PSMS Metrics Collection Form - 2026

PSMS Metrics Collection Form - 2026
Organization Name

Stakeholder Engagement

Rows	DATA	COMMENTS
# Damages (1st Party) per 1000 Tickets
# Damages (2nd Party) per 1000 Tickets
# Damages (3rd Party) per 1000 Tickets
# Damages due to No Call / 811

Risk Management

Rows	DATA	COMMENTS
# Aging Infrastructure Replacement Plan vs Actual
# Leak Backlog vs Plan by Grade (Class 2)
# Leak Backlog vs Plan by Grade (Class 3)
# Damages per 1000 Tickets
Cast Iron Breaks per Mile of Cast Iron
# of Customer Unplanned Outages per 1000 Customers

Incident Investigation & Lessons Learned

Rows	DATA	COMMENTS
# Lessons Learned Shared Internally

Safety Assurance

Rows	DATA	COMMENTS
% Internal Company Audits / Assessments Findings vs Planned Audits / Assessments

MR&CI

Rows DATA COMMENTS

% Corrective Actions Late *
* % Corrective Actions Late is defined as: # Corrective Actions Closed / Total # Corrective Actions Due.

EP&R

Rows	DATA	COMMENTS
% Drills / Simulations vs. Plan
% Emergency Response within 60 min
% Emergency Response within 45 min
% Emergency Response within 30 min

Competency Awareness & Training

Rows DATA COMMENTS

% OQ Completion / Plan

Documentation & Record Keeping

Rows	DATA	COMMENTS
# Damages due to Incorrect Maps / Records

Should be Empty: