched to the non-safety-critical work of recording billing information for the damage. The investigation did not find evidence of a natural gas alarm in the accident home, which did not have gas service but was still impacted by a leak from a gas main. It is likely that a natural gas alarm would have provided the home’s occupants with warning of accumulating natural gas and given them an opportunity to evacuate before the explosion. The NTSB has advocated wider installation and use of natural gas alarms for nearly 50 years, including following the investigation into a pair of 2024 home explosions in Jackson, Mississippi, that involved Atmos assets. As a result of that investigation, the NTSB reiterated a recommendation to the 50 states, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: See CAROL for the complete history and current status of this recommendation. The NTSB also recommended that Atmos “develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas” (P-26-10).11F Footnote: See CAROL for the complete history and current status of this recommendation.
Addressee Acronym: NY
Addressee Organization Type: S-State Government
Communication Date: 2026-03-26
Communication Type: Recommendation Reiteration
Communication Contents: From the Report, “Atmos Energy Corporation Natural Gas-Fueled Home Explosions and Fires Jackson, Mississippi, January 24, 2024, and January 27, 2024” published on March 26, 2026. Absence of Natural Gas Detection Alarms in Buildings The Bristol Boulevard accident home and the Shalimar Drive accident home did not have natural gas alarms installed. For nearly 50 years, the NTSB has been recommending natural gas alarms for the early detection of natural gas leaks. In the West Reading accident, several candy factory employees told the NTSB that they had smelled natural gas odorant and did not call 9 1 1 or the gas company but stayed in the building until the explosion occurred. Some of the employees inquired with their managers about what to do, and their managers were equally unaware of the actions to take during a suspected natural gas leak. In the two Jackson accidents, and in many of the pipeline accidents the NTSB has investigated for the last 5 decades, people smelled natural gas odorant and either did not know what actions to take, or they knew the actions necessary to address a potential natural gas emergency but did not execute them. Natural gas distribution pipeline operators must educate the public on pipeline safety through public awareness programs. It is also necessary, however, to have safeguards in place when members of the public (1) smell natural gas odorant and do not take the appropriate safety actions and (2) do not smell natural gas odorant, as was the case in the NTSB investigation of the Dallas accident, and therefore do not take appropriate safety actions. Footnote: The NTSB’s Dallas investigation determined that the occupants in the accident homes did not smell natural gas odorant because it was absorbed and depleted in the soil. Natural gas alarms are safeguards in protecting the public, which is why the NTSB has recommended their installation after many of our pipeline accident investigations. The NTSB found that natural gas alarms likely would have prevented or reduced the consequences of the Dallas and West Reading accidents, and the evidence in this investigation suggests the same. The Shalimar Drive accident home was empty at the time of that accident; however, when the explosion in the Bristol Boulevard accident home occurred, two people were inside. Therefore, the NTSB concludes that had a natural gas alarm been installed inside the Bristol Boulevard accident home, it could have alerted occupants that natural gas was present, prompting them to evacuate and report the leak, making Atmos aware that the leak had likely worsened and required corrective action. As a result of the West Reading investigation, the NTSB recommended that the 50 States, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: Safety Recommendation P-25-5 is currently classified Open—Await Response. As of this report, 7 states and the District of Columbia have provided an initial response; 43 states and the Commonwealth of Puerto Rico have not responded. Footnote: The seven states that have provided an initial response include Colorado, Connecticut, Kansas, Nevada, North Carolina, Virginia, and Wyoming. Mississippi, the state where the two Jackson accidents occurred, is one of the 43 states that have not provided an initial response. The NTSB investigation of the two Jackson accidents has again identified the critical importance of natural gas alarms to alert occupants to natural gas leaks. Therefore, the NTSB reiterates Safety Recommendation P 25-5 to 50 States, the Commonwealth of Puerto Rico, and the District of Columbia. As discussed in section 1.10.1.1, after the Avondale accident, Atmos reported that it provided the public with information, through its website, on the availability of natural gas alarms. However, Atmos can do more to safeguard the public in its distribution areas. The NTSB is aware of multiple natural gas distribution operators that have made natural gas alarms available to people in their service areas. Footnote: Visit http://www.ntsb.gov to find additional information in the public docket for this NTSB accident investigation (case number PLD24FR003). Therefore, the NTSB recommends that Atmos develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas.
Addressee Acronym: NY
Addressee Organization Type: S-State Government
Communication Date: 2026-06-01
Communication Type: Official Correspondence
Communication Contents: -From Tammy Mitchell, Director, Office of Energy System Planning and Performance, New York State Department of Public Service: I am responding to your correspondence received on March 30, 2026, to Governor Kathy Hochul, urging the State of New York to follow Safety Recommendation P-25-5 to “require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak.” As we will explain, New York State is the proud leader in the Country requiring the installation of natural gas alarm devices. The New York State Public Service Commission’s (Commission) paramount concern is protecting the public and ensuring safety throughout our energy distribution systems. Governor Hochul forwarded your letter to the New York State Department of Public Service (Department), the staff arm of the Commission, for a response. The Department is an interstate agent certified under Federal Pipeline and Hazardous Materials Safety Administration (PHMSA) pipeline safety programs. Pipeline Safety Staff of the Department conduct audits, inspections and investigations of all regulated pipeline operators utilizing a risk-based approach year-round identifying any non-compliances. The Commission has the authority to take enforcement actions and impose penalties for non-compliances identified. In response to the concerns raised by the National Transportation Safety Board (NTSB), the Department is providing a detailed overview of the many proactive steps the Commission and Department have taken to strengthen natural gas safety programs across New York State. Upon receipt of the letter, the Department Pipeline Safety Staff quickly informed New York operators of the NTSB recommendation and related safety concerns of pipe installed in expansive clay soils, and asked operators to take appropriate actions to address soil conditions applicable to their individual systems. To date, operators have deployed 663,313 natural gas detectors with alarms across their service territories, with plans to expand to about 1,700,000 units by 2035, further enhancing New York operators’ and the public’s ability to identify and address potential leaks before they pose a public safety risk. The Commission has approved enhanced leak inspections and patrols across New York operators’ systems, proactive programs to reduce leak backlogs, and robust leak prone pipe removal programs guided by distribution integrity management program (DIMP) risk ranking assessments. Additionally, New York operators sponsor comprehensive emergency response training programs for first responders. Expansive Clay Soils and Compression Couplings Many operators in New York have historically used the Dresser Style 90 seal-only type of coupling in their respective pipelines systems. However, to the best of the Department’s knowledge, any presence of Yazoo clay soil type is not identified in the State of New York. Footnote: Type of soil referenced in the NTSB Jackson, Mississippi incident report. That being said, the Department’s Pipeline Safety Section has shared the NTSB’s recommendation and safety issues identified in the report with New York operators to review and take appropriate actions necessary to address Dresser Style 90 seal-only type of couplings installed in expansive clays in their individual systems. New York operators generally have discontinued the permanent below ground installation of this type of compression coupling, proactively removing them during leak prone pipe removal, and identifying it as a threat in their respective DIMPs. Natural Gas Alarms in New York Based on the Department’s research, New York State leads the nation in the deployment of natural gas (methane) detectors with alarms, both the largest deployment numbers and strongest regulatory framework supporting widespread adoption. This leadership stems in part from the Department's investigation of the March 12, 2014, natural gas explosion and building collapse at 1644 and 1646 Park Avenue in New York City. The investigation recommended that the involved utility operator (Consolidated Edison Company of New York or Con Edison) expedite the development and deployment of residential methane detectors and create a comprehensive plan for their effective use in both single and multifamily homes, including optimal installation locations and report remote reporting capabilities. In calendar year 2018, Con Edison began distributing 60,000 standalone residential methane detectors capable of detecting natural gas and local alarming. Subsequent advances, supported by industry research and development, led to newer methane detector models that provide local alarms and remote communication to the utility’s control center via the Advanced Metering Infrastructure (AMI) network. Con Edison has since rolled out these advanced methane detectors across its service territory. As of the latest reports to the Commission, 290,690 out of the 379,975 services (about 76.5%) have natural gas detectors connected via AMI. Statewide, New York operators have installed 319,773 natural gas detectors with remote communication capability, and 343,540 standalone natural gas detectors. Combined installation of remote communication capable and standalone detectors covers approximately 41.3% of New York State’s indoor gas meter population. Overall, 19.8%, or 663,313, of New York State’s natural gas services have a natural gas detector. Ten major operators in the state are actively expanding these programs through Commission-approved rate agreements, with plans to reach 1.7 million units by 2035. Footnote: The City of New York recently instituted a new requirement - NYC LL 157: natural gas detecting devices in multiple dwellings and private dwellings. On or before January 1, 2027, natural gas alarms must be installed in any area, both public and private, containing a natural gas appliance. Through these actions, New York is leading in the country with the installation of methane detectors which alert customers locally, immediately dispatch qualified utility responders to investigate the source of the leak, and engage fire departments in emergency response to improve the overall safety of the public. Proactive Safety Measures For decades, the Commission has required operators to proactively remove leak prone pipe and, later on, it was incorporated into the operators’ DIMP risk ranking algorithms. Over the years, enhanced leak surveys and requirements to repair natural gas leaks have significantly reduced the total leak backlogs throughout the state. The collaborative training efforts among utility operators and emergency responders have resulted in faster, more efficient, and safe handling of natural gas emergencies. The combined effects of these various programs have strengthened New York State’s natural gas networks and improved public safety. The Department is committed to improve safety of the pipeline systems in New York State and ready to implement actions necessary to achieve those priorities. We thank the NTSB for sharing the recommendations in achieving same objectives.
Addressee Name: State of Nevada
Addressee Status: Open - Initial Response Received
Addressee Acronym: NV
Addressee Organization Type: S-State Government
Communication Date: 2025-04-08
Communication Type: Transmittal Letter
Communication Contents: 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 accidents in other modes of transportation—railroad, highway, marine, and pipeline. We determine the probable cause of the accidents and issue safety recommendations aimed at preventing future accidents. In addition, we carry out special studies concerning transportation safety and coordinate the resources of the federal government and other organizations to assist victims and their family members affected by major transportation disasters. We are providing the following information to urge the State of Nevada to act on the safety recommendation in this letter because we believe your organization can help reduce the risk of future accidents. For more information about the NTSB and our recommendation process, please see the attached one-page summary. This letter also includes information about our March 18, 2025, report, UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, NTSB/PIR-25/01. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. As a result of this investigation, we identified the following safety issues: • Degradation of a retired Aldyl A service tee that was accelerated by elevated ground temperatures from a corroded and cracked steam pipe nearby. • UGI Corporation’s insufficient consideration of pipeline integrity threats, particularly Aldyl A service tees with Delrin inserts at elevated temperatures. • Presence of unmarked and unreported private assets crossing public rights-of-way, excluding them from the Pennsylvania One Call System and increasing the risk of damage to them. • Delayed evacuation of Palmer’s Building 2 despite detection of natural gas by employees and others. • Natural gas safety messaging from pipeline operator public awareness programs that may not reach certain members of the public. • Insufficient guidance on natural gas emergency procedures. • Absence of natural gas alarms in commercial buildings. • Insufficient accessibility of gas distribution line valves. Accordingly, the NTSB makes the following safety recommendation to the State of Nevada (additional information regarding this recommendation can be found in the noted section of the report): • Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) (See section 2.5.1.) The NTSB is vitally interested in this recommendation because it is designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter, detailing the actions you have taken or intend to take to implement this recommendation. When replying, please refer to the safety recommendation by number (Safety Recommendation P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply, including attachments, exceeds 20 megabytes, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. All communications regarding safety recommendations are stored by the NTSB and viewable by the public. Please do not send privileged or confidential communications in response to this recommendation. Responses marked as confidential or privileged (or similar designations) will be considered nonresponsive. In the likely event that your company uses auto generated and/or preformatted confidentiality statements on letterhead or outgoing e-mails, please include a statement in your letter indicating that the information can be publicly released. If you have concerns about this protocol, please contact us at ExecutiveSecretariat@ntsb.gov. The attached letter from the NTSB Chairman provides information about the March 18, 2025, report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. The NTSB is vitally interested in these recommendations because they are designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter detailing the actions you have taken or intend to take to implement these recommendations. When replying, please refer to the safety recommendation by number (for example, P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply exceeds 20 megabytes, including attachments, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. From the report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1: 2.5.1 Natural Gas Alarms Public awareness is an effective tool to encourage adoption of safety devices like natural gas alarms. The first edition of API RP 1162 requires that public awareness programs include safety messages about the awareness of hazards and prevention measures as well as leak recognition and response but does not specifically require these programs to disseminate safety messages about natural gas alarms. UGI’s public awareness materials distributed before the accident were consistent with federal regulations, and although the materials promoted the use of smoke and carbon monoxide alarms, they did not address natural gas alarms. Following the accident, UGI now includes safety messages encouraging the purchase of natural gas alarms in its public awareness materials. The NTSB concludes that installing natural gas alarms can alert people of a gas leak so they can evacuate the area; however, natural gas customers may not be aware of the necessity of such alarms. The NTSB believes that messages about the benefits of natural gas alarms are critically important and could save lives when natural gas alarms are installed. The NTSB further believes that the natural gas industry can help shape the effectiveness of public awareness program delivery methods so that people in businesses, schools, residences, and other places of congregation are better informed, both about natural gas hazards and the necessity of natural gas alarms. The American Gas Association, which represents natural gas pipeline operators throughout the US, can facilitate industry efforts to improve public awareness program delivery methods and to improve safety, most critically through increasing the installation of natural gas alarms. Therefore, the NTSB recommends that the American Gas Association share the details of the March 24, 2023, natural gas–fueled explosion and fire in West Reading, Pennsylvania, with its members, encouraging them to evaluate the effectiveness of their current delivery methods of public awareness programs and to promote the installation of natural gas alarms in businesses, residences, and other places of congregation that they serve. Evacuation should occur immediately upon detection of the presence of natural gas. In 1976, the NTSB made its first recommendation to require natural gas detection to provide early warning of leaks. Most recently, after a 2016 building explosion in Silver Spring, Maryland, and then again after the 2018 home explosion in Dallas, we made recommendations to the ICC and the NFPA to require natural gas alarms with methane detection in residences (NTSB 2019). We recommended the ICC work with
Addressee Acronym: NV
Addressee Organization Type: S-State Government
Communication Date: 2026-04-07
Communication Type: Recommendation Mention
Communication Contents: Pipeline Investigation Report PIR-26-02, “Enbridge Inc. Natural Gas–Fueled Home Explosion and Fatality, South Jordan, Utah, November 6, 2024” published on April 7, 2026: 2 Analysis On November 6, 2024, a natural gas–fueled home explosion fatally injured one resident and damaged nearby homes. A crack in the 4-inch-diameter Aldyl A gas main near the home allowed natural gas to leak and fuel the home explosion. The NTSB found that the crack originated on the inner surface of the pipe and aligned directly with an oblong impression on the outer surface. Investigators determined that a rock impingement likely caused the oblong impression on the outer surface of the pipe and the resulting crack. They also found that the crack growth features indicated that the crack breached the outer surface in a single abrupt event. As a result, the pipe rapidly transitioned from releasing no gas to releasing up to 48.7 scfm, as measured in the lab. Footnote: The actual leak rate may have been lower, given that the pipeline was buried in soil, which would constrain the pipe and provide back-pressure resistance to gas as it leaked from the pipe. Post-explosion, subsurface gas readings showed that the natural gas migrated about 150 feet from the leak location to the home. Although the exact timing of the leak could not be determined, the residents’ observations of physical symptoms, inability to relight the basement water heater, and an unusually high candle flame before the accident suggest that natural gas may have been present in the home for at least 3 days before the explosion. On November 6, the flammable natural gas–air mixture ignited in the southwest quadrant of the basement. The Utah Deputy State Fire Marshal identified two possible sources of the ignition: a water heater and a furnace. The water heater was turned off at the control point, so the only credible ignition source was the furnace. Footnote: The furnace control valve was found postaccident to have significant thermal damage, consistent with it being the ignition source. Before the accident, Enbridge had implemented safeguards to mitigate the consequences of leaks, including periodic leak surveys, timely response to odor complaints, and targeted replacement projects. However, none of these strategies proved effective for this scenario, because of the following issues related to the strategies: • Periodic leak surveys. Regulators require distribution leak surveys to be conducted every 5 years. Enbridge conducted its most recent leak survey on April 29, 2022—two years before the accident. However, in this accident, through-wall crack propagation occurred too rapidly, causing the leak to go undetected before the explosion. • Timely response to odor complaints. Regulators require odorization of natural gas in distribution systems to help alert the public to natural gas leaks. During interviews conducted by investigators, the NTSB determined that the local residents had not smelled natural gas odorant near the accident home, even though gas was determined to have permeated the ground in the area during postaccident surveys, indicating that the odorant had been stripped from the leaked natural gas that ultimately entered the home. Footnote: Field testing of the gas in the distribution system after the explosion found acceptable odorant concentrations. Although odorant can act as an early warning of a gas release to prevent an explosion and fire, it has been known to become depleted when traveling through soil, as it did in this accident. Previous NTSB investigations have identified occurrences of odorant depletion that allowed natural gas leaks to go undetected, resulting in explosions in Dallas, Texas, in 2018 and in Silver Spring, Maryland, in 2016. Footnote: NTSB. 2021. Atmos Energy Corporation Natural Gas–Fueled Explosion, Dallas, Texas, February 23, 2018. PAR-21/01. Washington, DC: NTSB. Footnote: NTSB. 2019. Building Explosion and Fire, Silver Spring, Maryland, August 10, 2016. PAR-19/01. Washington, DC: NTSB. • Targeted replacement projects. A 2014 California Public Utilities Commission study showed that the vintage of Aldyl A present in this accident, with stress concentrations from rock impingement, squeeze-off, bending, or deflection, were statistically predicted to fail between 22 and 235 years after installation. Footnote: California Public Utilities Commission 2014 Hazard Analysis and Mitigation Report On Aldyl A Polyethylene Gas Pipelines in California. Haine 2014. Because the estimated failure time is imprecise (a range of more than 200 years), and because some environmental conditions—such as the locations of rocks in the backfill material—are unknown, the Enbridge evaluation of the cracking threat to the 1976 vintage Aldyl A did not accurately characterize the risk of rock impingements and prevented Enbridge from identifying effective mitigative actions and targeted replacement projects. Even though Enbridge worked continuously to search for the leak after the explosion, it took them more than 21 hours to find and isolate the natural gas leak. During this time, the pipeline continued to leak natural gas into the ground, increasing the risk to nearby residents, first responders, and others operating in the area. When an underground natural gas pipeline leak occurs rapidly, it can be difficult to safeguard against. Natural gas alarms can provide an early warning of natural gas leaks inside nearby structures and can alert the building occupants to take immediate safety actions. Had in-home natural gas alarms been installed in the homes involved in this accident, they would have alerted the residents to a potential problem and prompted them to evacuate and call 911, reducing or eliminating the fatal consequences of the explosion. The NTSB has previously recommended requiring the installation of natural gas alarms in businesses, residences, and other buildings (Safety Recommendation P 25 05).
Addressee Acronym: NV
Addressee Organization Type: S-State Government
Communication Date: 2026-06-05
Communication Type: Recommendation Mention
Communication Contents: Atmos Energy Corporation Natural Gas–Fueled Home Explosion Pipeline Investigation Report PIR-26-03 published on June 5, 2026: Analysis The explosion and fire occurred after natural gas leaked from a fractured buried main, migrated through an uncapped underground sewer lateral, entered the accident home, and reached an explosive concentration near an unknown ignition source. The investigation did not identify issues with gas pressures in the area of the leak or the timeliness or efficacy of the local emergency response agencies. Postaccident bar-hole testing and excavations found only one source of natural gas: a leak in the gas main near a valve box on the eastern edge of the construction site. On-site examinations of the main found that it was fractured around most of its circumference with a thin strip of metal at the top (12 o’clock position) joining the southern section of pipe to the section still threaded into the valve body. This indicates tension—a stretching force—at the bottom of the pipe along its long axis. Tension along the bottom of the pipe is consistent with a bending stress created by an external downward force. Based on information provided to Atmos by the construction superintendent, a cement truck ran over a valve box at the leak’s location immediately before he heard and smelled natural gas being released. The investigation did not identify another plausible external force that could have damaged the main. The Materials Laboratory examination of the main found fracture characteristics typical of fast crack growth and no signs of significant corrosion or preexisting structural damage that could have contributed to the failure. The fracture was therefore consistent with a sudden application of force by the valve box to the main. Based on the fracture’s location, timing, and fast-cracking characteristics, the valve box transmitted part of the cement truck’s weight to the gas main, causing the main to fracture and leak. Examination of the gas main and valve box involved in this accident found coal tar coating the main and deposited on the bottom edge of the valve box. This indicates that the valve box was in contact with the main. The presence of coal tar alone does not indicate when the contact occurred, but the evidence is consistent with the valve box being installed in contact with the main and therefore able transmit the cement truck’s weight directly to the main near the fracture’s location. Federal regulations at 49 CFR 192.181(c)(3) require that valve boxes not be installed in a manner that transmits external loads to mains, and valve boxes are normally installed with a buffer of soil or other protection between the valve box and the assets immediately below. For example, Atmos’s newer valve boxes are installed with support and base pads to prevent load transmission. However, Atmos was not actively replacing cast iron valve boxes with this newer design. Further, the maintenance crew that removed and reinstalled the valve box about 2 months before the accident did not have a specific standard to follow for reinstalling cast iron valve boxes other than an expectation that the top of the valve box be level with the grade. The lack of a standard likely led to the common reinstallation of valve boxes in contact with mains, as described by an Atmos vice president of operations. If Atmos had adopted either a standard for safely installing cast iron valve boxes or a policy of replacing cast iron valve boxes with the newer design, the protective buffer of soil or support pad would have reduced the load transmitted to the pipe on the day of the accident. There is not enough evidence to determine whether a buffer or pad would have prevented the accident, but it would have made the infrastructure more resilient. Atmos has not reported making changes to its valve box installation practices. After the main fractured, gas propagated undetected through an uncapped underground sewer lateral into the sewer system and then into the accident home, where it reached an explosive concentration. The gas in the sewers remained undetected because Atmos personnel did not test the atmosphere in the sewers prior to the explosion. For about 35 minutes, most of the time between the initial leak and the explosion, there was only one Atmos employee on the scene: an experienced senior service technician. He was equipped with a CGI and checked nearby storm drains for the presence of gas, which was one step in Atmos’s subsurface leak investigation procedure. During his interview with the NTSB, he described planning to check the sewers, another required step, but said that he had already confirmed that there was no threat to life or property. His activities after checking the storm drains are also consistent with a belief that he had finished assessing the risk posed by the leak: he switched to the non-safety-critical work of recording billing information for the damage. The investigation did not find evidence of a natural gas alarm in the accident home, which did not have gas service but was still impacted by a leak from a gas main. It is likely that a natural gas alarm would have provided the home’s occupants with warning of accumulating natural gas and given them an opportunity to evacuate before the explosion. The NTSB has advocated wider installation and use of natural gas alarms for nearly 50 years, including following the investigation into a pair of 2024 home explosions in Jackson, Mississippi, that involved Atmos assets. As a result of that investigation, the NTSB reiterated a recommendation to the 50 states, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: See CAROL for the complete history and current status of this recommendation. The NTSB also recommended that Atmos “develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas” (P-26-10).11F Footnote: See CAROL for the complete history and current status of this recommendation.
Addressee Acronym: NV
Addressee Organization Type: S-State Government
Communication Date: 2026-03-26
Communication Type: Recommendation Reiteration
Communication Contents: From the Report, “Atmos Energy Corporation Natural Gas-Fueled Home Explosions and Fires Jackson, Mississippi, January 24, 2024, and January 27, 2024” published on March 26, 2026. Absence of Natural Gas Detection Alarms in Buildings The Bristol Boulevard accident home and the Shalimar Drive accident home did not have natural gas alarms installed. For nearly 50 years, the NTSB has been recommending natural gas alarms for the early detection of natural gas leaks. In the West Reading accident, several candy factory employees told the NTSB that they had smelled natural gas odorant and did not call 9 1 1 or the gas company but stayed in the building until the explosion occurred. Some of the employees inquired with their managers about what to do, and their managers were equally unaware of the actions to take during a suspected natural gas leak. In the two Jackson accidents, and in many of the pipeline accidents the NTSB has investigated for the last 5 decades, people smelled natural gas odorant and either did not know what actions to take, or they knew the actions necessary to address a potential natural gas emergency but did not execute them. Natural gas distribution pipeline operators must educate the public on pipeline safety through public awareness programs. It is also necessary, however, to have safeguards in place when members of the public (1) smell natural gas odorant and do not take the appropriate safety actions and (2) do not smell natural gas odorant, as was the case in the NTSB investigation of the Dallas accident, and therefore do not take appropriate safety actions. Footnote: The NTSB’s Dallas investigation determined that the occupants in the accident homes did not smell natural gas odorant because it was absorbed and depleted in the soil. Natural gas alarms are safeguards in protecting the public, which is why the NTSB has recommended their installation after many of our pipeline accident investigations. The NTSB found that natural gas alarms likely would have prevented or reduced the consequences of the Dallas and West Reading accidents, and the evidence in this investigation suggests the same. The Shalimar Drive accident home was empty at the time of that accident; however, when the explosion in the Bristol Boulevard accident home occurred, two people were inside. Therefore, the NTSB concludes that had a natural gas alarm been installed inside the Bristol Boulevard accident home, it could have alerted occupants that natural gas was present, prompting them to evacuate and report the leak, making Atmos aware that the leak had likely worsened and required corrective action. As a result of the West Reading investigation, the NTSB recommended that the 50 States, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: Safety Recommendation P-25-5 is currently classified Open—Await Response. As of this report, 7 states and the District of Columbia have provided an initial response; 43 states and the Commonwealth of Puerto Rico have not responded. Footnote: The seven states that have provided an initial response include Colorado, Connecticut, Kansas, Nevada, North Carolina, Virginia, and Wyoming. Mississippi, the state where the two Jackson accidents occurred, is one of the 43 states that have not provided an initial response. The NTSB investigation of the two Jackson accidents has again identified the critical importance of natural gas alarms to alert occupants to natural gas leaks. Therefore, the NTSB reiterates Safety Recommendation P 25-5 to 50 States, the Commonwealth of Puerto Rico, and the District of Columbia. As discussed in section 1.10.1.1, after the Avondale accident, Atmos reported that it provided the public with information, through its website, on the availability of natural gas alarms. However, Atmos can do more to safeguard the public in its distribution areas. The NTSB is aware of multiple natural gas distribution operators that have made natural gas alarms available to people in their service areas. Footnote: Visit http://www.ntsb.gov to find additional information in the public docket for this NTSB accident investigation (case number PLD24FR003). Therefore, the NTSB recommends that Atmos develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas.
Addressee Acronym: NV
Addressee Organization Type: S-State Government
Communication Date: 2025-08-11
Communication Type: Official Correspondence
Communication Contents: -From Stephanie Mullen, Executive Director and Paul Maguire, Manager, Engineering Division, Nevada Public Utilities Commission: On April 8, 2025, a letter was sent to Governor Lombardo, regarding information and recommendations arising from the National Transportation Safety Board’s (NTSB) investigation into the UGI Natural Gas Explosion Incident that occurred on March 24, 2023, in West Reading, PA. Governor Lombardo has since forwarded this letter to the Nevada Public Utilities Commission (“PUCN”) for a response. Pipeline safety remains a top priority for Nevada. The State has long recognized the risks associated with Aldyl A natural gas pipelines. In 2011, the PUCN approved an accelerated pipeline replacement program authorizing Nevada’s largest natural gas distribution operator, Southwest Gas Corporation, to begin replacing all early-vintage plastic pipes, including all Aldyl A pipe mains and services. As the graph below illustrates, in 2010, Southwest Gas operated more than 120 miles of Aldyl A pipe mains in Nevada. By the end of 2024, that number had been reduced to fewer than five miles. All remaining Aldyl A pipelines are scheduled for replacement by the end of 2025,1 at which point there will be no known Aldyl A pipe remaining in active operation within Nevada’s natural gas distribution system. In addition to the accelerated pipeline replacement work, in 2021, Nevada became the first state in the nation to adopt an annual natural gas leak detection and survey regulation, significantly advancing pipeline safety. Adopted by the PUCN in Docket No. 19-09011, this regulation mandates that every 49 CFR 192 jurisdictional intrastate natural gas and propane pipeline operating in Nevada be leak-surveyed every year. This requirement applies regardless of pipe type, vintage or age, size, or location. Importantly, the regulation requires the use of an electronic detection instrument for these surveys. Visual inspections alone, such as identifying dead vegetation, are no longer permitted. This state requirement marks a major improvement over the current federal standard in 49 CFR 192.723, which only requires a leak survey every five years. By increasing the frequency and reliability of leak detection, Nevada’s regulation helps to ensure that leaks are identified and addressed more quickly. This improves public safety and efficiency and reduces environmental risk. The benefits of this proactive approach have been presented at numerous regulatory forums. A presentation highlighting these advantages is available on the PUCN’s website and can be viewed here: https://www.youtube.com/watch?v=SFMmKdDENYE. The NTSB also recommended: “Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak.” In response, Nevada's key stakeholders, including PUCN Staff, Southwest Gas, and NV Energy (the state's other major utility) have initiated discussions regarding the feasibility of a pilot program. This program would involve installing natural gas detection alarms in select high-occupancy buildings and monitoring the performance of these devices. It is essential that the functionality, reliability, longevity, and public acceptance of the devices be evaluated, along with other key data points, before a statewide mandate for their installation in all new and existing homes and buildings will be considered. The PUCN greatly values its relationship with the NTSB and sincerely appreciates the thoughtful safety recommendations outlined in your April 8, 2025, letter.
Addressee Acronym: NV
Addressee Organization Type: S-State Government
Communication Date: 2026-05-01
Communication Type: Official Correspondence
Communication Contents: -From Stephanie Mullen, Executive Director and Paul Maguire, PE, Manager, Engineering Division: On March 26, 2026, a letter was sent to Nevada Governor Joe Lombardo, regarding the findings and recommendations arising from the National Transportation Safety Board's ("NTSB") investigation into Atmos Energy Corporation Natural Gas-Fueled Home Explosions and Fires, Jackson, Mississippi, January 24 and 27, 2024, (NTSB/PIR-26-01 ). Governor Lombardo subsequently forwarded this correspondence to the Nevada Public Utilities Commission ("PUCN") for response. Pipeline safety remains a top priority for Nevada. Nevada and its stakeholders have long recognized the risks associated with natural gas leaks. In 2021, Nevada became the first state in the nation to adopt a regulation requiring annual natural gas leak detection surveys for all intrastate natural gas and propane pipelines jurisdictional to 49 CFR 192. This regulation, approved by the PUCN in Docket No. 19-09011, mandates annual surveys regardless of pipe type, vintage, size, or location. Importantly, the regulation requires the use of electronic detection instruments; visual inspection methods alone, such as identifying dead vegetation along pipeline rights-of-way, are no longer considered as acceptable survey means. This represents a significant advancement beyond the current federal standard under 49 CFR 192. 723, which requires leak surveys to be performed every five years. By increasing both the frequency and reliability of leak detection surveys, Nevada's approach enhances public safety, improves operational efficiency, and reduces environmental risk. These benefits have been presented at numerous regulatory forums, and additional information is available through materials published on the PUCN's website. Nevada's natural gas pipeline operators have demonstrated strong performance under this framework. Even with annual system-wide surveys, operators consistently carry over minimal leaks from year to year. The Pipeline Hazardous Materials Safety Administration ("PHMSA") Leak Management state metric show that Nevada's natural gas intrastate pipeline operators have consistently repaired leaks in the year they are identified, regardless of location and hazardous grading. This can be seen by the graph below showing the number of leaks fixed in the year found thereby leaving almost no leaks scheduled for repair in the subsequent year. With respect to the NTSB's recommendation to require installation of natural gas alarms meeting National Fire Protection Association 715 specifications in residences, businesses, and other occupied structures, Nevada stakeholders have begun evaluating this approach. Nevada's key stakeholders, including the PUCN Staff, Southwest Gas Corporation ("Southwest Gas") and Sierra Pacific Power Company d/b/a NV Energy ("NV Energy"), 1 have discussed the feasibility of doing a large-scale pilot program whereby a number of natural gas detection alarms would be installed in high occupancy buildings and the performance of these devices monitored. Footnote: Southwest Gas and NV Energy are Nevada's two largest gas utility, serving approximately 99 percent of all gas customers in Nevada. It is very important that the functionality of the devices, longevity of the devices, public acceptance of the devices, and other key data aspects be investigated before the installation of such devices is mandated statewide in all new and existing homes and buildings. Specifically, in Docket No. 25-09010 (Southwest Gas' 2025 Integrated Resource Plan) the PUCN approved a 10,000-unit natural gas alarm pilot program. Installation of these devices is expected to begin in early 2027 across both Southern and Northern Nevada service areas. Additionally, in Docket No. 25-10003 (NV Energy's 2025 Integrated Resource Plan) the PUCN approved a separate pilot program under which NV Energy plans to install approximately 500 to 1,000 natural gas alarm units in the Reno/Sparks area beginning in 2027. The State of Nevada values its relationship with NTSB and sincerely appreciates the thoughtful safety recommendations provided in your March 26, 2026, correspondence. Nevada remains committed to evaluating and implementing measures that enhance public safety and infrastructure reliability.
Addressee Name: State of Mississippi
Addressee Status: Open - Initial Response Received
Addressee Acronym: MS
Addressee Organization Type: S-State Government
Communication Date: 2025-04-08
Communication Type: Transmittal Letter
Communication Contents: 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 accidents in other modes of transportation—railroad, highway, marine, and pipeline. We determine the probable cause of the accidents and issue safety recommendations aimed at preventing future accidents. In addition, we carry out special studies concerning transportation safety and coordinate the resources of the federal government and other organizations to assist victims and their family members affected by major transportation disasters. We are providing the following information to urge the State of Mississippi to act on the safety recommendation in this letter because we believe your organization can help reduce the risk of future accidents. For more information about the NTSB and our recommendation process, please see the attached one-page summary. This letter also includes information about our March 18, 2025, report, UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, NTSB/PIR-25/01. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. As a result of this investigation, we identified the following safety issues: • Degradation of a retired Aldyl A service tee that was accelerated by elevated ground temperatures from a corroded and cracked steam pipe nearby. • UGI Corporation’s insufficient consideration of pipeline integrity threats, particularly Aldyl A service tees with Delrin inserts at elevated temperatures. • Presence of unmarked and unreported private assets crossing public rights-of-way, excluding them from the Pennsylvania One Call System and increasing the risk of damage to them. • Delayed evacuation of Palmer’s Building 2 despite detection of natural gas by employees and others. • Natural gas safety messaging from pipeline operator public awareness programs that may not reach certain members of the public. • Insufficient guidance on natural gas emergency procedures. • Absence of natural gas alarms in commercial buildings. • Insufficient accessibility of gas distribution line valves. Accordingly, the NTSB makes the following safety recommendation to the State of Mississippi (additional information regarding this recommendation can be found in the noted section of the report): • Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) (See section 2.5.1.) The NTSB is vitally interested in this recommendation because it is designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter, detailing the actions you have taken or intend to take to implement this recommendation. When replying, please refer to the safety recommendation by number (Safety Recommendation P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply, including attachments, exceeds 20 megabytes, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. All communications regarding safety recommendations are stored by the NTSB and viewable by the public. Please do not send privileged or confidential communications in response to this recommendation. Responses marked as confidential or privileged (or similar designations) will be considered nonresponsive. In the likely event that your company uses auto generated and/or preformatted confidentiality statements on letterhead or outgoing e-mails, please include a statement in your letter indicating that the information can be publicly released. If you have concerns about this protocol, please contact us at ExecutiveSecretariat@ntsb.gov. The attached letter from the NTSB Chairman provides information about the March 18, 2025, report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. The NTSB is vitally interested in these recommendations because they are designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter detailing the actions you have taken or intend to take to implement these recommendations. When replying, please refer to the safety recommendation by number (for example, P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply exceeds 20 megabytes, including attachments, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. From the report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1: 2.5.1 Natural Gas Alarms Public awareness is an effective tool to encourage adoption of safety devices like natural gas alarms. The first edition of API RP 1162 requires that public awareness programs include safety messages about the awareness of hazards and prevention measures as well as leak recognition and response but does not specifically require these programs to disseminate safety messages about natural gas alarms. UGI’s public awareness materials distributed before the accident were consistent with federal regulations, and although the materials promoted the use of smoke and carbon monoxide alarms, they did not address natural gas alarms. Following the accident, UGI now includes safety messages encouraging the purchase of natural gas alarms in its public awareness materials. The NTSB concludes that installing natural gas alarms can alert people of a gas leak so they can evacuate the area; however, natural gas customers may not be aware of the necessity of such alarms. The NTSB believes that messages about the benefits of natural gas alarms are critically important and could save lives when natural gas alarms are installed. The NTSB further believes that the natural gas industry can help shape the effectiveness of public awareness program delivery methods so that people in businesses, schools, residences, and other places of congregation are better informed, both about natural gas hazards and the necessity of natural gas alarms. The American Gas Association, which represents natural gas pipeline operators throughout the US, can facilitate industry efforts to improve public awareness program delivery methods and to improve safety, most critically through increasing the installation of natural gas alarms. Therefore, the NTSB recommends that the American Gas Association share the details of the March 24, 2023, natural gas–fueled explosion and fire in West Reading, Pennsylvania, with its members, encouraging them to evaluate the effectiveness of their current delivery methods of public awareness programs and to promote the installation of natural gas alarms in businesses, residences, and other places of congregation that they serve. Evacuation should occur immediately upon detection of the presence of natural gas. In 1976, the NTSB made its first recommendation to require natural gas detection to provide early warning of leaks. Most recently, after a 2016 building explosion in Silver Spring, Maryland, and then again after the 2018 home explosion in Dallas, we made recommendations to the ICC and the NFPA to require natural gas alarms with methane detection in residences (NTSB 2019). We recommended the ICC
Addressee Acronym: MS
Addressee Organization Type: S-State Government
Communication Date: 2026-04-07
Communication Type: Recommendation Mention
Communication Contents: Pipeline Investigation Report PIR-26-02, “Enbridge Inc. Natural Gas–Fueled Home Explosion and Fatality, South Jordan, Utah, November 6, 2024” published on April 7, 2026: 2 Analysis On November 6, 2024, a natural gas–fueled home explosion fatally injured one resident and damaged nearby homes. A crack in the 4-inch-diameter Aldyl A gas main near the home allowed natural gas to leak and fuel the home explosion. The NTSB found that the crack originated on the inner surface of the pipe and aligned directly with an oblong impression on the outer surface. Investigators determined that a rock impingement likely caused the oblong impression on the outer surface of the pipe and the resulting crack. They also found that the crack growth features indicated that the crack breached the outer surface in a single abrupt event. As a result, the pipe rapidly transitioned from releasing no gas to releasing up to 48.7 scfm, as measured in the lab. Footnote: The actual leak rate may have been lower, given that the pipeline was buried in soil, which would constrain the pipe and provide back-pressure resistance to gas as it leaked from the pipe. Post-explosion, subsurface gas readings showed that the natural gas migrated about 150 feet from the leak location to the home. Although the exact timing of the leak could not be determined, the residents’ observations of physical symptoms, inability to relight the basement water heater, and an unusually high candle flame before the accident suggest that natural gas may have been present in the home for at least 3 days before the explosion. On November 6, the flammable natural gas–air mixture ignited in the southwest quadrant of the basement. The Utah Deputy State Fire Marshal identified two possible sources of the ignition: a water heater and a furnace. The water heater was turned off at the control point, so the only credible ignition source was the furnace. Footnote: The furnace control valve was found postaccident to have significant thermal damage, consistent with it being the ignition source. Before the accident, Enbridge had implemented safeguards to mitigate the consequences of leaks, including periodic leak surveys, timely response to odor complaints, and targeted replacement projects. However, none of these strategies proved effective for this scenario, because of the following issues related to the strategies: • Periodic leak surveys. Regulators require distribution leak surveys to be conducted every 5 years. Enbridge conducted its most recent leak survey on April 29, 2022—two years before the accident. However, in this accident, through-wall crack propagation occurred too rapidly, causing the leak to go undetected before the explosion. • Timely response to odor complaints. Regulators require odorization of natural gas in distribution systems to help alert the public to natural gas leaks. During interviews conducted by investigators, the NTSB determined that the local residents had not smelled natural gas odorant near the accident home, even though gas was determined to have permeated the ground in the area during postaccident surveys, indicating that the odorant had been stripped from the leaked natural gas that ultimately entered the home. Footnote: Field testing of the gas in the distribution system after the explosion found acceptable odorant concentrations. Although odorant can act as an early warning of a gas release to prevent an explosion and fire, it has been known to become depleted when traveling through soil, as it did in this accident. Previous NTSB investigations have identified occurrences of odorant depletion that allowed natural gas leaks to go undetected, resulting in explosions in Dallas, Texas, in 2018 and in Silver Spring, Maryland, in 2016. Footnote: NTSB. 2021. Atmos Energy Corporation Natural Gas–Fueled Explosion, Dallas, Texas, February 23, 2018. PAR-21/01. Washington, DC: NTSB. Footnote: NTSB. 2019. Building Explosion and Fire, Silver Spring, Maryland, August 10, 2016. PAR-19/01. Washington, DC: NTSB. • Targeted replacement projects. A 2014 California Public Utilities Commission study showed that the vintage of Aldyl A present in this accident, with stress concentrations from rock impingement, squeeze-off, bending, or deflection, were statistically predicted to fail between 22 and 235 years after installation. Footnote: California Public Utilities Commission 2014 Hazard Analysis and Mitigation Report On Aldyl A Polyethylene Gas Pipelines in California. Haine 2014. Because the estimated failure time is imprecise (a range of more than 200 years), and because some environmental conditions—such as the locations of rocks in the backfill material—are unknown, the Enbridge evaluation of the cracking threat to the 1976 vintage Aldyl A did not accurately characterize the risk of rock impingements and prevented Enbridge from identifying effective mitigative actions and targeted replacement projects. Even though Enbridge worked continuously to search for the leak after the explosion, it took them more than 21 hours to find and isolate the natural gas leak. During this time, the pipeline continued to leak natural gas into the ground, increasing the risk to nearby residents, first responders, and others operating in the area. When an underground natural gas pipeline leak occurs rapidly, it can be difficult to safeguard against. Natural gas alarms can provide an early warning of natural gas leaks inside nearby structures and can alert the building occupants to take immediate safety actions. Had in-home natural gas alarms been installed in the homes involved in this accident, they would have alerted the residents to a potential problem and prompted them to evacuate and call 911, reducing or eliminating the fatal consequences of the explosion. The NTSB has previously recommended requiring the installation of natural gas alarms in businesses, residences, and other buildings (Safety Recommendation P 25 05).
Addressee Acronym: MS
Addressee Organization Type: S-State Government
Communication Date: 2026-06-05
Communication Type: Recommendation Mention
Communication Contents: Atmos Energy Corporation Natural Gas–Fueled Home Explosion Pipeline Investigation Report PIR-26-03 published on June 5, 2026: Analysis The explosion and fire occurred after natural gas leaked from a fractured buried main, migrated through an uncapped underground sewer lateral, entered the accident home, and reached an explosive concentration near an unknown ignition source. The investigation did not identify issues with gas pressures in the area of the leak or the timeliness or efficacy of the local emergency response agencies. Postaccident bar-hole testing and excavations found only one source of natural gas: a leak in the gas main near a valve box on the eastern edge of the construction site. On-site examinations of the main found that it was fractured around most of its circumference with a thin strip of metal at the top (12 o’clock position) joining the southern section of pipe to the section still threaded into the valve body. This indicates tension—a stretching force—at the bottom of the pipe along its long axis. Tension along the bottom of the pipe is consistent with a bending stress created by an external downward force. Based on information provided to Atmos by the construction superintendent, a cement truck ran over a valve box at the leak’s location immediately before he heard and smelled natural gas being released. The investigation did not identify another plausible external force that could have damaged the main. The Materials Laboratory examination of the main found fracture characteristics typical of fast crack growth and no signs of significant corrosion or preexisting structural damage that could have contributed to the failure. The fracture was therefore consistent with a sudden application of force by the valve box to the main. Based on the fracture’s location, timing, and fast-cracking characteristics, the valve box transmitted part of the cement truck’s weight to the gas main, causing the main to fracture and leak. Examination of the gas main and valve box involved in this accident found coal tar coating the main and deposited on the bottom edge of the valve box. This indicates that the valve box was in contact with the main. The presence of coal tar alone does not indicate when the contact occurred, but the evidence is consistent with the valve box being installed in contact with the main and therefore able transmit the cement truck’s weight directly to the main near the fracture’s location. Federal regulations at 49 CFR 192.181(c)(3) require that valve boxes not be installed in a manner that transmits external loads to mains, and valve boxes are normally installed with a buffer of soil or other protection between the valve box and the assets immediately below. For example, Atmos’s newer valve boxes are installed with support and base pads to prevent load transmission. However, Atmos was not actively replacing cast iron valve boxes with this newer design. Further, the maintenance crew that removed and reinstalled the valve box about 2 months before the accident did not have a specific standard to follow for reinstalling cast iron valve boxes other than an expectation that the top of the valve box be level with the grade. The lack of a standard likely led to the common reinstallation of valve boxes in contact with mains, as described by an Atmos vice president of operations. If Atmos had adopted either a standard for safely installing cast iron valve boxes or a policy of replacing cast iron valve boxes with the newer design, the protective buffer of soil or support pad would have reduced the load transmitted to the pipe on the day of the accident. There is not enough evidence to determine whether a buffer or pad would have prevented the accident, but it would have made the infrastructure more resilient. Atmos has not reported making changes to its valve box installation practices. After the main fractured, gas propagated undetected through an uncapped underground sewer lateral into the sewer system and then into the accident home, where it reached an explosive concentration. The gas in the sewers remained undetected because Atmos personnel did not test the atmosphere in the sewers prior to the explosion. For about 35 minutes, most of the time between the initial leak and the explosion, there was only one Atmos employee on the scene: an experienced senior service technician. He was equipped with a CGI and checked nearby storm drains for the presence of gas, which was one step in Atmos’s subsurface leak investigation procedure. During his interview with the NTSB, he described planning to check the sewers, another required step, but said that he had already confirmed that there was no threat to life or property. His activities after checking the storm drains are also consistent with a belief that he had finished assessing the risk posed by the leak: he switched to the non-safety-critical work of recording billing information for the damage. The investigation did not find evidence of a natural gas alarm in the accident home, which did not have gas service but was still impacted by a leak from a gas main. It is likely that a natural gas alarm would have provided the home’s occupants with warning of accumulating natural gas and given them an opportunity to evacuate before the explosion. The NTSB has advocated wider installation and use of natural gas alarms for nearly 50 years, including following the investigation into a pair of 2024 home explosions in Jackson, Mississippi, that involved Atmos assets. As a result of that investigation, the NTSB reiterated a recommendation to the 50 states, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: See CAROL for the complete history and current status of this recommendation. The NTSB also recommended that Atmos “develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas” (P-26-10).11F Footnote: See CAROL for the complete history and current status of this recommendation.
Addressee Acronym: MS
Addressee Organization Type: S-State Government
Communication Date: 2026-03-26
Communication Type: Recommendation Reiteration
Communication Contents: From the Report, “Atmos Energy Corporation Natural Gas-Fueled Home Explosions and Fires Jackson, Mississippi, January 24, 2024, and January 27, 2024” published on March 26, 2026. Absence of Natural Gas Detection Alarms in Buildings The Bristol Boulevard accident home and the Shalimar Drive accident home did not have natural gas alarms installed. For nearly 50 years, the NTSB has been recommending natural gas alarms for the early detection of natural gas leaks. In the West Reading accident, several candy factory employees told the NTSB that they had smelled natural gas odorant and did not call 9 1 1 or the gas company but stayed in the building until the explosion occurred. Some of the employees inquired with their managers about what to do, and their managers were equally unaware of the actions to take during a suspected natural gas leak. In the two Jackson accidents, and in many of the pipeline accidents the NTSB has investigated for the last 5 decades, people smelled natural gas odorant and either did not know what actions to take, or they knew the actions necessary to address a potential natural gas emergency but did not execute them. Natural gas distribution pipeline operators must educate the public on pipeline safety through public awareness programs. It is also necessary, however, to have safeguards in place when members of the public (1) smell natural gas odorant and do not take the appropriate safety actions and (2) do not smell natural gas odorant, as was the case in the NTSB investigation of the Dallas accident, and therefore do not take appropriate safety actions. Footnote: The NTSB’s Dallas investigation determined that the occupants in the accident homes did not smell natural gas odorant because it was absorbed and depleted in the soil. Natural gas alarms are safeguards in protecting the public, which is why the NTSB has recommended their installation after many of our pipeline accident investigations. The NTSB found that natural gas alarms likely would have prevented or reduced the consequences of the Dallas and West Reading accidents, and the evidence in this investigation suggests the same. The Shalimar Drive accident home was empty at the time of that accident; however, when the explosion in the Bristol Boulevard accident home occurred, two people were inside. Therefore, the NTSB concludes that had a natural gas alarm been installed inside the Bristol Boulevard accident home, it could have alerted occupants that natural gas was present, prompting them to evacuate and report the leak, making Atmos aware that the leak had likely worsened and required corrective action. As a result of the West Reading investigation, the NTSB recommended that the 50 States, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: Safety Recommendation P-25-5 is currently classified Open—Await Response. As of this report, 7 states and the District of Columbia have provided an initial response; 43 states and the Commonwealth of Puerto Rico have not responded. Footnote: The seven states that have provided an initial response include Colorado, Connecticut, Kansas, Nevada, North Carolina, Virginia, and Wyoming. Mississippi, the state where the two Jackson accidents occurred, is one of the 43 states that have not provided an initial response. The NTSB investigation of the two Jackson accidents has again identified the critical importance of natural gas alarms to alert occupants to natural gas leaks. Therefore, the NTSB reiterates Safety Recommendation P 25-5 to 50 States, the Commonwealth of Puerto Rico, and the District of Columbia. As discussed in section 1.10.1.1, after the Avondale accident, Atmos reported that it provided the public with information, through its website, on the availability of natural gas alarms. However, Atmos can do more to safeguard the public in its distribution areas. The NTSB is aware of multiple natural gas distribution operators that have made natural gas alarms available to people in their service areas. Footnote: Visit http://www.ntsb.gov to find additional information in the public docket for this NTSB accident investigation (case number PLD24FR003). Therefore, the NTSB recommends that Atmos develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas.
Addressee Acronym: MS
Addressee Organization Type: S-State Government
Communication Date: 2026-06-26
Communication Type: Official Correspondence
Communication Contents: -From Tate Reeves, Governor: On behalf of the State of Mississippi, I write in response to your March 26, 2026, letter and report following the natural gas-fueled home explosions and fires that occurred in Jackson, Mississippi on January 24, 2024, and January 27, 2024. In your letter, the NTSB made the following recommendation to the State of Mississippi: Require the instillation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (Safety Recommendation P-25-5) Following receipt of your letter, my Office contacted the Mississippi State Board of Contractors and the State Fire Marshall's Office to discuss this recommendation. In Mississippi, building codes, permitting and code enforcement primarily are handled at the local level. Further, because of the decentralized nature of code promulgation, many localities in Mississippi do not have enforceable building codes. Thus, implementing this recommendation would be very difficult, and any attempt to implement it statewide would require legislative action. During the 2026 Legislative Session, House Bill 1091 was introduced to require the instillation of natural gas sensors in apartment buildings and hotel rooms and proposed to give the State Fire Marshall the authority to conduct inspections to ensure such sensors have been installed. This bill died in the House Insurance Committee.
Addressee Name: State of Minnesota
Addressee Status: Open - Initial Response Received
Addressee Acronym: MN
Addressee Organization Type: S-State Government
Communication Date: 2025-04-08
Communication Type: Transmittal Letter
Communication Contents: 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 accidents in other modes of transportation—railroad, highway, marine, and pipeline. We determine the probable cause of the accidents and issue safety recommendations aimed at preventing future accidents. In addition, we carry out special studies concerning transportation safety and coordinate the resources of the federal government and other organizations to assist victims and their family members affected by major transportation disasters. We are providing the following information to urge the State of Minnesota to act on the safety recommendation in this letter because we believe your organization can help reduce the risk of future accidents. For more information about the NTSB and our recommendation process, please see the attached one-page summary. This letter also includes information about our March 18, 2025, report, UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, NTSB/PIR-25/01. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. As a result of this investigation, we identified the following safety issues: • Degradation of a retired Aldyl A service tee that was accelerated by elevated ground temperatures from a corroded and cracked steam pipe nearby. • UGI Corporation’s insufficient consideration of pipeline integrity threats, particularly Aldyl A service tees with Delrin inserts at elevated temperatures. • Presence of unmarked and unreported private assets crossing public rights-of-way, excluding them from the Pennsylvania One Call System and increasing the risk of damage to them. • Delayed evacuation of Palmer’s Building 2 despite detection of natural gas by employees and others. • Natural gas safety messaging from pipeline operator public awareness programs that may not reach certain members of the public. • Insufficient guidance on natural gas emergency procedures. • Absence of natural gas alarms in commercial buildings. • Insufficient accessibility of gas distribution line valves. Accordingly, the NTSB makes the following safety recommendation to the State of Minnesota (additional information regarding this recommendation can be found in the noted section of the report): • Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) (See section 2.5.1.) The NTSB is vitally interested in this recommendation because it is designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter, detailing the actions you have taken or intend to take to implement this recommendation. When replying, please refer to the safety recommendation by number (Safety Recommendation P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply, including attachments, exceeds 20 megabytes, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. All communications regarding safety recommendations are stored by the NTSB and viewable by the public. Please do not send privileged or confidential communications in response to this recommendation. Responses marked as confidential or privileged (or similar designations) will be considered nonresponsive. In the likely event that your company uses auto generated and/or preformatted confidentiality statements on letterhead or outgoing e-mails, please include a statement in your letter indicating that the information can be publicly released. If you have concerns about this protocol, please contact us at ExecutiveSecretariat@ntsb.gov. The attached letter from the NTSB Chairman provides information about the March 18, 2025, report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. The NTSB is vitally interested in these recommendations because they are designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter detailing the actions you have taken or intend to take to implement these recommendations. When replying, please refer to the safety recommendation by number (for example, P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply exceeds 20 megabytes, including attachments, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. From the report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1: 2.5.1 Natural Gas Alarms Public awareness is an effective tool to encourage adoption of safety devices like natural gas alarms. The first edition of API RP 1162 requires that public awareness programs include safety messages about the awareness of hazards and prevention measures as well as leak recognition and response but does not specifically require these programs to disseminate safety messages about natural gas alarms. UGI’s public awareness materials distributed before the accident were consistent with federal regulations, and although the materials promoted the use of smoke and carbon monoxide alarms, they did not address natural gas alarms. Following the accident, UGI now includes safety messages encouraging the purchase of natural gas alarms in its public awareness materials. The NTSB concludes that installing natural gas alarms can alert people of a gas leak so they can evacuate the area; however, natural gas customers may not be aware of the necessity of such alarms. The NTSB believes that messages about the benefits of natural gas alarms are critically important and could save lives when natural gas alarms are installed. The NTSB further believes that the natural gas industry can help shape the effectiveness of public awareness program delivery methods so that people in businesses, schools, residences, and other places of congregation are better informed, both about natural gas hazards and the necessity of natural gas alarms. The American Gas Association, which represents natural gas pipeline operators throughout the US, can facilitate industry efforts to improve public awareness program delivery methods and to improve safety, most critically through increasing the installation of natural gas alarms. Therefore, the NTSB recommends that the American Gas Association share the details of the March 24, 2023, natural gas–fueled explosion and fire in West Reading, Pennsylvania, with its members, encouraging them to evaluate the effectiveness of their current delivery methods of public awareness programs and to promote the installation of natural gas alarms in businesses, residences, and other places of congregation that they serve. Evacuation should occur immediately upon detection of the presence of natural gas. In 1976, the NTSB made its first recommendation to require natural gas detection to provide early warning of leaks. Most recently, after a 2016 building explosion in Silver Spring, Maryland, and then again after the 2018 home explosion in Dallas, we made recommendations to the ICC and the NFPA to require natural gas alarms with methane detection in residences (NTSB 2019). We recommended the ICC wor
Addressee Acronym: MN
Addressee Organization Type: S-State Government
Communication Date: 2026-04-07
Communication Type: Recommendation Mention
Communication Contents: Pipeline Investigation Report PIR-26-02, “Enbridge Inc. Natural Gas–Fueled Home Explosion and Fatality, South Jordan, Utah, November 6, 2024” published on April 7, 2026: 2 Analysis On November 6, 2024, a natural gas–fueled home explosion fatally injured one resident and damaged nearby homes. A crack in the 4-inch-diameter Aldyl A gas main near the home allowed natural gas to leak and fuel the home explosion. The NTSB found that the crack originated on the inner surface of the pipe and aligned directly with an oblong impression on the outer surface. Investigators determined that a rock impingement likely caused the oblong impression on the outer surface of the pipe and the resulting crack. They also found that the crack growth features indicated that the crack breached the outer surface in a single abrupt event. As a result, the pipe rapidly transitioned from releasing no gas to releasing up to 48.7 scfm, as measured in the lab. Footnote: The actual leak rate may have been lower, given that the pipeline was buried in soil, which would constrain the pipe and provide back-pressure resistance to gas as it leaked from the pipe. Post-explosion, subsurface gas readings showed that the natural gas migrated about 150 feet from the leak location to the home. Although the exact timing of the leak could not be determined, the residents’ observations of physical symptoms, inability to relight the basement water heater, and an unusually high candle flame before the accident suggest that natural gas may have been present in the home for at least 3 days before the explosion. On November 6, the flammable natural gas–air mixture ignited in the southwest quadrant of the basement. The Utah Deputy State Fire Marshal identified two possible sources of the ignition: a water heater and a furnace. The water heater was turned off at the control point, so the only credible ignition source was the furnace. Footnote: The furnace control valve was found postaccident to have significant thermal damage, consistent with it being the ignition source. Before the accident, Enbridge had implemented safeguards to mitigate the consequences of leaks, including periodic leak surveys, timely response to odor complaints, and targeted replacement projects. However, none of these strategies proved effective for this scenario, because of the following issues related to the strategies: • Periodic leak surveys. Regulators require distribution leak surveys to be conducted every 5 years. Enbridge conducted its most recent leak survey on April 29, 2022—two years before the accident. However, in this accident, through-wall crack propagation occurred too rapidly, causing the leak to go undetected before the explosion. • Timely response to odor complaints. Regulators require odorization of natural gas in distribution systems to help alert the public to natural gas leaks. During interviews conducted by investigators, the NTSB determined that the local residents had not smelled natural gas odorant near the accident home, even though gas was determined to have permeated the ground in the area during postaccident surveys, indicating that the odorant had been stripped from the leaked natural gas that ultimately entered the home. Footnote: Field testing of the gas in the distribution system after the explosion found acceptable odorant concentrations. Although odorant can act as an early warning of a gas release to prevent an explosion and fire, it has been known to become depleted when traveling through soil, as it did in this accident. Previous NTSB investigations have identified occurrences of odorant depletion that allowed natural gas leaks to go undetected, resulting in explosions in Dallas, Texas, in 2018 and in Silver Spring, Maryland, in 2016. Footnote: NTSB. 2021. Atmos Energy Corporation Natural Gas–Fueled Explosion, Dallas, Texas, February 23, 2018. PAR-21/01. Washington, DC: NTSB. Footnote: NTSB. 2019. Building Explosion and Fire, Silver Spring, Maryland, August 10, 2016. PAR-19/01. Washington, DC: NTSB. • Targeted replacement projects. A 2014 California Public Utilities Commission study showed that the vintage of Aldyl A present in this accident, with stress concentrations from rock impingement, squeeze-off, bending, or deflection, were statistically predicted to fail between 22 and 235 years after installation. Footnote: California Public Utilities Commission 2014 Hazard Analysis and Mitigation Report On Aldyl A Polyethylene Gas Pipelines in California. Haine 2014. Because the estimated failure time is imprecise (a range of more than 200 years), and because some environmental conditions—such as the locations of rocks in the backfill material—are unknown, the Enbridge evaluation of the cracking threat to the 1976 vintage Aldyl A did not accurately characterize the risk of rock impingements and prevented Enbridge from identifying effective mitigative actions and targeted replacement projects. Even though Enbridge worked continuously to search for the leak after the explosion, it took them more than 21 hours to find and isolate the natural gas leak. During this time, the pipeline continued to leak natural gas into the ground, increasing the risk to nearby residents, first responders, and others operating in the area. When an underground natural gas pipeline leak occurs rapidly, it can be difficult to safeguard against. Natural gas alarms can provide an early warning of natural gas leaks inside nearby structures and can alert the building occupants to take immediate safety actions. Had in-home natural gas alarms been installed in the homes involved in this accident, they would have alerted the residents to a potential problem and prompted them to evacuate and call 911, reducing or eliminating the fatal consequences of the explosion. The NTSB has previously recommended requiring the installation of natural gas alarms in businesses, residences, and other buildings (Safety Recommendation P 25 05).
Addressee Acronym: MN
Addressee Organization Type: S-State Government
Communication Date: 2026-06-05
Communication Type: Recommendation Mention
Communication Contents: Atmos Energy Corporation Natural Gas–Fueled Home Explosion Pipeline Investigation Report PIR-26-03 published on June 5, 2026: Analysis The explosion and fire occurred after natural gas leaked from a fractured buried main, migrated through an uncapped underground sewer lateral, entered the accident home, and reached an explosive concentration near an unknown ignition source. The investigation did not identify issues with gas pressures in the area of the leak or the timeliness or efficacy of the local emergency response agencies. Postaccident bar-hole testing and excavations found only one source of natural gas: a leak in the gas main near a valve box on the eastern edge of the construction site. On-site examinations of the main found that it was fractured around most of its circumference with a thin strip of metal at the top (12 o’clock position) joining the southern section of pipe to the section still threaded into the valve body. This indicates tension—a stretching force—at the bottom of the pipe along its long axis. Tension along the bottom of the pipe is consistent with a bending stress created by an external downward force. Based on information provided to Atmos by the construction superintendent, a cement truck ran over a valve box at the leak’s location immediately before he heard and smelled natural gas being released. The investigation did not identify another plausible external force that could have damaged the main. The Materials Laboratory examination of the main found fracture characteristics typical of fast crack growth and no signs of significant corrosion or preexisting structural damage that could have contributed to the failure. The fracture was therefore consistent with a sudden application of force by the valve box to the main. Based on the fracture’s location, timing, and fast-cracking characteristics, the valve box transmitted part of the cement truck’s weight to the gas main, causing the main to fracture and leak. Examination of the gas main and valve box involved in this accident found coal tar coating the main and deposited on the bottom edge of the valve box. This indicates that the valve box was in contact with the main. The presence of coal tar alone does not indicate when the contact occurred, but the evidence is consistent with the valve box being installed in contact with the main and therefore able transmit the cement truck’s weight directly to the main near the fracture’s location. Federal regulations at 49 CFR 192.181(c)(3) require that valve boxes not be installed in a manner that transmits external loads to mains, and valve boxes are normally installed with a buffer of soil or other protection between the valve box and the assets immediately below. For example, Atmos’s newer valve boxes are installed with support and base pads to prevent load transmission. However, Atmos was not actively replacing cast iron valve boxes with this newer design. Further, the maintenance crew that removed and reinstalled the valve box about 2 months before the accident did not have a specific standard to follow for reinstalling cast iron valve boxes other than an expectation that the top of the valve box be level with the grade. The lack of a standard likely led to the common reinstallation of valve boxes in contact with mains, as described by an Atmos vice president of operations. If Atmos had adopted either a standard for safely installing cast iron valve boxes or a policy of replacing cast iron valve boxes with the newer design, the protective buffer of soil or support pad would have reduced the load transmitted to the pipe on the day of the accident. There is not enough evidence to determine whether a buffer or pad would have prevented the accident, but it would have made the infrastructure more resilient. Atmos has not reported making changes to its valve box installation practices. After the main fractured, gas propagated undetected through an uncapped underground sewer lateral into the sewer system and then into the accident home, where it reached an explosive concentration. The gas in the sewers remained undetected because Atmos personnel did not test the atmosphere in the sewers prior to the explosion. For about 35 minutes, most of the time between the initial leak and the explosion, there was only one Atmos employee on the scene: an experienced senior service technician. He was equipped with a CGI and checked nearby storm drains for the presence of gas, which was one step in Atmos’s subsurface leak investigation procedure. During his interview with the NTSB, he described planning to check the sewers, another required step, but said that he had already confirmed that there was no threat to life or property. His activities after checking the storm drains are also consistent with a belief that he had finished assessing the risk posed by the leak: he switched to the non-safety-critical work of recording billing information for the damage. The investigation did not find evidence of a natural gas alarm in the accident home, which did not have gas service but was still impacted by a leak from a gas main. It is likely that a natural gas alarm would have provided the home’s occupants with warning of accumulating natural gas and given them an opportunity to evacuate before the explosion. The NTSB has advocated wider installation and use of natural gas alarms for nearly 50 years, including following the investigation into a pair of 2024 home explosions in Jackson, Mississippi, that involved Atmos assets. As a result of that investigation, the NTSB reiterated a recommendation to the 50 states, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: See CAROL for the complete history and current status of this recommendation. The NTSB also recommended that Atmos “develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas” (P-26-10).11F Footnote: See CAROL for the complete history and current status of this recommendation.
Addressee Acronym: MN
Addressee Organization Type: S-State Government
Communication Date: 2026-03-26
Communication Type: Recommendation Reiteration
Communication Contents: From the Report, “Atmos Energy Corporation Natural Gas-Fueled Home Explosions and Fires Jackson, Mississippi, January 24, 2024, and January 27, 2024” published on March 26, 2026. Absence of Natural Gas Detection Alarms in Buildings The Bristol Boulevard accident home and the Shalimar Drive accident home did not have natural gas alarms installed. For nearly 50 years, the NTSB has been recommending natural gas alarms for the early detection of natural gas leaks. In the West Reading accident, several candy factory employees told the NTSB that they had smelled natural gas odorant and did not call 9 1 1 or the gas company but stayed in the building until the explosion occurred. Some of the employees inquired with their managers about what to do, and their managers were equally unaware of the actions to take during a suspected natural gas leak. In the two Jackson accidents, and in many of the pipeline accidents the NTSB has investigated for the last 5 decades, people smelled natural gas odorant and either did not know what actions to take, or they knew the actions necessary to address a potential natural gas emergency but did not execute them. Natural gas distribution pipeline operators must educate the public on pipeline safety through public awareness programs. It is also necessary, however, to have safeguards in place when members of the public (1) smell natural gas odorant and do not take the appropriate safety actions and (2) do not smell natural gas odorant, as was the case in the NTSB investigation of the Dallas accident, and therefore do not take appropriate safety actions. Footnote: The NTSB’s Dallas investigation determined that the occupants in the accident homes did not smell natural gas odorant because it was absorbed and depleted in the soil. Natural gas alarms are safeguards in protecting the public, which is why the NTSB has recommended their installation after many of our pipeline accident investigations. The NTSB found that natural gas alarms likely would have prevented or reduced the consequences of the Dallas and West Reading accidents, and the evidence in this investigation suggests the same. The Shalimar Drive accident home was empty at the time of that accident; however, when the explosion in the Bristol Boulevard accident home occurred, two people were inside. Therefore, the NTSB concludes that had a natural gas alarm been installed inside the Bristol Boulevard accident home, it could have alerted occupants that natural gas was present, prompting them to evacuate and report the leak, making Atmos aware that the leak had likely worsened and required corrective action. As a result of the West Reading investigation, the NTSB recommended that the 50 States, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: Safety Recommendation P-25-5 is currently classified Open—Await Response. As of this report, 7 states and the District of Columbia have provided an initial response; 43 states and the Commonwealth of Puerto Rico have not responded. Footnote: The seven states that have provided an initial response include Colorado, Connecticut, Kansas, Nevada, North Carolina, Virginia, and Wyoming. Mississippi, the state where the two Jackson accidents occurred, is one of the 43 states that have not provided an initial response. The NTSB investigation of the two Jackson accidents has again identified the critical importance of natural gas alarms to alert occupants to natural gas leaks. Therefore, the NTSB reiterates Safety Recommendation P 25-5 to 50 States, the Commonwealth of Puerto Rico, and the District of Columbia. As discussed in section 1.10.1.1, after the Avondale accident, Atmos reported that it provided the public with information, through its website, on the availability of natural gas alarms. However, Atmos can do more to safeguard the public in its distribution areas. The NTSB is aware of multiple natural gas distribution operators that have made natural gas alarms available to people in their service areas. Footnote: Visit http://www.ntsb.gov to find additional information in the public docket for this NTSB accident investigation (case number PLD24FR003). Therefore, the NTSB recommends that Atmos develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas.
Addressee Acronym: MN
Addressee Organization Type: S-State Government
Communication Date: 2026-06-10
Communication Type: Official Correspondence
Communication Contents: -From Jonathan C. Wolfgram, Director, Minnesota Department of Public Safety: I am responding to acknowledge the State of Minnesota receipt of the National Transportation Safety Board’s (NTSB) letter dated March 26, 2026, that was sent to Governor Tim Walz. The Minnesota Office of Pipeline Safety (OPS) has been tasked to coordinate a response to this important letter (Reference Safety Recommendation P-25-5). OPS serves as Minnesota’s safety regulatory agency to ensure that intrastate pipeline companies that engage in the transportation of natural gas follow applicable safety standards. The State of Minnesota is currently working to review the safety issues identified during the NTSB’s investigation of Jan. 24, 2024, Jan. 27, 2024, and March 12, 2026, natural gas-fueled explosions and fires. These safety issues will be reviewed by several state agencies. As requested in your letter, the State of Minnesota intends to take the following action: 1. The Minnesota Office of Pipeline Safety (OPS) will issue an Alert Notice that will be sent to all intrastate pipeline operators to communicate the findings and recommendations noted in the NTSB’s Pipeline Investigation Report PIR-26-01. 2. OPS will issue information requests for intrastate pipeline operators specific to the safety issues identified by the NTSB as a follow up to these events. 3. OPS will take steps to incorporate these safety issues into the scope of routine pipeline safety inspections and investigations. 4. Applicable state agencies will work with industry stakeholders to research the use of natural gas alarms in Minnesota residences, businesses and other buildings where people congregate. The State of Minnesota appreciates the work carried out by the NTSB to investigate transportation-related incidents and provide recommendations aimed to increase safety across all modes. Please feel free to contact me should you have additional questions.
Addressee Name: Commonwealth of Kentucky
Addressee Status: Open - Initial Response Received
Addressee Acronym: KY
Addressee Organization Type: S-State Government
Communication Date: 2025-04-08
Communication Type: Transmittal Letter
Communication Contents: 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 accidents in other modes of transportation—railroad, highway, marine, and pipeline. We determine the probable cause of the accidents and issue safety recommendations aimed at preventing future accidents. In addition, we carry out special studies concerning transportation safety and coordinate the resources of the federal government and other organizations to assist victims and their family members affected by major transportation disasters. We are providing the following information to urge the Commonwealth of Kentucky to act on the safety recommendation in this letter because we believe your organization can help reduce the risk of future accidents. For more information about the NTSB and our recommendation process, please see the attached one-page summary. This letter also includes information about our March 18, 2025, report, UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, NTSB/PIR-25/01. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. As a result of this investigation, we identified the following safety issues: • Degradation of a retired Aldyl A service tee that was accelerated by elevated ground temperatures from a corroded and cracked steam pipe nearby. • UGI Corporation’s insufficient consideration of pipeline integrity threats, particularly Aldyl A service tees with Delrin inserts at elevated temperatures. • Presence of unmarked and unreported private assets crossing public rights-of-way, excluding them from the Pennsylvania One Call System and increasing the risk of damage to them. • Delayed evacuation of Palmer’s Building 2 despite detection of natural gas by employees and others. • Natural gas safety messaging from pipeline operator public awareness programs that may not reach certain members of the public. • Insufficient guidance on natural gas emergency procedures. • Absence of natural gas alarms in commercial buildings. • Insufficient accessibility of gas distribution line valves. Accordingly, the NTSB makes the following safety recommendation to the Commonwealth of Kentucky (additional information regarding this recommendation can be found in the noted section of the report): • Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) (See section 2.5.1.) The NTSB is vitally interested in this recommendation because it is designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter, detailing the actions you have taken or intend to take to implement this recommendation. When replying, please refer to the safety recommendation by number (Safety Recommendation P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply, including attachments, exceeds 20 megabytes, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. All communications regarding safety recommendations are stored by the NTSB and viewable by the public. Please do not send privileged or confidential communications in response to this recommendation. Responses marked as confidential or privileged (or similar designations) will be considered nonresponsive. In the likely event that your company uses auto generated and/or preformatted confidentiality statements on letterhead or outgoing e-mails, please include a statement in your letter indicating that the information can be publicly released. If you have concerns about this protocol, please contact us at ExecutiveSecretariat@ntsb.gov. The attached letter from the NTSB Chairman provides information about the March 18, 2025, report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. The NTSB is vitally interested in these recommendations because they are designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter detailing the actions you have taken or intend to take to implement these recommendations. When replying, please refer to the safety recommendation by number (for example, P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply exceeds 20 megabytes, including attachments, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. From the report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1: 2.5.1 Natural Gas Alarms Public awareness is an effective tool to encourage adoption of safety devices like natural gas alarms. The first edition of API RP 1162 requires that public awareness programs include safety messages about the awareness of hazards and prevention measures as well as leak recognition and response but does not specifically require these programs to disseminate safety messages about natural gas alarms. UGI’s public awareness materials distributed before the accident were consistent with federal regulations, and although the materials promoted the use of smoke and carbon monoxide alarms, they did not address natural gas alarms. Following the accident, UGI now includes safety messages encouraging the purchase of natural gas alarms in its public awareness materials. The NTSB concludes that installing natural gas alarms can alert people of a gas leak so they can evacuate the area; however, natural gas customers may not be aware of the necessity of such alarms. The NTSB believes that messages about the benefits of natural gas alarms are critically important and could save lives when natural gas alarms are installed. The NTSB further believes that the natural gas industry can help shape the effectiveness of public awareness program delivery methods so that people in businesses, schools, residences, and other places of congregation are better informed, both about natural gas hazards and the necessity of natural gas alarms. The American Gas Association, which represents natural gas pipeline operators throughout the US, can facilitate industry efforts to improve public awareness program delivery methods and to improve safety, most critically through increasing the installation of natural gas alarms. Therefore, the NTSB recommends that the American Gas Association share the details of the March 24, 2023, natural gas–fueled explosion and fire in West Reading, Pennsylvania, with its members, encouraging them to evaluate the effectiveness of their current delivery methods of public awareness programs and to promote the installation of natural gas alarms in businesses, residences, and other places of congregation that they serve. Evacuation should occur immediately upon detection of the presence of natural gas. In 1976, the NTSB made its first recommendation to require natural gas detection to provide early warning of leaks. Most recently, after a 2016 building explosion in Silver Spring, Maryland, and then again after the 2018 home explosion in Dallas, we made recommendations to the ICC and the NFPA to require natural gas alarms with methane detection in residences (NTSB 2019). We recommended
Addressee Acronym: KY
Addressee Organization Type: S-State Government
Communication Date: 2026-04-07
Communication Type: Recommendation Mention
Communication Contents: Pipeline Investigation Report PIR-26-02, “Enbridge Inc. Natural Gas–Fueled Home Explosion and Fatality, South Jordan, Utah, November 6, 2024” published on April 7, 2026: 2 Analysis On November 6, 2024, a natural gas–fueled home explosion fatally injured one resident and damaged nearby homes. A crack in the 4-inch-diameter Aldyl A gas main near the home allowed natural gas to leak and fuel the home explosion. The NTSB found that the crack originated on the inner surface of the pipe and aligned directly with an oblong impression on the outer surface. Investigators determined that a rock impingement likely caused the oblong impression on the outer surface of the pipe and the resulting crack. They also found that the crack growth features indicated that the crack breached the outer surface in a single abrupt event. As a result, the pipe rapidly transitioned from releasing no gas to releasing up to 48.7 scfm, as measured in the lab. Footnote: The actual leak rate may have been lower, given that the pipeline was buried in soil, which would constrain the pipe and provide back-pressure resistance to gas as it leaked from the pipe. Post-explosion, subsurface gas readings showed that the natural gas migrated about 150 feet from the leak location to the home. Although the exact timing of the leak could not be determined, the residents’ observations of physical symptoms, inability to relight the basement water heater, and an unusually high candle flame before the accident suggest that natural gas may have been present in the home for at least 3 days before the explosion. On November 6, the flammable natural gas–air mixture ignited in the southwest quadrant of the basement. The Utah Deputy State Fire Marshal identified two possible sources of the ignition: a water heater and a furnace. The water heater was turned off at the control point, so the only credible ignition source was the furnace. Footnote: The furnace control valve was found postaccident to have significant thermal damage, consistent with it being the ignition source. Before the accident, Enbridge had implemented safeguards to mitigate the consequences of leaks, including periodic leak surveys, timely response to odor complaints, and targeted replacement projects. However, none of these strategies proved effective for this scenario, because of the following issues related to the strategies: • Periodic leak surveys. Regulators require distribution leak surveys to be conducted every 5 years. Enbridge conducted its most recent leak survey on April 29, 2022—two years before the accident. However, in this accident, through-wall crack propagation occurred too rapidly, causing the leak to go undetected before the explosion. • Timely response to odor complaints. Regulators require odorization of natural gas in distribution systems to help alert the public to natural gas leaks. During interviews conducted by investigators, the NTSB determined that the local residents had not smelled natural gas odorant near the accident home, even though gas was determined to have permeated the ground in the area during postaccident surveys, indicating that the odorant had been stripped from the leaked natural gas that ultimately entered the home. Footnote: Field testing of the gas in the distribution system after the explosion found acceptable odorant concentrations. Although odorant can act as an early warning of a gas release to prevent an explosion and fire, it has been known to become depleted when traveling through soil, as it did in this accident. Previous NTSB investigations have identified occurrences of odorant depletion that allowed natural gas leaks to go undetected, resulting in explosions in Dallas, Texas, in 2018 and in Silver Spring, Maryland, in 2016. Footnote: NTSB. 2021. Atmos Energy Corporation Natural Gas–Fueled Explosion, Dallas, Texas, February 23, 2018. PAR-21/01. Washington, DC: NTSB. Footnote: NTSB. 2019. Building Explosion and Fire, Silver Spring, Maryland, August 10, 2016. PAR-19/01. Washington, DC: NTSB. • Targeted replacement projects. A 2014 California Public Utilities Commission study showed that the vintage of Aldyl A present in this accident, with stress concentrations from rock impingement, squeeze-off, bending, or deflection, were statistically predicted to fail between 22 and 235 years after installation. Footnote: California Public Utilities Commission 2014 Hazard Analysis and Mitigation Report On Aldyl A Polyethylene Gas Pipelines in California. Haine 2014. Because the estimated failure time is imprecise (a range of more than 200 years), and because some environmental conditions—such as the locations of rocks in the backfill material—are unknown, the Enbridge evaluation of the cracking threat to the 1976 vintage Aldyl A did not accurately characterize the risk of rock impingements and prevented Enbridge from identifying effective mitigative actions and targeted replacement projects. Even though Enbridge worked continuously to search for the leak after the explosion, it took them more than 21 hours to find and isolate the natural gas leak. During this time, the pipeline continued to leak natural gas into the ground, increasing the risk to nearby residents, first responders, and others operating in the area. When an underground natural gas pipeline leak occurs rapidly, it can be difficult to safeguard against. Natural gas alarms can provide an early warning of natural gas leaks inside nearby structures and can alert the building occupants to take immediate safety actions. Had in-home natural gas alarms been installed in the homes involved in this accident, they would have alerted the residents to a potential problem and prompted them to evacuate and call 911, reducing or eliminating the fatal consequences of the explosion. The NTSB has previously recommended requiring the installation of natural gas alarms in businesses, residences, and other buildings (Safety Recommendation P 25 05).
Addressee Acronym: KY
Addressee Organization Type: S-State Government
Communication Date: 2026-06-05
Communication Type: Recommendation Mention
Communication Contents: Atmos Energy Corporation Natural Gas–Fueled Home Explosion Pipeline Investigation Report PIR-26-03 published on June 5, 2026: Analysis The explosion and fire occurred after natural gas leaked from a fractured buried main, migrated through an uncapped underground sewer lateral, entered the accident home, and reached an explosive concentration near an unknown ignition source. The investigation did not identify issues with gas pressures in the area of the leak or the timeliness or efficacy of the local emergency response agencies. Postaccident bar-hole testing and excavations found only one source of natural gas: a leak in the gas main near a valve box on the eastern edge of the construction site. On-site examinations of the main found that it was fractured around most of its circumference with a thin strip of metal at the top (12 o’clock position) joining the southern section of pipe to the section still threaded into the valve body. This indicates tension—a stretching force—at the bottom of the pipe along its long axis. Tension along the bottom of the pipe is consistent with a bending stress created by an external downward force. Based on information provided to Atmos by the construction superintendent, a cement truck ran over a valve box at the leak’s location immediately before he heard and smelled natural gas being released. The investigation did not identify another plausible external force that could have damaged the main. The Materials Laboratory examination of the main found fracture characteristics typical of fast crack growth and no signs of significant corrosion or preexisting structural damage that could have contributed to the failure. The fracture was therefore consistent with a sudden application of force by the valve box to the main. Based on the fracture’s location, timing, and fast-cracking characteristics, the valve box transmitted part of the cement truck’s weight to the gas main, causing the main to fracture and leak. Examination of the gas main and valve box involved in this accident found coal tar coating the main and deposited on the bottom edge of the valve box. This indicates that the valve box was in contact with the main. The presence of coal tar alone does not indicate when the contact occurred, but the evidence is consistent with the valve box being installed in contact with the main and therefore able transmit the cement truck’s weight directly to the main near the fracture’s location. Federal regulations at 49 CFR 192.181(c)(3) require that valve boxes not be installed in a manner that transmits external loads to mains, and valve boxes are normally installed with a buffer of soil or other protection between the valve box and the assets immediately below. For example, Atmos’s newer valve boxes are installed with support and base pads to prevent load transmission. However, Atmos was not actively replacing cast iron valve boxes with this newer design. Further, the maintenance crew that removed and reinstalled the valve box about 2 months before the accident did not have a specific standard to follow for reinstalling cast iron valve boxes other than an expectation that the top of the valve box be level with the grade. The lack of a standard likely led to the common reinstallation of valve boxes in contact with mains, as described by an Atmos vice president of operations. If Atmos had adopted either a standard for safely installing cast iron valve boxes or a policy of replacing cast iron valve boxes with the newer design, the protective buffer of soil or support pad would have reduced the load transmitted to the pipe on the day of the accident. There is not enough evidence to determine whether a buffer or pad would have prevented the accident, but it would have made the infrastructure more resilient. Atmos has not reported making changes to its valve box installation practices. After the main fractured, gas propagated undetected through an uncapped underground sewer lateral into the sewer system and then into the accident home, where it reached an explosive concentration. The gas in the sewers remained undetected because Atmos personnel did not test the atmosphere in the sewers prior to the explosion. For about 35 minutes, most of the time between the initial leak and the explosion, there was only one Atmos employee on the scene: an experienced senior service technician. He was equipped with a CGI and checked nearby storm drains for the presence of gas, which was one step in Atmos’s subsurface leak investigation procedure. During his interview with the NTSB, he described planning to check the sewers, another required step, but said that he had already confirmed that there was no threat to life or property. His activities after checking the storm drains are also consistent with a belief that he had finished assessing the risk posed by the leak: he switched to the non-safety-critical work of recording billing information for the damage. The investigation did not find evidence of a natural gas alarm in the accident home, which did not have gas service but was still impacted by a leak from a gas main. It is likely that a natural gas alarm would have provided the home’s occupants with warning of accumulating natural gas and given them an opportunity to evacuate before the explosion. The NTSB has advocated wider installation and use of natural gas alarms for nearly 50 years, including following the investigation into a pair of 2024 home explosions in Jackson, Mississippi, that involved Atmos assets. As a result of that investigation, the NTSB reiterated a recommendation to the 50 states, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: See CAROL for the complete history and current status of this recommendation. The NTSB also recommended that Atmos “develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas” (P-26-10).11F Footnote: See CAROL for the complete history and current status of this recommendation.
Addressee Acronym: KY
Addressee Organization Type: S-State Government
Communication Date: 2026-03-26
Communication Type: Recommendation Reiteration
Communication Contents: From the Report, “Atmos Energy Corporation Natural Gas-Fueled Home Explosions and Fires Jackson, Mississippi, January 24, 2024, and January 27, 2024” published on March 26, 2026. Absence of Natural Gas Detection Alarms in Buildings The Bristol Boulevard accident home and the Shalimar Drive accident home did not have natural gas alarms installed. For nearly 50 years, the NTSB has been recommending natural gas alarms for the early detection of natural gas leaks. In the West Reading accident, several candy factory employees told the NTSB that they had smelled natural gas odorant and did not call 9 1 1 or the gas company but stayed in the building until the explosion occurred. Some of the employees inquired with their managers about what to do, and their managers were equally unaware of the actions to take during a suspected natural gas leak. In the two Jackson accidents, and in many of the pipeline accidents the NTSB has investigated for the last 5 decades, people smelled natural gas odorant and either did not know what actions to take, or they knew the actions necessary to address a potential natural gas emergency but did not execute them. Natural gas distribution pipeline operators must educate the public on pipeline safety through public awareness programs. It is also necessary, however, to have safeguards in place when members of the public (1) smell natural gas odorant and do not take the appropriate safety actions and (2) do not smell natural gas odorant, as was the case in the NTSB investigation of the Dallas accident, and therefore do not take appropriate safety actions. Footnote: The NTSB’s Dallas investigation determined that the occupants in the accident homes did not smell natural gas odorant because it was absorbed and depleted in the soil. Natural gas alarms are safeguards in protecting the public, which is why the NTSB has recommended their installation after many of our pipeline accident investigations. The NTSB found that natural gas alarms likely would have prevented or reduced the consequences of the Dallas and West Reading accidents, and the evidence in this investigation suggests the same. The Shalimar Drive accident home was empty at the time of that accident; however, when the explosion in the Bristol Boulevard accident home occurred, two people were inside. Therefore, the NTSB concludes that had a natural gas alarm been installed inside the Bristol Boulevard accident home, it could have alerted occupants that natural gas was present, prompting them to evacuate and report the leak, making Atmos aware that the leak had likely worsened and required corrective action. As a result of the West Reading investigation, the NTSB recommended that the 50 States, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: Safety Recommendation P-25-5 is currently classified Open—Await Response. As of this report, 7 states and the District of Columbia have provided an initial response; 43 states and the Commonwealth of Puerto Rico have not responded. Footnote: The seven states that have provided an initial response include Colorado, Connecticut, Kansas, Nevada, North Carolina, Virginia, and Wyoming. Mississippi, the state where the two Jackson accidents occurred, is one of the 43 states that have not provided an initial response. The NTSB investigation of the two Jackson accidents has again identified the critical importance of natural gas alarms to alert occupants to natural gas leaks. Therefore, the NTSB reiterates Safety Recommendation P 25-5 to 50 States, the Commonwealth of Puerto Rico, and the District of Columbia. As discussed in section 1.10.1.1, after the Avondale accident, Atmos reported that it provided the public with information, through its website, on the availability of natural gas alarms. However, Atmos can do more to safeguard the public in its distribution areas. The NTSB is aware of multiple natural gas distribution operators that have made natural gas alarms available to people in their service areas. Footnote: Visit http://www.ntsb.gov to find additional information in the public docket for this NTSB accident investigation (case number PLD24FR003). Therefore, the NTSB recommends that Atmos develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas.
Addressee Acronym: KY
Addressee Organization Type: S-State Government
Communication Date: 2026-04-20
Communication Type: Official Correspondence
Communication Contents: -From Angie Hatton, Chair, Kentucky Public Service Commission: The Commonwealth of Kentucky, including the Governor’s Office and the Kentucky Public Service Commission (PSC), acknowledges receipt of the recent correspondence from the National Transportation Safety Board (NTSB) regarding Safety Recommendation P-25-5 and the findings associated with the January 2024 natural gas incidents in Jackson, Mississippi. The PSC recognizes the critical role of the NTSB in advancing transportation safety through independent investigations and evidence-based recommendations. The safety issues identified in the referenced report, including leak management practices, public awareness effectiveness, integrity management, and the use of natural gas detection alarms, are consistent with core elements of pipeline safety oversight and public protection. The PSC is committed to ensuring that natural gas operators under its jurisdiction comply with all applicable federal and state safety regulations, including requirements under 49 CFR Part 192 related to leak management, public awareness, and distribution integrity management programs. Additionally, the PSC continues to evaluate emerging safety considerations and national recommendations to determine their applicability within the Commonwealth. With respect to Safety Recommendation P-25-5, the Commonwealth will review the recommendation concerning the installation of natural gas detection alarms in coordination with relevant state agencies, stakeholders, and industry partners. This review will include consideration of existing regulatory frameworks, potential legislative actions, and alignment with standards, such as those established by the National Fire Protection Association (NFPA 715). The PSC notes that it does not have jurisdiction over the installation requirements of natural gas detection alarms within buildings. Accordingly, the report and associated safety recommendations have been forwarded to the Kentucky State Fire Marshal’s Office, Kentucky Housing authorities, and Kentucky Emergency Management for their review and consideration within their respective areas of authority. In addition, the PSC will disseminate relevant information from the NTSB report and associated safety recommendations to all natural gas operators within the Commonwealth, as well as to appropriate state and local agencies, to promote awareness and encourage proactive safety measures. The PSC and the Governor’s Office remain committed to promoting public safety, reducing risk, and supporting continuous improvement in pipeline safety programs.
Addressee Name: State of Kansas
Addressee Status: Open - Initial Response Received
Addressee Acronym: KS
Addressee Organization Type: S-State Government
Communication Date: 2025-04-08
Communication Type: Transmittal Letter
Communication Contents: 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 accidents in other modes of transportation—railroad, highway, marine, and pipeline. We determine the probable cause of the accidents and issue safety recommendations aimed at preventing future accidents. In addition, we carry out special studies concerning transportation safety and coordinate the resources of the federal government and other organizations to assist victims and their family members affected by major transportation disasters. We are providing the following information to urge the State of Kansas to act on the safety recommendation in this letter because we believe your organization can help reduce the risk of future accidents. For more information about the NTSB and our recommendation process, please see the attached one-page summary. This letter also includes information about our March 18, 2025, report, UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, NTSB/PIR-25/01. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. As a result of this investigation, we identified the following safety issues: • Degradation of a retired Aldyl A service tee that was accelerated by elevated ground temperatures from a corroded and cracked steam pipe nearby. • UGI Corporation’s insufficient consideration of pipeline integrity threats, particularly Aldyl A service tees with Delrin inserts at elevated temperatures. • Presence of unmarked and unreported private assets crossing public rights-of-way, excluding them from the Pennsylvania One Call System and increasing the risk of damage to them. • Delayed evacuation of Palmer’s Building 2 despite detection of natural gas by employees and others. • Natural gas safety messaging from pipeline operator public awareness programs that may not reach certain members of the public. • Insufficient guidance on natural gas emergency procedures. • Absence of natural gas alarms in commercial buildings. • Insufficient accessibility of gas distribution line valves. Accordingly, the NTSB makes the following safety recommendation to the State of Kansas (additional information regarding this recommendation can be found in the noted section of the report): • Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) (See section 2.5.1.) The NTSB is vitally interested in this recommendation because it is designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter, detailing the actions you have taken or intend to take to implement this recommendation. When replying, please refer to the safety recommendation by number (Safety Recommendation P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply, including attachments, exceeds 20 megabytes, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. All communications regarding safety recommendations are stored by the NTSB and viewable by the public. Please do not send privileged or confidential communications in response to this recommendation. Responses marked as confidential or privileged (or similar designations) will be considered nonresponsive. In the likely event that your company uses auto generated and/or preformatted confidentiality statements on letterhead or outgoing e-mails, please include a statement in your letter indicating that the information can be publicly released. If you have concerns about this protocol, please contact us at ExecutiveSecretariat@ntsb.gov. The attached letter from the NTSB Chairman provides information about the March 18, 2025, report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. The NTSB is vitally interested in these recommendations because they are designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter detailing the actions you have taken or intend to take to implement these recommendations. When replying, please refer to the safety recommendation by number (for example, P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply exceeds 20 megabytes, including attachments, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. From the report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1: 2.5.1 Natural Gas Alarms Public awareness is an effective tool to encourage adoption of safety devices like natural gas alarms. The first edition of API RP 1162 requires that public awareness programs include safety messages about the awareness of hazards and prevention measures as well as leak recognition and response but does not specifically require these programs to disseminate safety messages about natural gas alarms. UGI’s public awareness materials distributed before the accident were consistent with federal regulations, and although the materials promoted the use of smoke and carbon monoxide alarms, they did not address natural gas alarms. Following the accident, UGI now includes safety messages encouraging the purchase of natural gas alarms in its public awareness materials. The NTSB concludes that installing natural gas alarms can alert people of a gas leak so they can evacuate the area; however, natural gas customers may not be aware of the necessity of such alarms. The NTSB believes that messages about the benefits of natural gas alarms are critically important and could save lives when natural gas alarms are installed. The NTSB further believes that the natural gas industry can help shape the effectiveness of public awareness program delivery methods so that people in businesses, schools, residences, and other places of congregation are better informed, both about natural gas hazards and the necessity of natural gas alarms. The American Gas Association, which represents natural gas pipeline operators throughout the US, can facilitate industry efforts to improve public awareness program delivery methods and to improve safety, most critically through increasing the installation of natural gas alarms. Therefore, the NTSB recommends that the American Gas Association share the details of the March 24, 2023, natural gas–fueled explosion and fire in West Reading, Pennsylvania, with its members, encouraging them to evaluate the effectiveness of their current delivery methods of public awareness programs and to promote the installation of natural gas alarms in businesses, residences, and other places of congregation that they serve. Evacuation should occur immediately upon detection of the presence of natural gas. In 1976, the NTSB made its first recommendation to require natural gas detection to provide early warning of leaks. Most recently, after a 2016 building explosion in Silver Spring, Maryland, and then again after the 2018 home explosion in Dallas, we made recommendations to the ICC and the NFPA to require natural gas alarms with methane detection in residences (NTSB 2019). We recommended the ICC work with
Addressee Acronym: KS
Addressee Organization Type: S-State Government
Communication Date: 2026-04-07
Communication Type: Recommendation Mention
Communication Contents: Pipeline Investigation Report PIR-26-02, “Enbridge Inc. Natural Gas–Fueled Home Explosion and Fatality, South Jordan, Utah, November 6, 2024” published on April 7, 2026: 2 Analysis On November 6, 2024, a natural gas–fueled home explosion fatally injured one resident and damaged nearby homes. A crack in the 4-inch-diameter Aldyl A gas main near the home allowed natural gas to leak and fuel the home explosion. The NTSB found that the crack originated on the inner surface of the pipe and aligned directly with an oblong impression on the outer surface. Investigators determined that a rock impingement likely caused the oblong impression on the outer surface of the pipe and the resulting crack. They also found that the crack growth features indicated that the crack breached the outer surface in a single abrupt event. As a result, the pipe rapidly transitioned from releasing no gas to releasing up to 48.7 scfm, as measured in the lab. Footnote: The actual leak rate may have been lower, given that the pipeline was buried in soil, which would constrain the pipe and provide back-pressure resistance to gas as it leaked from the pipe. Post-explosion, subsurface gas readings showed that the natural gas migrated about 150 feet from the leak location to the home. Although the exact timing of the leak could not be determined, the residents’ observations of physical symptoms, inability to relight the basement water heater, and an unusually high candle flame before the accident suggest that natural gas may have been present in the home for at least 3 days before the explosion. On November 6, the flammable natural gas–air mixture ignited in the southwest quadrant of the basement. The Utah Deputy State Fire Marshal identified two possible sources of the ignition: a water heater and a furnace. The water heater was turned off at the control point, so the only credible ignition source was the furnace. Footnote: The furnace control valve was found postaccident to have significant thermal damage, consistent with it being the ignition source. Before the accident, Enbridge had implemented safeguards to mitigate the consequences of leaks, including periodic leak surveys, timely response to odor complaints, and targeted replacement projects. However, none of these strategies proved effective for this scenario, because of the following issues related to the strategies: • Periodic leak surveys. Regulators require distribution leak surveys to be conducted every 5 years. Enbridge conducted its most recent leak survey on April 29, 2022—two years before the accident. However, in this accident, through-wall crack propagation occurred too rapidly, causing the leak to go undetected before the explosion. • Timely response to odor complaints. Regulators require odorization of natural gas in distribution systems to help alert the public to natural gas leaks. During interviews conducted by investigators, the NTSB determined that the local residents had not smelled natural gas odorant near the accident home, even though gas was determined to have permeated the ground in the area during postaccident surveys, indicating that the odorant had been stripped from the leaked natural gas that ultimately entered the home. Footnote: Field testing of the gas in the distribution system after the explosion found acceptable odorant concentrations. Although odorant can act as an early warning of a gas release to prevent an explosion and fire, it has been known to become depleted when traveling through soil, as it did in this accident. Previous NTSB investigations have identified occurrences of odorant depletion that allowed natural gas leaks to go undetected, resulting in explosions in Dallas, Texas, in 2018 and in Silver Spring, Maryland, in 2016. Footnote: NTSB. 2021. Atmos Energy Corporation Natural Gas–Fueled Explosion, Dallas, Texas, February 23, 2018. PAR-21/01. Washington, DC: NTSB. Footnote: NTSB. 2019. Building Explosion and Fire, Silver Spring, Maryland, August 10, 2016. PAR-19/01. Washington, DC: NTSB. • Targeted replacement projects. A 2014 California Public Utilities Commission study showed that the vintage of Aldyl A present in this accident, with stress concentrations from rock impingement, squeeze-off, bending, or deflection, were statistically predicted to fail between 22 and 235 years after installation. Footnote: California Public Utilities Commission 2014 Hazard Analysis and Mitigation Report On Aldyl A Polyethylene Gas Pipelines in California. Haine 2014. Because the estimated failure time is imprecise (a range of more than 200 years), and because some environmental conditions—such as the locations of rocks in the backfill material—are unknown, the Enbridge evaluation of the cracking threat to the 1976 vintage Aldyl A did not accurately characterize the risk of rock impingements and prevented Enbridge from identifying effective mitigative actions and targeted replacement projects. Even though Enbridge worked continuously to search for the leak after the explosion, it took them more than 21 hours to find and isolate the natural gas leak. During this time, the pipeline continued to leak natural gas into the ground, increasing the risk to nearby residents, first responders, and others operating in the area. When an underground natural gas pipeline leak occurs rapidly, it can be difficult to safeguard against. Natural gas alarms can provide an early warning of natural gas leaks inside nearby structures and can alert the building occupants to take immediate safety actions. Had in-home natural gas alarms been installed in the homes involved in this accident, they would have alerted the residents to a potential problem and prompted them to evacuate and call 911, reducing or eliminating the fatal consequences of the explosion. The NTSB has previously recommended requiring the installation of natural gas alarms in businesses, residences, and other buildings (Safety Recommendation P 25 05).
Addressee Acronym: KS
Addressee Organization Type: S-State Government
Communication Date: 2026-06-05
Communication Type: Recommendation Mention
Communication Contents: Atmos Energy Corporation Natural Gas–Fueled Home Explosion Pipeline Investigation Report PIR-26-03 published on June 5, 2026: Analysis The explosion and fire occurred after natural gas leaked from a fractured buried main, migrated through an uncapped underground sewer lateral, entered the accident home, and reached an explosive concentration near an unknown ignition source. The investigation did not identify issues with gas pressures in the area of the leak or the timeliness or efficacy of the local emergency response agencies. Postaccident bar-hole testing and excavations found only one source of natural gas: a leak in the gas main near a valve box on the eastern edge of the construction site. On-site examinations of the main found that it was fractured around most of its circumference with a thin strip of metal at the top (12 o’clock position) joining the southern section of pipe to the section still threaded into the valve body. This indicates tension—a stretching force—at the bottom of the pipe along its long axis. Tension along the bottom of the pipe is consistent with a bending stress created by an external downward force. Based on information provided to Atmos by the construction superintendent, a cement truck ran over a valve box at the leak’s location immediately before he heard and smelled natural gas being released. The investigation did not identify another plausible external force that could have damaged the main. The Materials Laboratory examination of the main found fracture characteristics typical of fast crack growth and no signs of significant corrosion or preexisting structural damage that could have contributed to the failure. The fracture was therefore consistent with a sudden application of force by the valve box to the main. Based on the fracture’s location, timing, and fast-cracking characteristics, the valve box transmitted part of the cement truck’s weight to the gas main, causing the main to fracture and leak. Examination of the gas main and valve box involved in this accident found coal tar coating the main and deposited on the bottom edge of the valve box. This indicates that the valve box was in contact with the main. The presence of coal tar alone does not indicate when the contact occurred, but the evidence is consistent with the valve box being installed in contact with the main and therefore able transmit the cement truck’s weight directly to the main near the fracture’s location. Federal regulations at 49 CFR 192.181(c)(3) require that valve boxes not be installed in a manner that transmits external loads to mains, and valve boxes are normally installed with a buffer of soil or other protection between the valve box and the assets immediately below. For example, Atmos’s newer valve boxes are installed with support and base pads to prevent load transmission. However, Atmos was not actively replacing cast iron valve boxes with this newer design. Further, the maintenance crew that removed and reinstalled the valve box about 2 months before the accident did not have a specific standard to follow for reinstalling cast iron valve boxes other than an expectation that the top of the valve box be level with the grade. The lack of a standard likely led to the common reinstallation of valve boxes in contact with mains, as described by an Atmos vice president of operations. If Atmos had adopted either a standard for safely installing cast iron valve boxes or a policy of replacing cast iron valve boxes with the newer design, the protective buffer of soil or support pad would have reduced the load transmitted to the pipe on the day of the accident. There is not enough evidence to determine whether a buffer or pad would have prevented the accident, but it would have made the infrastructure more resilient. Atmos has not reported making changes to its valve box installation practices. After the main fractured, gas propagated undetected through an uncapped underground sewer lateral into the sewer system and then into the accident home, where it reached an explosive concentration. The gas in the sewers remained undetected because Atmos personnel did not test the atmosphere in the sewers prior to the explosion. For about 35 minutes, most of the time between the initial leak and the explosion, there was only one Atmos employee on the scene: an experienced senior service technician. He was equipped with a CGI and checked nearby storm drains for the presence of gas, which was one step in Atmos’s subsurface leak investigation procedure. During his interview with the NTSB, he described planning to check the sewers, another required step, but said that he had already confirmed that there was no threat to life or property. His activities after checking the storm drains are also consistent with a belief that he had finished assessing the risk posed by the leak: he switched to the non-safety-critical work of recording billing information for the damage. The investigation did not find evidence of a natural gas alarm in the accident home, which did not have gas service but was still impacted by a leak from a gas main. It is likely that a natural gas alarm would have provided the home’s occupants with warning of accumulating natural gas and given them an opportunity to evacuate before the explosion. The NTSB has advocated wider installation and use of natural gas alarms for nearly 50 years, including following the investigation into a pair of 2024 home explosions in Jackson, Mississippi, that involved Atmos assets. As a result of that investigation, the NTSB reiterated a recommendation to the 50 states, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: See CAROL for the complete history and current status of this recommendation. The NTSB also recommended that Atmos “develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas” (P-26-10).11F Footnote: See CAROL for the complete history and current status of this recommendation.
Addressee Acronym: KS
Addressee Organization Type: S-State Government
Communication Date: 2026-03-26
Communication Type: Recommendation Reiteration
Communication Contents: From the Report, “Atmos Energy Corporation Natural Gas-Fueled Home Explosions and Fires Jackson, Mississippi, January 24, 2024, and January 27, 2024” published on March 26, 2026. Absence of Natural Gas Detection Alarms in Buildings The Bristol Boulevard accident home and the Shalimar Drive accident home did not have natural gas alarms installed. For nearly 50 years, the NTSB has been recommending natural gas alarms for the early detection of natural gas leaks. In the West Reading accident, several candy factory employees told the NTSB that they had smelled natural gas odorant and did not call 9 1 1 or the gas company but stayed in the building until the explosion occurred. Some of the employees inquired with their managers about what to do, and their managers were equally unaware of the actions to take during a suspected natural gas leak. In the two Jackson accidents, and in many of the pipeline accidents the NTSB has investigated for the last 5 decades, people smelled natural gas odorant and either did not know what actions to take, or they knew the actions necessary to address a potential natural gas emergency but did not execute them. Natural gas distribution pipeline operators must educate the public on pipeline safety through public awareness programs. It is also necessary, however, to have safeguards in place when members of the public (1) smell natural gas odorant and do not take the appropriate safety actions and (2) do not smell natural gas odorant, as was the case in the NTSB investigation of the Dallas accident, and therefore do not take appropriate safety actions. Footnote: The NTSB’s Dallas investigation determined that the occupants in the accident homes did not smell natural gas odorant because it was absorbed and depleted in the soil. Natural gas alarms are safeguards in protecting the public, which is why the NTSB has recommended their installation after many of our pipeline accident investigations. The NTSB found that natural gas alarms likely would have prevented or reduced the consequences of the Dallas and West Reading accidents, and the evidence in this investigation suggests the same. The Shalimar Drive accident home was empty at the time of that accident; however, when the explosion in the Bristol Boulevard accident home occurred, two people were inside. Therefore, the NTSB concludes that had a natural gas alarm been installed inside the Bristol Boulevard accident home, it could have alerted occupants that natural gas was present, prompting them to evacuate and report the leak, making Atmos aware that the leak had likely worsened and required corrective action. As a result of the West Reading investigation, the NTSB recommended that the 50 States, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: Safety Recommendation P-25-5 is currently classified Open—Await Response. As of this report, 7 states and the District of Columbia have provided an initial response; 43 states and the Commonwealth of Puerto Rico have not responded. Footnote: The seven states that have provided an initial response include Colorado, Connecticut, Kansas, Nevada, North Carolina, Virginia, and Wyoming. Mississippi, the state where the two Jackson accidents occurred, is one of the 43 states that have not provided an initial response. The NTSB investigation of the two Jackson accidents has again identified the critical importance of natural gas alarms to alert occupants to natural gas leaks. Therefore, the NTSB reiterates Safety Recommendation P 25-5 to 50 States, the Commonwealth of Puerto Rico, and the District of Columbia. As discussed in section 1.10.1.1, after the Avondale accident, Atmos reported that it provided the public with information, through its website, on the availability of natural gas alarms. However, Atmos can do more to safeguard the public in its distribution areas. The NTSB is aware of multiple natural gas distribution operators that have made natural gas alarms available to people in their service areas. Footnote: Visit http://www.ntsb.gov to find additional information in the public docket for this NTSB accident investigation (case number PLD24FR003). Therefore, the NTSB recommends that Atmos develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas.
Addressee Acronym: KS
Addressee Organization Type: S-State Government
Communication Date: 2025-05-19
Communication Type: Official Correspondence
Communication Contents: -From Mark Engholm, State Fire Marshall, State of Kansas: Thank you for your letter dated April 8, 2025, regarding the safety recommendation resulting from the National Transportation Safety Board (NTSB) March 18, 2025, report “UGI Corporation National Gas-Fueled Explosion and Fire, West Reading, Pennsylvania” (PIR-25/01). The recommendation of the NTSB is that states should “require the installation of natural gas alarms that meet the specifications of NFPA 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak.” (Safety Recommendation P-25-5). The State of Kansas appreciates the NTSB’s role in advancing safety initiatives and is committed to ensuring the safety of our citizens. We acknowledge NTSB’s recommendation to require natural gas alarms within occupied buildings and intend to encourage their implementation in a manner consistent with our state’s authority and current law. In direct response to the recommendations, the State of Kansas provides the following information: • The State of Kansas has adopted a Fire Prevention Code, based on the 2006 version of the International Fire Code, which has uniform force and effect throughout the state. • The International Fire Code adopted by Kansas does not include any requirements for the installation of natural gas alarms meeting the specifications of NFPA 715 in businesses and other buildings where people congregate that could be affected by a natural gas leak. • Kansas law exempts all one and two-family dwellings from the requirements of the state fire code. • The State of Kansas would need to research, develop, and adopt a new code through our rules and regulation process, and with the concurrence of the legislature, to require installation of natural gas detectors. • The State of Kansas’ Pipeline Safety program for natural gas in intrastate transportation is certified by the Pipeline and Hazardous Materials Safety Administration (PHMSA) under U.S.C. 60105. Within the boundaries of our authority, we will encourage regulated natural gas operators to include information regarding natural gas alarms and their benefits within their public awareness program documents to the extent required by current law[1] and instructing Kansas natural gas distribution operators to consider installing natural gas alarms within areas of buildings which contain jurisdictional piping in efforts to reduce the risk associated with potential leaks on that piping. The State of Kansas appreciates the NTSB’s efforts to enhance infrastructure safety, and while we may not be able to immediately implement the recommendation without further study, we welcome continued collaboration on these critical issues. Should further clarification be required, please contact our office directly.
Addressee Name: State of Connecticut
Addressee Status: Open - Initial Response Received
Addressee Acronym: CT
Addressee Organization Type: S-State Government
Communication Date: 2025-04-08
Communication Type: Transmittal Letter
Communication Contents: 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 accidents in other modes of transportation—railroad, highway, marine, and pipeline. We determine the probable cause of the accidents and issue safety recommendations aimed at preventing future accidents. In addition, we carry out special studies concerning transportation safety and coordinate the resources of the federal government and other organizations to assist victims and their family members affected by major transportation disasters. We are providing the following information to urge the State of Connecticut to act on the safety recommendation in this letter because we believe your organization can help reduce the risk of future accidents. For more information about the NTSB and our recommendation process, please see the attached one-page summary. This letter also includes information about our March 18, 2025, report, UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, NTSB/PIR-25/01. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. As a result of this investigation, we identified the following safety issues: • Degradation of a retired Aldyl A service tee that was accelerated by elevated ground temperatures from a corroded and cracked steam pipe nearby. • UGI Corporation’s insufficient consideration of pipeline integrity threats, particularly Aldyl A service tees with Delrin inserts at elevated temperatures. • Presence of unmarked and unreported private assets crossing public rights-of-way, excluding them from the Pennsylvania One Call System and increasing the risk of damage to them. • Delayed evacuation of Palmer’s Building 2 despite detection of natural gas by employees and others. • Natural gas safety messaging from pipeline operator public awareness programs that may not reach certain members of the public. • Insufficient guidance on natural gas emergency procedures. • Absence of natural gas alarms in commercial buildings. • Insufficient accessibility of gas distribution line valves. Accordingly, the NTSB makes the following safety recommendation to the State of Connecticut (additional information regarding this recommendation can be found in the noted section of the report): • Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) (See section 2.5.1.) The NTSB is vitally interested in this recommendation because it is designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter, detailing the actions you have taken or intend to take to implement this recommendation. When replying, please refer to the safety recommendation by number (Safety Recommendation P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply, including attachments, exceeds 20 megabytes, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. All communications regarding safety recommendations are stored by the NTSB and viewable by the public. Please do not send privileged or confidential communications in response to this recommendation. Responses marked as confidential or privileged (or similar designations) will be considered nonresponsive. In the likely event that your company uses auto generated and/or preformatted confidentiality statements on letterhead or outgoing e-mails, please include a statement in your letter indicating that the information can be publicly released. If you have concerns about this protocol, please contact us at ExecutiveSecretariat@ntsb.gov. The attached letter from the NTSB Chairman provides information about the March 18, 2025, report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. The NTSB is vitally interested in these recommendations because they are designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter detailing the actions you have taken or intend to take to implement these recommendations. When replying, please refer to the safety recommendation by number (for example, P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply exceeds 20 megabytes, including attachments, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. From the report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1: 2.5.1 Natural Gas Alarms Public awareness is an effective tool to encourage adoption of safety devices like natural gas alarms. The first edition of API RP 1162 requires that public awareness programs include safety messages about the awareness of hazards and prevention measures as well as leak recognition and response but does not specifically require these programs to disseminate safety messages about natural gas alarms. UGI’s public awareness materials distributed before the accident were consistent with federal regulations, and although the materials promoted the use of smoke and carbon monoxide alarms, they did not address natural gas alarms. Following the accident, UGI now includes safety messages encouraging the purchase of natural gas alarms in its public awareness materials. The NTSB concludes that installing natural gas alarms can alert people of a gas leak so they can evacuate the area; however, natural gas customers may not be aware of the necessity of such alarms. The NTSB believes that messages about the benefits of natural gas alarms are critically important and could save lives when natural gas alarms are installed. The NTSB further believes that the natural gas industry can help shape the effectiveness of public awareness program delivery methods so that people in businesses, schools, residences, and other places of congregation are better informed, both about natural gas hazards and the necessity of natural gas alarms. The American Gas Association, which represents natural gas pipeline operators throughout the US, can facilitate industry efforts to improve public awareness program delivery methods and to improve safety, most critically through increasing the installation of natural gas alarms. Therefore, the NTSB recommends that the American Gas Association share the details of the March 24, 2023, natural gas–fueled explosion and fire in West Reading, Pennsylvania, with its members, encouraging them to evaluate the effectiveness of their current delivery methods of public awareness programs and to promote the installation of natural gas alarms in businesses, residences, and other places of congregation that they serve. Evacuation should occur immediately upon detection of the presence of natural gas. In 1976, the NTSB made its first recommendation to require natural gas detection to provide early warning of leaks. Most recently, after a 2016 building explosion in Silver Spring, Maryland, and then again after the 2018 home explosion in Dallas, we made recommendations to the ICC and the NFPA to require natural gas alarms with methane detection in residences (NTSB 2019). We recommended the ICC
Addressee Acronym: CT
Addressee Organization Type: S-State Government
Communication Date: 2026-04-07
Communication Type: Recommendation Mention
Communication Contents: Pipeline Investigation Report PIR-26-02, “Enbridge Inc. Natural Gas–Fueled Home Explosion and Fatality, South Jordan, Utah, November 6, 2024” published on April 7, 2026: 2 Analysis On November 6, 2024, a natural gas–fueled home explosion fatally injured one resident and damaged nearby homes. A crack in the 4-inch-diameter Aldyl A gas main near the home allowed natural gas to leak and fuel the home explosion. The NTSB found that the crack originated on the inner surface of the pipe and aligned directly with an oblong impression on the outer surface. Investigators determined that a rock impingement likely caused the oblong impression on the outer surface of the pipe and the resulting crack. They also found that the crack growth features indicated that the crack breached the outer surface in a single abrupt event. As a result, the pipe rapidly transitioned from releasing no gas to releasing up to 48.7 scfm, as measured in the lab. Footnote: The actual leak rate may have been lower, given that the pipeline was buried in soil, which would constrain the pipe and provide back-pressure resistance to gas as it leaked from the pipe. Post-explosion, subsurface gas readings showed that the natural gas migrated about 150 feet from the leak location to the home. Although the exact timing of the leak could not be determined, the residents’ observations of physical symptoms, inability to relight the basement water heater, and an unusually high candle flame before the accident suggest that natural gas may have been present in the home for at least 3 days before the explosion. On November 6, the flammable natural gas–air mixture ignited in the southwest quadrant of the basement. The Utah Deputy State Fire Marshal identified two possible sources of the ignition: a water heater and a furnace. The water heater was turned off at the control point, so the only credible ignition source was the furnace. Footnote: The furnace control valve was found postaccident to have significant thermal damage, consistent with it being the ignition source. Before the accident, Enbridge had implemented safeguards to mitigate the consequences of leaks, including periodic leak surveys, timely response to odor complaints, and targeted replacement projects. However, none of these strategies proved effective for this scenario, because of the following issues related to the strategies: • Periodic leak surveys. Regulators require distribution leak surveys to be conducted every 5 years. Enbridge conducted its most recent leak survey on April 29, 2022—two years before the accident. However, in this accident, through-wall crack propagation occurred too rapidly, causing the leak to go undetected before the explosion. • Timely response to odor complaints. Regulators require odorization of natural gas in distribution systems to help alert the public to natural gas leaks. During interviews conducted by investigators, the NTSB determined that the local residents had not smelled natural gas odorant near the accident home, even though gas was determined to have permeated the ground in the area during postaccident surveys, indicating that the odorant had been stripped from the leaked natural gas that ultimately entered the home. Footnote: Field testing of the gas in the distribution system after the explosion found acceptable odorant concentrations. Although odorant can act as an early warning of a gas release to prevent an explosion and fire, it has been known to become depleted when traveling through soil, as it did in this accident. Previous NTSB investigations have identified occurrences of odorant depletion that allowed natural gas leaks to go undetected, resulting in explosions in Dallas, Texas, in 2018 and in Silver Spring, Maryland, in 2016. Footnote: NTSB. 2021. Atmos Energy Corporation Natural Gas–Fueled Explosion, Dallas, Texas, February 23, 2018. PAR-21/01. Washington, DC: NTSB. Footnote: NTSB. 2019. Building Explosion and Fire, Silver Spring, Maryland, August 10, 2016. PAR-19/01. Washington, DC: NTSB. • Targeted replacement projects. A 2014 California Public Utilities Commission study showed that the vintage of Aldyl A present in this accident, with stress concentrations from rock impingement, squeeze-off, bending, or deflection, were statistically predicted to fail between 22 and 235 years after installation. Footnote: California Public Utilities Commission 2014 Hazard Analysis and Mitigation Report On Aldyl A Polyethylene Gas Pipelines in California. Haine 2014. Because the estimated failure time is imprecise (a range of more than 200 years), and because some environmental conditions—such as the locations of rocks in the backfill material—are unknown, the Enbridge evaluation of the cracking threat to the 1976 vintage Aldyl A did not accurately characterize the risk of rock impingements and prevented Enbridge from identifying effective mitigative actions and targeted replacement projects. Even though Enbridge worked continuously to search for the leak after the explosion, it took them more than 21 hours to find and isolate the natural gas leak. During this time, the pipeline continued to leak natural gas into the ground, increasing the risk to nearby residents, first responders, and others operating in the area. When an underground natural gas pipeline leak occurs rapidly, it can be difficult to safeguard against. Natural gas alarms can provide an early warning of natural gas leaks inside nearby structures and can alert the building occupants to take immediate safety actions. Had in-home natural gas alarms been installed in the homes involved in this accident, they would have alerted the residents to a potential problem and prompted them to evacuate and call 911, reducing or eliminating the fatal consequences of the explosion. The NTSB has previously recommended requiring the installation of natural gas alarms in businesses, residences, and other buildings (Safety Recommendation P 25 05).
Addressee Acronym: CT
Addressee Organization Type: S-State Government
Communication Date: 2026-06-05
Communication Type: Recommendation Mention
Communication Contents: Atmos Energy Corporation Natural Gas–Fueled Home Explosion Pipeline Investigation Report PIR-26-03 published on June 5, 2026: Analysis The explosion and fire occurred after natural gas leaked from a fractured buried main, migrated through an uncapped underground sewer lateral, entered the accident home, and reached an explosive concentration near an unknown ignition source. The investigation did not identify issues with gas pressures in the area of the leak or the timeliness or efficacy of the local emergency response agencies. Postaccident bar-hole testing and excavations found only one source of natural gas: a leak in the gas main near a valve box on the eastern edge of the construction site. On-site examinations of the main found that it was fractured around most of its circumference with a thin strip of metal at the top (12 o’clock position) joining the southern section of pipe to the section still threaded into the valve body. This indicates tension—a stretching force—at the bottom of the pipe along its long axis. Tension along the bottom of the pipe is consistent with a bending stress created by an external downward force. Based on information provided to Atmos by the construction superintendent, a cement truck ran over a valve box at the leak’s location immediately before he heard and smelled natural gas being released. The investigation did not identify another plausible external force that could have damaged the main. The Materials Laboratory examination of the main found fracture characteristics typical of fast crack growth and no signs of significant corrosion or preexisting structural damage that could have contributed to the failure. The fracture was therefore consistent with a sudden application of force by the valve box to the main. Based on the fracture’s location, timing, and fast-cracking characteristics, the valve box transmitted part of the cement truck’s weight to the gas main, causing the main to fracture and leak. Examination of the gas main and valve box involved in this accident found coal tar coating the main and deposited on the bottom edge of the valve box. This indicates that the valve box was in contact with the main. The presence of coal tar alone does not indicate when the contact occurred, but the evidence is consistent with the valve box being installed in contact with the main and therefore able transmit the cement truck’s weight directly to the main near the fracture’s location. Federal regulations at 49 CFR 192.181(c)(3) require that valve boxes not be installed in a manner that transmits external loads to mains, and valve boxes are normally installed with a buffer of soil or other protection between the valve box and the assets immediately below. For example, Atmos’s newer valve boxes are installed with support and base pads to prevent load transmission. However, Atmos was not actively replacing cast iron valve boxes with this newer design. Further, the maintenance crew that removed and reinstalled the valve box about 2 months before the accident did not have a specific standard to follow for reinstalling cast iron valve boxes other than an expectation that the top of the valve box be level with the grade. The lack of a standard likely led to the common reinstallation of valve boxes in contact with mains, as described by an Atmos vice president of operations. If Atmos had adopted either a standard for safely installing cast iron valve boxes or a policy of replacing cast iron valve boxes with the newer design, the protective buffer of soil or support pad would have reduced the load transmitted to the pipe on the day of the accident. There is not enough evidence to determine whether a buffer or pad would have prevented the accident, but it would have made the infrastructure more resilient. Atmos has not reported making changes to its valve box installation practices. After the main fractured, gas propagated undetected through an uncapped underground sewer lateral into the sewer system and then into the accident home, where it reached an explosive concentration. The gas in the sewers remained undetected because Atmos personnel did not test the atmosphere in the sewers prior to the explosion. For about 35 minutes, most of the time between the initial leak and the explosion, there was only one Atmos employee on the scene: an experienced senior service technician. He was equipped with a CGI and checked nearby storm drains for the presence of gas, which was one step in Atmos’s subsurface leak investigation procedure. During his interview with the NTSB, he described planning to check the sewers, another required step, but said that he had already confirmed that there was no threat to life or property. His activities after checking the storm drains are also consistent with a belief that he had finished assessing the risk posed by the leak: he switched to the non-safety-critical work of recording billing information for the damage. The investigation did not find evidence of a natural gas alarm in the accident home, which did not have gas service but was still impacted by a leak from a gas main. It is likely that a natural gas alarm would have provided the home’s occupants with warning of accumulating natural gas and given them an opportunity to evacuate before the explosion. The NTSB has advocated wider installation and use of natural gas alarms for nearly 50 years, including following the investigation into a pair of 2024 home explosions in Jackson, Mississippi, that involved Atmos assets. As a result of that investigation, the NTSB reiterated a recommendation to the 50 states, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: See CAROL for the complete history and current status of this recommendation. The NTSB also recommended that Atmos “develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas” (P-26-10).11F Footnote: See CAROL for the complete history and current status of this recommendation.
Addressee Acronym: CT
Addressee Organization Type: S-State Government
Communication Date: 2026-03-26
Communication Type: Recommendation Reiteration
Communication Contents: From the Report, “Atmos Energy Corporation Natural Gas-Fueled Home Explosions and Fires Jackson, Mississippi, January 24, 2024, and January 27, 2024” published on March 26, 2026. Absence of Natural Gas Detection Alarms in Buildings The Bristol Boulevard accident home and the Shalimar Drive accident home did not have natural gas alarms installed. For nearly 50 years, the NTSB has been recommending natural gas alarms for the early detection of natural gas leaks. In the West Reading accident, several candy factory employees told the NTSB that they had smelled natural gas odorant and did not call 9 1 1 or the gas company but stayed in the building until the explosion occurred. Some of the employees inquired with their managers about what to do, and their managers were equally unaware of the actions to take during a suspected natural gas leak. In the two Jackson accidents, and in many of the pipeline accidents the NTSB has investigated for the last 5 decades, people smelled natural gas odorant and either did not know what actions to take, or they knew the actions necessary to address a potential natural gas emergency but did not execute them. Natural gas distribution pipeline operators must educate the public on pipeline safety through public awareness programs. It is also necessary, however, to have safeguards in place when members of the public (1) smell natural gas odorant and do not take the appropriate safety actions and (2) do not smell natural gas odorant, as was the case in the NTSB investigation of the Dallas accident, and therefore do not take appropriate safety actions. Footnote: The NTSB’s Dallas investigation determined that the occupants in the accident homes did not smell natural gas odorant because it was absorbed and depleted in the soil. Natural gas alarms are safeguards in protecting the public, which is why the NTSB has recommended their installation after many of our pipeline accident investigations. The NTSB found that natural gas alarms likely would have prevented or reduced the consequences of the Dallas and West Reading accidents, and the evidence in this investigation suggests the same. The Shalimar Drive accident home was empty at the time of that accident; however, when the explosion in the Bristol Boulevard accident home occurred, two people were inside. Therefore, the NTSB concludes that had a natural gas alarm been installed inside the Bristol Boulevard accident home, it could have alerted occupants that natural gas was present, prompting them to evacuate and report the leak, making Atmos aware that the leak had likely worsened and required corrective action. As a result of the West Reading investigation, the NTSB recommended that the 50 States, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: Safety Recommendation P-25-5 is currently classified Open—Await Response. As of this report, 7 states and the District of Columbia have provided an initial response; 43 states and the Commonwealth of Puerto Rico have not responded. Footnote: The seven states that have provided an initial response include Colorado, Connecticut, Kansas, Nevada, North Carolina, Virginia, and Wyoming. Mississippi, the state where the two Jackson accidents occurred, is one of the 43 states that have not provided an initial response. The NTSB investigation of the two Jackson accidents has again identified the critical importance of natural gas alarms to alert occupants to natural gas leaks. Therefore, the NTSB reiterates Safety Recommendation P 25-5 to 50 States, the Commonwealth of Puerto Rico, and the District of Columbia. As discussed in section 1.10.1.1, after the Avondale accident, Atmos reported that it provided the public with information, through its website, on the availability of natural gas alarms. However, Atmos can do more to safeguard the public in its distribution areas. The NTSB is aware of multiple natural gas distribution operators that have made natural gas alarms available to people in their service areas. Footnote: Visit http://www.ntsb.gov to find additional information in the public docket for this NTSB accident investigation (case number PLD24FR003). Therefore, the NTSB recommends that Atmos develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas.
Addressee Acronym: CT
Addressee Organization Type: S-State Government
Communication Date: 2025-07-24
Communication Type: Official Correspondence
Communication Contents: -From Michelle H. Gilman, Commissioner, Connecticut Department of Administrative Services: Thank you for your letter dated April 8, 2025, to Governor Lamont, who has asked that I respond on his behalf regarding steps Connecticut is taking to prevent gas pipeline emergencies such as the one that occurred in Redding, Pennsylvania. In response to that tragedy, the CT legislature passed Public Act 23-102, in which section 40 states: “Not later than December 31, 2023, the Department of Administrative Services, the office of the State Building Inspector and the Codes and Standards Committee shall study and jointly submit a report, in accordance with section 11-4a of the general statutes, to the joint standing committee of the General Assembly having cognizance of matters relating to public safety regarding the inclusion of gas detectors within the State Building Code. Such report shall include, but need not be limited to, (1) the anticipated feasibility of requiring gas detectors in all buildings that use natural gas or propane gas, (2) recommendations for future legislative changes, (3) the current availability of gas detectors that meet the standards of the National Fire Protection Association, (4) a recommended code alignment process to accommodate any changes, and (5) the fiscal impact on the state or owner of public buildings.” The Codes and Standards Committee convened the Codes Amendment Subcommittee for this task. The subcommittee is comprised of subject matter experts in building code enforcement; fire code enforcement; commercial construction; residential construction; plumbing trades; energy efficiency; architecture; mechanical, electrical, structural and fire protection; and accessibility. In addition, the Codes and Standards Committee recommended that the Office of the State Fire Marshal be included in the subcommittee’s work, including a study on the potential of including gas detectors in the next code adoption cycle. In December 2023, the Department of Administrative Services submitted a report of their findings to the Connecticut General Assembly’s Public Safety Committee. The review by the workgroup found that there were many questions that arose such as whether to include a retroactive requirement for detection or to only require the devices in new construction, what types of detectors should be installed and which testing standards should they meet, and which authority should have jurisdiction over the implementation and enforcement of such a requirement. Their review of the fire incident data reported to the State Fire Marshal revealed that a majority of the fires that involved gas leaks in Connecticut over the last five years occurred in one and two family homes, over which the local fire marshals and building officials have relatively little enforcement authority. The December 2023 report concluded that further review is required to determine if and how requiring gas detectors would be implementable and enforceable and a workgroup was assigned in the Code Amendment Subcommittee to continue the research. The new workgroup has encountered several areas of concern, most notably the cost of such detection, the type of detector and type of gas that would need to be detected, which occupancies will be required to install such detectors, and how such a requirement would be enforced. As a result, the Code Amendment Committee has elected not to amend the model codes to include additional gas detection in the cycle currently in development. Instead, they have proposed suggestions for additional research into the topic of gas detection installation including gathering data on actual incidents from NFIRS over the past five years to revisit the topic of requiring the installation of gas detection devices in the next code adoption cycle. We understand that there are conversations and research occurring nationally about this issue and look forward to reviewing and adopting any new requirements in the next cycle of nationally recognized model codes. In the meantime, the Office of the State Fire Marshal will design and publish a fire and life safety educational campaign to highlight the inherent risks of gas leaks, the benefits of gas leak detection, and preventative measures that residents can take to protect their homes, businesses, and communities. Connecticut acknowledges the importance of educating the public on the dangers of gas leaks and we will continue our efforts to protect our communities through advocacy, education, and code enforcement where needed, acknowledging that collaboration across disciplines is necessary to accomplish this critical task. We look forward to further collaboration with the NTSB to save lives in Connecticut’s towns and cities.
Addressee Name: State of Colorado
Addressee Status: Open - Initial Response Received
Addressee Acronym: CO
Addressee Organization Type: S-State Government
Communication Date: 2025-04-08
Communication Type: Transmittal Letter
Communication Contents: 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 accidents in other modes of transportation—railroad, highway, marine, and pipeline. We determine the probable cause of the accidents and issue safety recommendations aimed at preventing future accidents. In addition, we carry out special studies concerning transportation safety and coordinate the resources of the federal government and other organizations to assist victims and their family members affected by major transportation disasters. We are providing the following information to urge the State of Colorado to act on the safety recommendation in this letter because we believe your organization can help reduce the risk of future accidents. For more information about the NTSB and our recommendation process, please see the attached one-page summary. This letter also includes information about our March 18, 2025, report, UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, NTSB/PIR-25/01. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. As a result of this investigation, we identified the following safety issues: • Degradation of a retired Aldyl A service tee that was accelerated by elevated ground temperatures from a corroded and cracked steam pipe nearby. • UGI Corporation’s insufficient consideration of pipeline integrity threats, particularly Aldyl A service tees with Delrin inserts at elevated temperatures. • Presence of unmarked and unreported private assets crossing public rights-of-way, excluding them from the Pennsylvania One Call System and increasing the risk of damage to them. • Delayed evacuation of Palmer’s Building 2 despite detection of natural gas by employees and others. • Natural gas safety messaging from pipeline operator public awareness programs that may not reach certain members of the public. • Insufficient guidance on natural gas emergency procedures. • Absence of natural gas alarms in commercial buildings. • Insufficient accessibility of gas distribution line valves. Accordingly, the NTSB makes the following safety recommendation to the State of Colorado (additional information regarding this recommendation can be found in the noted section of the report): • Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) (See section 2.5.1.) The NTSB is vitally interested in this recommendation because it is designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter, detailing the actions you have taken or intend to take to implement this recommendation. When replying, please refer to the safety recommendation by number (Safety Recommendation P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply, including attachments, exceeds 20 megabytes, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. All communications regarding safety recommendations are stored by the NTSB and viewable by the public. Please do not send privileged or confidential communications in response to this recommendation. Responses marked as confidential or privileged (or similar designations) will be considered nonresponsive. In the likely event that your company uses auto generated and/or preformatted confidentiality statements on letterhead or outgoing e-mails, please include a statement in your letter indicating that the information can be publicly released. If you have concerns about this protocol, please contact us at ExecutiveSecretariat@ntsb.gov. The attached letter from the NTSB Chairman provides information about the March 18, 2025, report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov. The NTSB is vitally interested in these recommendations because they are designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter detailing the actions you have taken or intend to take to implement these recommendations. When replying, please refer to the safety recommendation by number (for example, P-25-5). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply exceeds 20 megabytes, including attachments, please e mail us at the same address for instructions on how to send larger documents. Please do not submit both an electronic copy and a hard copy of the same response. From the report UGI Corporation Natural Gas-Fueled Explosion and Fire, West Reading, Pennsylvania, March 24, 2023, PIR-25-1: 2.5.1 Natural Gas Alarms Public awareness is an effective tool to encourage adoption of safety devices like natural gas alarms. The first edition of API RP 1162 requires that public awareness programs include safety messages about the awareness of hazards and prevention measures as well as leak recognition and response but does not specifically require these programs to disseminate safety messages about natural gas alarms. UGI’s public awareness materials distributed before the accident were consistent with federal regulations, and although the materials promoted the use of smoke and carbon monoxide alarms, they did not address natural gas alarms. Following the accident, UGI now includes safety messages encouraging the purchase of natural gas alarms in its public awareness materials. The NTSB concludes that installing natural gas alarms can alert people of a gas leak so they can evacuate the area; however, natural gas customers may not be aware of the necessity of such alarms. The NTSB believes that messages about the benefits of natural gas alarms are critically important and could save lives when natural gas alarms are installed. The NTSB further believes that the natural gas industry can help shape the effectiveness of public awareness program delivery methods so that people in businesses, schools, residences, and other places of congregation are better informed, both about natural gas hazards and the necessity of natural gas alarms. The American Gas Association, which represents natural gas pipeline operators throughout the US, can facilitate industry efforts to improve public awareness program delivery methods and to improve safety, most critically through increasing the installation of natural gas alarms. Therefore, the NTSB recommends that the American Gas Association share the details of the March 24, 2023, natural gas–fueled explosion and fire in West Reading, Pennsylvania, with its members, encouraging them to evaluate the effectiveness of their current delivery methods of public awareness programs and to promote the installation of natural gas alarms in businesses, residences, and other places of congregation that they serve. Evacuation should occur immediately upon detection of the presence of natural gas. In 1976, the NTSB made its first recommendation to require natural gas detection to provide early warning of leaks. Most recently, after a 2016 building explosion in Silver Spring, Maryland, and then again after the 2018 home explosion in Dallas, we made recommendations to the ICC and the NFPA to require natural gas alarms with methane detection in residences (NTSB 2019). We recommended the ICC work
Addressee Acronym: CO
Addressee Organization Type: S-State Government
Communication Date: 2026-04-07
Communication Type: Recommendation Mention
Communication Contents: Pipeline Investigation Report PIR-26-02, “Enbridge Inc. Natural Gas–Fueled Home Explosion and Fatality, South Jordan, Utah, November 6, 2024” published on April 7, 2026: 2 Analysis On November 6, 2024, a natural gas–fueled home explosion fatally injured one resident and damaged nearby homes. A crack in the 4-inch-diameter Aldyl A gas main near the home allowed natural gas to leak and fuel the home explosion. The NTSB found that the crack originated on the inner surface of the pipe and aligned directly with an oblong impression on the outer surface. Investigators determined that a rock impingement likely caused the oblong impression on the outer surface of the pipe and the resulting crack. They also found that the crack growth features indicated that the crack breached the outer surface in a single abrupt event. As a result, the pipe rapidly transitioned from releasing no gas to releasing up to 48.7 scfm, as measured in the lab. Footnote: The actual leak rate may have been lower, given that the pipeline was buried in soil, which would constrain the pipe and provide back-pressure resistance to gas as it leaked from the pipe. Post-explosion, subsurface gas readings showed that the natural gas migrated about 150 feet from the leak location to the home. Although the exact timing of the leak could not be determined, the residents’ observations of physical symptoms, inability to relight the basement water heater, and an unusually high candle flame before the accident suggest that natural gas may have been present in the home for at least 3 days before the explosion. On November 6, the flammable natural gas–air mixture ignited in the southwest quadrant of the basement. The Utah Deputy State Fire Marshal identified two possible sources of the ignition: a water heater and a furnace. The water heater was turned off at the control point, so the only credible ignition source was the furnace. Footnote: The furnace control valve was found postaccident to have significant thermal damage, consistent with it being the ignition source. Before the accident, Enbridge had implemented safeguards to mitigate the consequences of leaks, including periodic leak surveys, timely response to odor complaints, and targeted replacement projects. However, none of these strategies proved effective for this scenario, because of the following issues related to the strategies: • Periodic leak surveys. Regulators require distribution leak surveys to be conducted every 5 years. Enbridge conducted its most recent leak survey on April 29, 2022—two years before the accident. However, in this accident, through-wall crack propagation occurred too rapidly, causing the leak to go undetected before the explosion. • Timely response to odor complaints. Regulators require odorization of natural gas in distribution systems to help alert the public to natural gas leaks. During interviews conducted by investigators, the NTSB determined that the local residents had not smelled natural gas odorant near the accident home, even though gas was determined to have permeated the ground in the area during postaccident surveys, indicating that the odorant had been stripped from the leaked natural gas that ultimately entered the home. Footnote: Field testing of the gas in the distribution system after the explosion found acceptable odorant concentrations. Although odorant can act as an early warning of a gas release to prevent an explosion and fire, it has been known to become depleted when traveling through soil, as it did in this accident. Previous NTSB investigations have identified occurrences of odorant depletion that allowed natural gas leaks to go undetected, resulting in explosions in Dallas, Texas, in 2018 and in Silver Spring, Maryland, in 2016. Footnote: NTSB. 2021. Atmos Energy Corporation Natural Gas–Fueled Explosion, Dallas, Texas, February 23, 2018. PAR-21/01. Washington, DC: NTSB. Footnote: NTSB. 2019. Building Explosion and Fire, Silver Spring, Maryland, August 10, 2016. PAR-19/01. Washington, DC: NTSB. • Targeted replacement projects. A 2014 California Public Utilities Commission study showed that the vintage of Aldyl A present in this accident, with stress concentrations from rock impingement, squeeze-off, bending, or deflection, were statistically predicted to fail between 22 and 235 years after installation. Footnote: California Public Utilities Commission 2014 Hazard Analysis and Mitigation Report On Aldyl A Polyethylene Gas Pipelines in California. Haine 2014. Because the estimated failure time is imprecise (a range of more than 200 years), and because some environmental conditions—such as the locations of rocks in the backfill material—are unknown, the Enbridge evaluation of the cracking threat to the 1976 vintage Aldyl A did not accurately characterize the risk of rock impingements and prevented Enbridge from identifying effective mitigative actions and targeted replacement projects. Even though Enbridge worked continuously to search for the leak after the explosion, it took them more than 21 hours to find and isolate the natural gas leak. During this time, the pipeline continued to leak natural gas into the ground, increasing the risk to nearby residents, first responders, and others operating in the area. When an underground natural gas pipeline leak occurs rapidly, it can be difficult to safeguard against. Natural gas alarms can provide an early warning of natural gas leaks inside nearby structures and can alert the building occupants to take immediate safety actions. Had in-home natural gas alarms been installed in the homes involved in this accident, they would have alerted the residents to a potential problem and prompted them to evacuate and call 911, reducing or eliminating the fatal consequences of the explosion. The NTSB has previously recommended requiring the installation of natural gas alarms in businesses, residences, and other buildings (Safety Recommendation P 25 05).
Addressee Acronym: CO
Addressee Organization Type: S-State Government
Communication Date: 2026-06-05
Communication Type: Recommendation Mention
Communication Contents: Atmos Energy Corporation Natural Gas–Fueled Home Explosion Pipeline Investigation Report PIR-26-03 published on June 5, 2026: Analysis The explosion and fire occurred after natural gas leaked from a fractured buried main, migrated through an uncapped underground sewer lateral, entered the accident home, and reached an explosive concentration near an unknown ignition source. The investigation did not identify issues with gas pressures in the area of the leak or the timeliness or efficacy of the local emergency response agencies. Postaccident bar-hole testing and excavations found only one source of natural gas: a leak in the gas main near a valve box on the eastern edge of the construction site. On-site examinations of the main found that it was fractured around most of its circumference with a thin strip of metal at the top (12 o’clock position) joining the southern section of pipe to the section still threaded into the valve body. This indicates tension—a stretching force—at the bottom of the pipe along its long axis. Tension along the bottom of the pipe is consistent with a bending stress created by an external downward force. Based on information provided to Atmos by the construction superintendent, a cement truck ran over a valve box at the leak’s location immediately before he heard and smelled natural gas being released. The investigation did not identify another plausible external force that could have damaged the main. The Materials Laboratory examination of the main found fracture characteristics typical of fast crack growth and no signs of significant corrosion or preexisting structural damage that could have contributed to the failure. The fracture was therefore consistent with a sudden application of force by the valve box to the main. Based on the fracture’s location, timing, and fast-cracking characteristics, the valve box transmitted part of the cement truck’s weight to the gas main, causing the main to fracture and leak. Examination of the gas main and valve box involved in this accident found coal tar coating the main and deposited on the bottom edge of the valve box. This indicates that the valve box was in contact with the main. The presence of coal tar alone does not indicate when the contact occurred, but the evidence is consistent with the valve box being installed in contact with the main and therefore able transmit the cement truck’s weight directly to the main near the fracture’s location. Federal regulations at 49 CFR 192.181(c)(3) require that valve boxes not be installed in a manner that transmits external loads to mains, and valve boxes are normally installed with a buffer of soil or other protection between the valve box and the assets immediately below. For example, Atmos’s newer valve boxes are installed with support and base pads to prevent load transmission. However, Atmos was not actively replacing cast iron valve boxes with this newer design. Further, the maintenance crew that removed and reinstalled the valve box about 2 months before the accident did not have a specific standard to follow for reinstalling cast iron valve boxes other than an expectation that the top of the valve box be level with the grade. The lack of a standard likely led to the common reinstallation of valve boxes in contact with mains, as described by an Atmos vice president of operations. If Atmos had adopted either a standard for safely installing cast iron valve boxes or a policy of replacing cast iron valve boxes with the newer design, the protective buffer of soil or support pad would have reduced the load transmitted to the pipe on the day of the accident. There is not enough evidence to determine whether a buffer or pad would have prevented the accident, but it would have made the infrastructure more resilient. Atmos has not reported making changes to its valve box installation practices. After the main fractured, gas propagated undetected through an uncapped underground sewer lateral into the sewer system and then into the accident home, where it reached an explosive concentration. The gas in the sewers remained undetected because Atmos personnel did not test the atmosphere in the sewers prior to the explosion. For about 35 minutes, most of the time between the initial leak and the explosion, there was only one Atmos employee on the scene: an experienced senior service technician. He was equipped with a CGI and checked nearby storm drains for the presence of gas, which was one step in Atmos’s subsurface leak investigation procedure. During his interview with the NTSB, he described planning to check the sewers, another required step, but said that he had already confirmed that there was no threat to life or property. His activities after checking the storm drains are also consistent with a belief that he had finished assessing the risk posed by the leak: he switched to the non-safety-critical work of recording billing information for the damage. The investigation did not find evidence of a natural gas alarm in the accident home, which did not have gas service but was still impacted by a leak from a gas main. It is likely that a natural gas alarm would have provided the home’s occupants with warning of accumulating natural gas and given them an opportunity to evacuate before the explosion. The NTSB has advocated wider installation and use of natural gas alarms for nearly 50 years, including following the investigation into a pair of 2024 home explosions in Jackson, Mississippi, that involved Atmos assets. As a result of that investigation, the NTSB reiterated a recommendation to the 50 states, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: See CAROL for the complete history and current status of this recommendation. The NTSB also recommended that Atmos “develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas” (P-26-10).11F Footnote: See CAROL for the complete history and current status of this recommendation.
Addressee Acronym: CO
Addressee Organization Type: S-State Government
Communication Date: 2026-03-26
Communication Type: Recommendation Reiteration
Communication Contents: From the Report, “Atmos Energy Corporation Natural Gas-Fueled Home Explosions and Fires Jackson, Mississippi, January 24, 2024, and January 27, 2024” published on March 26, 2026. Absence of Natural Gas Detection Alarms in Buildings The Bristol Boulevard accident home and the Shalimar Drive accident home did not have natural gas alarms installed. For nearly 50 years, the NTSB has been recommending natural gas alarms for the early detection of natural gas leaks. In the West Reading accident, several candy factory employees told the NTSB that they had smelled natural gas odorant and did not call 9 1 1 or the gas company but stayed in the building until the explosion occurred. Some of the employees inquired with their managers about what to do, and their managers were equally unaware of the actions to take during a suspected natural gas leak. In the two Jackson accidents, and in many of the pipeline accidents the NTSB has investigated for the last 5 decades, people smelled natural gas odorant and either did not know what actions to take, or they knew the actions necessary to address a potential natural gas emergency but did not execute them. Natural gas distribution pipeline operators must educate the public on pipeline safety through public awareness programs. It is also necessary, however, to have safeguards in place when members of the public (1) smell natural gas odorant and do not take the appropriate safety actions and (2) do not smell natural gas odorant, as was the case in the NTSB investigation of the Dallas accident, and therefore do not take appropriate safety actions. Footnote: The NTSB’s Dallas investigation determined that the occupants in the accident homes did not smell natural gas odorant because it was absorbed and depleted in the soil. Natural gas alarms are safeguards in protecting the public, which is why the NTSB has recommended their installation after many of our pipeline accident investigations. The NTSB found that natural gas alarms likely would have prevented or reduced the consequences of the Dallas and West Reading accidents, and the evidence in this investigation suggests the same. The Shalimar Drive accident home was empty at the time of that accident; however, when the explosion in the Bristol Boulevard accident home occurred, two people were inside. Therefore, the NTSB concludes that had a natural gas alarm been installed inside the Bristol Boulevard accident home, it could have alerted occupants that natural gas was present, prompting them to evacuate and report the leak, making Atmos aware that the leak had likely worsened and required corrective action. As a result of the West Reading investigation, the NTSB recommended that the 50 States, the Commonwealth of Puerto Rico, and the District of Columbia: Require the installation of natural gas alarms that meet the specifications of National Fire Protection Association 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak. (P-25-5) Footnote: Safety Recommendation P-25-5 is currently classified Open—Await Response. As of this report, 7 states and the District of Columbia have provided an initial response; 43 states and the Commonwealth of Puerto Rico have not responded. Footnote: The seven states that have provided an initial response include Colorado, Connecticut, Kansas, Nevada, North Carolina, Virginia, and Wyoming. Mississippi, the state where the two Jackson accidents occurred, is one of the 43 states that have not provided an initial response. The NTSB investigation of the two Jackson accidents has again identified the critical importance of natural gas alarms to alert occupants to natural gas leaks. Therefore, the NTSB reiterates Safety Recommendation P 25-5 to 50 States, the Commonwealth of Puerto Rico, and the District of Columbia. As discussed in section 1.10.1.1, after the Avondale accident, Atmos reported that it provided the public with information, through its website, on the availability of natural gas alarms. However, Atmos can do more to safeguard the public in its distribution areas. The NTSB is aware of multiple natural gas distribution operators that have made natural gas alarms available to people in their service areas. Footnote: Visit http://www.ntsb.gov to find additional information in the public docket for this NTSB accident investigation (case number PLD24FR003). Therefore, the NTSB recommends that Atmos develop and implement a program that makes natural gas alarms available to members of the public who reside in its distribution areas.
Addressee Acronym: CO
Addressee Organization Type: S-State Government
Communication Date: 2025-07-09
Communication Type: Official Correspondence
Communication Contents: -From David Oppenheim, Chief of Staff, Governor’s Office, State of Colorado: Thank you for your letter dated April 8, 2025 which outlined the findings of the National Transportation Safety Board (NTSB) report “UGI Corporation National Gas-Fueled Explosion and Fire, West Reading, Pennsylvania” (PIR-25/01). Your letter requested that the State of Colorado respond within 90 days to detail the actions the State has taken or intends to take in order to implement Safety Recommendation P-25-5, which indicates that all states should, “require the installation of natural gas alarms that meet the specifications of NFPA 715 in businesses, residences, and other buildings where people congregate that could be affected by a natural gas leak.” The State of Colorado is grateful for the critical role of the NTSB in supporting the safety of the public, and is responding as requested to identify the actions being taken in response to the above recommendation. This response outlines what types of authority the State has over which types of facilities, as well as the actions that the State will take, given its authority. The State of Colorado has direct regulatory authority over the following classifications of building: Division of Fire Prevention and Control (DFPC) at Department of Public Safety (DPS) Public Schools, Charter Schools, Institute Charter Schools, and Local District Colleges (formerly Junior Colleges) - The Division is the Building and Fire Code Authority and adopts the Codes and Standards that apply in all cases. The Division conducts plan review, construction inspections, and ongoing maintenance inspections, which includes related enforcement and inspection of life safety systems (including CO, fire, and gas detection systems) under referenced NFPA standards like NFPA 72. Allows “prescriptive requirements of NFPA 72” via licensed design professionals. The Division is able to delegate the authority to conduct this work to qualified local jurisdictions. The applicable regulations are 8 CCR 1507-30. Licensed Healthcare Facilities - The Division is the Life Safety Code Official in all cases, is the Fire Code Official where there is not a qualified local jurisdiction, and is the Building Code Official where a local building department does not exist, or where requested to act as either by the local jurisdiction. Under this authority, the Division conducts plan reviews, construction inspections, and ongoing maintenance inspections, which includes related enforcement and inspection of life safety systems (including CO, fire, and gas detection systems) under referenced NFPA standards like NFPA 72. Allows “prescriptive requirements of NFPA 72” via licensed design professionals. The Division adopts the Codes and Standards for application and enforcement when they are acting in any one of the three roles listed above. The applicable regulations are 8 CCR 1507-31. Limited Gaming Establishments - The Division is the Fire Code Official where there is not a qualified local jurisdiction and the Building Code Official where a local building department does not exist, or where requested to act as either by the local jurisdiction. Under this authority, the Division conducts plan reviews, construction inspections, and ongoing maintenance inspections, which includes related enforcement and inspection of life safety systems (including CO, fire, and gas detection systems) under referenced NFPA standards like NFPA 72. Allows “prescriptive requirements of NFPA 72” via licensed design professionals. The Division adopts the Codes and Standards for application and enforcement when they are acting in any one of the three roles listed above. The applicable regulations are 8 CCR 1507-57. Waste Tire Facilities - The Division is the Fire Code Official where requested to act as such by the local jurisdiction. Under this authority, the Division conducts plan reviews, construction inspections, and ongoing maintenance inspections, which includes related enforcement and inspection of life safety systems (including CO, fire, and gas detection systems) under referenced NFPA standards like NFPA 72. Allows “prescriptive requirements of NFPA 72” via licensed design professionals. The Division adopts the Codes and Standards for application and enforcement when they are acting in this role. The applicable regulations are 8 CCR 1507- 53. Code Adoption and Inspector Certification - The adoption of Codes and Standards applicable to all of the above-referenced facility types occurs in 8 CCR 1507-101. Additionally, for a local fire department to be considered “qualified” to operate as the fire code official in these facilities, they must meet the certification standards for the appropriate level of work to be conducted, which is also laid out in this regulation. Department Of Local Affairs (DOLA), Division of Housing Article 2 8 CCR 1302-14 Grants authority for single family, multi family and non-residential factory built structures in the state of Colorado including compliance and enforcement. The program follows the 2021 International Fuel Gas Code as amended by the program. In areas of the state without a local building department, the program has responsibility for on-site built apartments, hotels, and motels. All other occupied buildings in the state of Colorado are regulated by various local government entities. In order to support the NTSB’s objectives to enhance infrastructure safety the State of Colorado has already begun to assess Safety Recommendation P-25-5 for applicability to the areas of authority outlined above. The State of Colorado will additionally ensure that Safety Recommendation P-25-5 is communicated to all relevant regulatory bodies in the state to support their own internal assessment of the recommendation. In addition the State of Colorado will continue to engage closely with stakeholder groups affected by the recommendation, and provide clear communication to the NTSB regarding any further action taken in response.
This material provides agency context. It does not replace binding regulatory text, and its legal effect depends on the underlying authority and facts.