Form BSEE-0187 PERFORMANCE MEASURES DATA – Renewable Energy

RE Modernization Final rule stage—Renewable Energy and Alternate Uses of Existing Facilities on the Outer Continental Shelf - BSEE 30 CFR Part 285

Form BSEE-0187_fillable_with_instructions

OMB: 1014-0034

Document [pdf]
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U.S. Department of the Interior

OMB Control Number 1014-0034
OMB Approval Expires 11/30/2026

Bureau of Safety and Environmental
Enforcement (BSEE)

PERFORMANCE MEASURES DATA – Renewable Energy

Provide Data on an Annual Basis for the Previous Calendar Year by March 31 of Each Year
Company Name(s)

BSEE Region Select a Region

Operator Code(s)*

Calendar Year

Contact Name

Email Address

Telephone

Date

INJURIES / ILLNESSES
Site Assessment Construction
Activities
Operations
A. Number of Company
Employee Recordable
Non-DART**
Injuries/Illnesses

1st Qtr
2nd Qtr
3rd Qtr
4th Qtr

B. Number of Contractor
Employee Recordable
Non-DART**
Injuries/Illnesses

1st Qtr
2nd Qtr
3rd Qtr
4th Qtr

C. Number of Company
Employee DART***
Injuries/Illnesses

1st Qtr
2nd Qtr
3rd Qtr
4th Qtr

D. Number of Contractor
Employee DART***
Injuries/Illnesses

1st Qtr
2nd Qtr
3rd Qtr
4th Qtr

Energy Production
and Maintenance
Operations

Decommissioning
and Removal
Operations

* Please list all operator codes that these data represent
** A non-DART injury and illness for purposes of this report is a significant injury or illness that requires medical treatment
beyond first aid, involves a loss of consciousness, or results in a diagnosis by a physician or other licensed health care
professional, but does not meet the definition of a DART injury or illness.
*** A DART injury and illness for purposes of this report is an injury or illness that results in a recommendation by a physician or
other licensed health care professional for days away from work, restricted duty, or job transfer. Fatalities are to be reported
to BSEE separately under 30 CFR 285.812(b)(1).
Page 1 of 2
Form BSEE-0187 (2024)

WORK HOURS
Site Assessment
Activities
A. Number of Company
Employee Hours
Worked

Construction
Operations

Energy Production
and Maintenance
Operations

Decommissioning
and Removal
Operations

1st Qtr
2nd Qtr
3rd Qtr
4thQtr

B. Number of Contractor 1stQtr
Employee Hours
2nd Qtr
Worked
3rd Qtr
4thQtr

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,
completing and reviewing, and retaining the information to average 82 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 1014-0034. 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-0187 (2024)

Page 2 of 2

Instructions for Form BSEE-0187: Performance Measures Data –
Renewable Energy
All Lessees and Grantees must submit this form annually by March 31st of the subsequent year
for each lease area that has undergone site assessment, construction, operations, maintenance, or
decommissioning.
After completing the electronic PDF form, submit the completed document through TIMSWeb.
BSEE follows the Bureau of Labor Statistics (BLS) and Occupational Health and Safety
Administration (OSHA) guidelines for classifying injuries, illnesses, and hours worked. Please
refer to relevant guidance (such as the instructions for OSHA forms 300, 300A, and 301 1 and
BLS’s Survey of Occupational Injuries and Illnesses 2) when filling out this form.
1.
Company and Contact Information
Input all the following information:
A. Company Name(s): Enter the name of the Lessee or Grantee and the Lease Area Number
for which the Lessee or Grantee has the lease.
B. BSEE Region: Enter the BSEE Region in which the reporting facilities are located
(Atlantic, Gulf of Mexico (GOM), Pacific, or Alaska). A single form for each Region
must be submitted if an operator has facilities in more than one Region.
C. Operator Code(s): Enter the Company Number for the Lessee or Grantee and Company
Numbers for all subsidiaries for which data are being reported.
D. Calendar Year: Enter the calendar year for which data is being reported. For example,
for calendar year 2024 data that must be reported by the March 31, 2025, deadline, input
‘2024’.
E. Contact Name: Enter the name of the person who should be contacted if BSEE needs
more information.
F. Email Address: Enter the email address for the person listed under Contact Name.
G. Telephone: Enter the phone number for the person listed under Contact Name.
H. Date: Enter the date the form is submitted.

1
2

See https://www.osha.gov/recordkeeping/forms for form information.
See https://www.bls.gov/respondents/iif/forms.htm for form information.

(April 2024)

1

2.
Injuries/Illnesses
The four columns in this section represent the major types of renewable operations represented
on the outer continental shelf. Please contact renewableenergy@bsee.gov if you need help
determining which category for any type of operation.
Input all the following information for each major type of renewable operation:
A. Number of Company Employee Recordable Non-DART Injuries/Illnesses (Section
A): The number of all recordable injuries/illnesses of company employees by category
and calendar quarter as defined in 29 CFR 1904 excluding recordable injuries/illnesses
that resulted in a fatality, days away from work, restricted work, or transfer to another job
(DART) (see 29 CFR 1904.7(b)(2)-(4) for details on exclusions). Recordable
injuries/illnesses include, but are not limited to, injuries/illnesses that resulted in medical
treatment beyond first aid, a loss of consciousness, or results in a significant injury or
illness diagnosed by a physician or other licensed health care professional.
B. Number Of Contractor Employee Recordable Non-DART Injuries/Illnesses (Section
B): The number of all recordable injuries/illnesses of contractor employees by category
and calendar quarter as defined in 29 CFR 1904 excluding recordable injuries/illnesses
that resulted in a fatality, days away from work, restricted work, or transfer to another job
(DART) (see 29 CFR 1904.7(b)(2)-(4) for details on exclusions). Recordable
injuries/illnesses include, but are not limited to, injuries/illnesses that resulted in medical
treatment beyond first aid, a loss of consciousness, or results in a significant injury or
illness diagnosed by a physician or other licensed health care professional.
C. Number of Company Employee DART Injuries/Illnesses (Section C): The number of
recordable injuries/illnesses of company employees by category and calendar quarter
which resulted in days away from work, restricted work, or transfer to another job
(DART), as described in 29 CFR 1904.7(b)(3) and (4). Do not include recordable
injuries/illnesses which resulted in a fatality as described in 29 CFR 1904.7(b)(2).
D. Number of Contractor Employee DART Injuries/Illnesses (Section D): The number
of recordable injuries/illnesses of contractor employees by category and calendar quarter
which resulted in days away from work, restricted work, or transfer to another job
(DART), as described in 29 CFR 1904.7(b)(3) and (4). Do not include recordable
injuries/illnesses which resulted in a fatality as described in 29 CFR 1904.7(b)(2).
Note: The data fields in this section are mutually exclusive – there should be no overlap of illness
or injury incidents in this section.

(April 2024)

2

3.
Work Hours
The four columns in this section represent the major types of renewable operations represented
on the outer continental shelf. Please contact renewableenergy@bsee.gov if you need help
determining which category for any type of operation.
Sections A and B are for reporting hours worked by company and contactor employees,
respectively. Include actual hours for employees working offshore during each quarter of the
calendar year on the OCS by category (site assessment, construction, energy production and
maintenance, and decommissioning and removal).
Include transportation hours worked offshore (e.g., pilot hours, employees being transferred from
base to facility and back, transportation of materials / equipment / supplies). Do not include
hours for which the employee is off work or sleeping. Additional information on calculating
hours worked is contained in the instructions for filling out BLS’s Survey of Occupational
Injuries and Illnesses. 3
Input all the following information for each major type of renewable operation:
A. Number of Company Employee Hours Worked (Section A): By category and calendar
year quarter, enter the number of hours worked by company employees.
B. Number of Contractor Employee Hours Worked (Section B): By category and
calendar year quarter, enter the number of hours worked by contractor employees.

See https://www.bls.gov/respondents/iif/forms.htm for the most recent form. For reference, the 2023 form number
was BLS-9300 N06.
3

(April 2024)

3


File Typeapplication/pdf
File TitleBSEE-0187 Performance Measures Data - Renewable Energy
AuthorBSEE
File Modified2024-05-14
File Created2024-04-29

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