Form BSEE-0131 Form BSEE-0131 Performance Measures Data

U.S. Department of the Interior

Bureau of Safety and Environmental Enforcement (BSEE)

OMB Control Number 1014-0017 OMB Approval Expires xx/xx/xxxx

PERFORMANCE MEASURES DATA

Provide Data on an Annual Basis for the Previous Calendar Year by March 31 of Each Year

Company Name(s) BSEE Region

Associated Company Name(s) ________________________________

Operator Code(s)* Calendar Year

Contact Name Email Address

Telephone Fax Date

SAFETY	PRODUCTION OPERATIONS	DRILLING** OPERATIONS	CONSTRUCTION OPERATIONS	DECOMMISSION OPERATIONS
A. No. of Company Employee	1st Qtr
Non-DART Recordable Injuries/Illnesses***	2nd Qtr
	3rd Qtr
	4th Qtr
B. No. of Contract Employee	1st Qtr
Non-DART Recordable Injuries/Illnesses***	2nd Qtr
	3rd Qtr
	4th Qtr
C. No. of Company Employee	1st Qtr
DART Injuries/Illnesses****	2nd Qtr
	3rd Qtr
	4th Qtr
D. No. of Contract Employee	1st Qtr
DART Injuries/Illnesses****	2nd Qtr
	3rd Qtr
	4th Qtr

Form BSEE-0131 (Oct. 2024 - Replaces all previous versions of this form that may not be used.) Page 1 of 2

SAFETY	PRODUCTION OPERATIONS		DRILLING** OPERATIONS	CONSTRUCTION OPERATIONS		CONSTRUCTION OPERATIONS
E. Company Employee	1st Qtr
Hours Worked	2nd Qtr

Qtr
Qtr

₃rd ₄th

F. Contract Employee	1st Qtr
Hours Worked	2nd Qtr
	3rd Qtr

4^th Qtr

ENVIRONMENT

7. For Oil Spills < 1 bbl

1. No. of Spills

2. Total Volume for Spills bbl

* Please list all operator codes that these data represent.

** Drilling Operations include Drilling, Workover, and Allied Services.

*** Recordable injuries/illnesses that required medical treatment beyond first aid, but did not result in days away from work, restricted work, or transfer to another job (DART)

**** Formerly Lost Time Cases that include Days Away from work, Restricted duty, and Transfer situations.

Paperwork Reduction Act of 1995 (PRA): The PRA (44 U.S.C. 3501 et seq.) requires us to inform you that BSEE collects this information to carry out its responsibilities under the OCS Lands Act, as amended. BSEE will use the information to evaluate the effectiveness of industry’s continued improvement of safety and environmental management in the OCS. Responses are mandatory (43 U.S.C. 1334). No proprietary data are collected. We estimate the public reporting burden, including the time for reviewing instructions, gathering and maintaining data, and completing and reviewing the information to average 15 hours per response. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid Office of Management and Budget (OMB) control number. The OMB has approved this collection of information and assigned OMB Control Number 1014-0017. You may direct comments regarding the burden estimate or any other aspect of this collection of information to the Information Collection Clearance Officer, Bureau of Safety and Environmental Enforcement, 45600 Woodland Road, Sterling, VA 20166.

COMPANY-SPECIFIC DATA COLLECTED UNDER THIS REQUEST IS INTENDED FOR GOVERNMENT USE ONLY

Form BSEE-0131 (Oct. 2024 - Replaces all previous versions of this form that may not be used.) Page 2 of 2