Form BSEE Subpart O BSEE Subpart O Employee/Contractor Interview

U.S. Department of the Interior OMB Control Number: 1014-0008

Bureau of Safety and Environmental Enforcement (BSEE) OMB Approval Expires: xx/xx/xxxx

INTERNAL USE ONLY

Inspector Name: ____________________ Inspector Number: ________

District Name: ______________________ OCS Lease: _______________

Date Interview Was Conducted: ___________________

EMPLOYEE/CONTRACTOR INTERVIEW

INSTRUCTIONS: The inspector conducting the interview must not give this form to anyone. This form must be completed in its entirety.

NOTE TO INSPECTORS: The form only applies to well control (drilling, well completion, well workover and well servicing) and production operations and under no circumstances will any other type of training program be evaluated using this form. No INCs will be issued as a result of an interviewee’s answers to the questions on this form. You must complete all sections of this form, including those sections requiring written comments. This form must be completely filled out before returning it to your District Manager.

A. INTERVIEWEE CLASSIFICATION

A1. Is the interviewee an:

a. Employee (Lessee Personnel)

b. Contractor

A2. If the interviewee is a contractor, specify their present position:

A3. Is the interviewee a supervisor?

a. Yes

b. No

A4. Which of the following operations is the interviewee involved in: (please check appropriate boxes)

a. Drilling

b. Well Completion

c. Well Workover

d. Well Servicing

e. Production

f. Other (specify)

B. IDENTIFICATION

B1. OPERATOR NAME

B2. OPERATOR ID #:

B3. CONTRACTOR NAME

B4. CONTRACTOR ID #:

B5. FACILITY NAME:

B6. RIG NAME

B7.RIG ID #:

B8. COMPLEX ID #:

C. OPERATION BEING CONDUCTED AT TIME OF THE INTERVIEW

C1. DRILLING

C2. WELL COMPLETION

C3. WELL WORKOVER

C4. WELL SERVICING

C5. PRODUCTION

C6. OTHER (Specify)

D. INTERVIEWEE INFORMATION

D1. YEARS WITH PRESENT EMPLOYER

D2. YEARS IN PRESENT POSITION

D3. TOTAL YEARS OF EXPERIENCE

E. EMPLOYEE/CONTRACTOR TRAINING

E1. When did the interviewee last receive training?

a. Last 6 months

b. 7-12 months

c. 13-24 months

d. 25-36 months

e. 37-48 months

f. >48 months

g. No training

E2. How often does the company provide the interviewee with training for the duties assigned?

a. Every year

b. Every 2 years

c. Every 3 years

d. Every 4 or more years

e. Unknown or no fixed frequency

E3. Did the well control or production training consist of alternative training (computer based, films, equivalent)?

a. Yes

b. No

c. Don’t Know

E4. If the interviewee received alternative training, did they also receive hands-on training?

a. Yes

b. No

c. Don’t Know

E5. If you answered YES to question E3, what type of alternative training did the interviewee receive?

a. Internet/ Web-Based

b. Films/ Overheads

c. DVD Tutorials

d. Satellite Teleconference

e. Other (Please Specify in E9)

E6. To what extent is the interviewee satisfied with the well control or production training they received from the training provider?

a. Very Satisfied

b. Somewhat Satisfied

c. Dissatisfied

E7. What type of training has the employee/contractor participated in recently?

a. Drilling

b. Well Completion

c. Well Workover

d. Well Servicing

e. Production

e. Other (Please Specify in E9)

E8.Can the interviewee explain the operations he/she is involved in? (Participate in a facility walkthrough with interviewee. Interviewee should explain main process flows and controls plus a general description of their duties)

a. Yes

B. No

c. If “No” Please Specify in E9

E9. Please Include Any Explanatory Comments For Section E Here.

F. SUPERVISOR (These Questions Apply to Lessee/Contractor Supervisory Personnel Only)

F1. If the supervisor is a lessee, how does he/she verify their contractors are trained to perform their assigned duties?

F2. If the supervisor is a contractor, how does he/she verify their personnel are trained to perform their assigned duties?

F3. Has the supervisor (if lessee) in charge performed any on-site verification of contractor (i.e., temporary employees, outside service personnel, or manufacturer representatives) skills in well-control or production operations?

a. Yes

b. No

c. Don’t Know

F4. How does the supervisor rate the overall quality of the well control or production training being provided to his/her company’s personnel?

a. High Quality

b. Average Quality

c. Low Quality

F5. In the last 12 months, did the supervisor’s company provide classroom training, workshops, or seminars in well control or production operations for any of its personnel?

a. Yes

b. No

c. Don’t Know

F6. Does the supervisor’s company perform Internal Training Audits?

a. Yes

b. No

c. Don’t Know

F7. If the answer to F6 is YES, how often are Internal Audits performed?

F 8. Explain your answer to question F3.

G. INSPECTOR COMMENTS: This Piece of Information is the Most Important Piece of Information Included on This Form. As Such, You Must Include an Explanation of Your Answer in the Box Below.

G1. How would you (the inspector) rate the overall quality of the inspection completed on this facility?

a. Good

b. Poor

G2. If your answer to question G1 is Poor, please provide an explanation.

G3. If INCs were issued during the inspection, list each individual INC number and enforcement action:

___________ __________ __________ ____________ __________ __________ ____________ __________ __________

G4. What rationale was used in selecting the employee or contractor to be interviewed?

a. Random Selection

b. Made errors during inspection

c. Demonstrated a lack of knowledge during inspection

G5. What is your overall observation on the outcome of this interview?

a. Favorable

b. Unfavorable

G6. Explain your answer to question G5.

H. INSPECTOR RECOMMENDATIONS:

H1. Should an audit be conducted for this operator?

a. Yes

b. No

c. N/A

H2. In your opinion, does the interviewee need additional training to perform his/her job duties safely?

a. Yes

b. No

H3. If You Answered YES to Either Question H1 or H2 Please Provide an Explanation of Your Answer Here:

Concurrent Signature of District Manager or Chief Inspector:

Paperwork Reduction Act of 1995 Statement: The Paperwork Reduction Act of 1995 (44 U.S.C. 3501 et seq.) requires us to inform you that 30 CFR 250.1507(b) authorizes us to conduct oral interviews of OCS employees. We use the information to ensure that workers in the OCS are properly trained with the necessary skills to perform their jobs in a safe and pollution-free manner. We are conducting this interview to evaluate the effectiveness of the company’s training program and to verify training compliance with BSEE regulations. We are not asking any questions of a proprietary or confidential nature. Your responses are mandatory. An agency may not conduct or sponsor, and you are 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 under OMB Control Number 1014-0008. We estimate the reporting burden for this interview to average 1 hour per respondent. You may direct comments regarding the burden estimate or any other aspect of this form to the Information Collection Clearance Officer, Bureau of Safety and Environmental Enforcement, 381 Elden Street, Herndon, VA 20170.

BSEE Subpart O (Mo/Year–Supersedes all previous versions of this form which may not be used) Page 9 of 9