OMB Control Number 1010-0112
Expiration Date: Pending
| Company Name(s)* | MMS Region | ||
| MMS Operator Code(s) | Calendar Year | ||
| Contact Name | Email Address | ||
| Telephone | Fax |
SAFETY |
Production Operations |
Drilling Operations |
Construction Operations |
|
A. |
Number of Company Employee Recordable Accidents |
|||
B. |
Number of Contract Employee Recordable Accidents |
|||
C. |
Number of Company Employee Lost Time Accidents |
|||
D. |
Number of Contract Employee Lost Time Accidents |
|||
E. |
Company Employee Hours Worked |
|||
F. |
Contract Employee Hours Worked |
| ENVIRONMENT | |||
| G. | Number of EPA NPDES Noncompliances | ||
| H. | For Oil Spills < 1 bbl | ||
| 1. | Number of Spills | ||
| 2. | Total Volume for Spills | bbls |
*Please list all companies that these data represent.
If you do not know your MMS Operator Code(s), please visit www.gomr.mms.gov/homepg/pubinfo/freeasci/leasing/freeleas.html
to download the company list.
**Drilling Operations include Drilling, Workover, and Allied Services.
COMPANY-SPECIFIC DATA COLLECTED UNDER THIS REQUEST IS INTENDED FOR GOVERNMENT USE ONLY
Form MMS-131 (January 1999) (Replaces previous edition of Form MMS-131 which may not be used.)