Bsee-0144 Rig Movement Notification Report

U. S. Department of the Interior
Bureau of Safety and Environmental
Enforcement

OMB Control Number 1014-0028
OMB Approval Expires: xx/xx/xxxx

RIG MOVEMENT NOTIFICATION REPORT
Use this form to report the movement (including skids, stacking, and moving in or out of the OCS) of all
rig units include MODUs, platform rigs, snubbing units, wire-line units used for non-routine operations,
and coiled tubing units. If the rig is moving from one location to another, you may show this by
completing the information for both rig departure and rig arrival on the same form. It is preferred by
BSEE that the report information be submitted utilizing the BSEE eWell web-based system at
https://ewell.BSEE.gov; or you have the option to e-mail or telefax (see page 3 for contact information) to
the appropriate BSEE Office(s) at least 24 hours before you move the rig.

GENERAL INFORMATION
Report Date

Lease Operator

Rig Name

Rig Type: Barge ___ Coiled Tubing Unit ___ Drill Ship ___
Hydraulic Workover Unit ___ Jackup ___Platform ___
Snubbing Unit ___ Semisubmersible ___ Submersible ___
Wire-Line Unit ___

Rig Representative (on location)

Rig Telephone Number (on location)

RIG ARRIVAL INFORMATION
Rig Arrival Date

Work Scheduled: Drilling ___

Workover ___

Completion ___ TA ___

PA ___

Other (specify) _________________________________________
Is rig new to OCS?
Yes ___ No ___

Location where rig came from: ____________________________________________

Well API Number (10 digits)

Well Name

Expected Duration of Well Operations

Well Surface
Location Information

Lease No.

Area Name

Block No.

Structure Location
Information (Optional)

Is Well Adjacent to Structure?
Yes ___ No ___

Helideck Available?
Yes ___ No ___

Helideck Rating _______ Kips

Latitude (Optional)

If Yes, Identify Structure

Longitude (Optional)

Distance from Structure

Remarks (Include size and extent of the mooring system and number of lighted and unlighted buoys deployed)
(Optional)

FORM BSEE-0144 (04/2022 – Supersedes all previous versions of this form which may not be used).

Page 1 of 2

RIG DEPARTURE INFORMATION
Rig Departure Date

Well Status:

Completed ___

DSI ___

TA ___

PA ___

Well API Number (10 digits)

Well Name

Is Rig Being Skidded on the Platform?
Yes ___
No ___

Well Surface
Location Information

Lease No.

Area Name

Block No.

Area Clearance
Information (Optional)

Is Area Clear of Obstructions?
Yes___
No ___

Latitude (Optional)

Longitude (Optional)

If No, Explain

Remarks (Include any significant en route movements) (Optional)

RIG STACKING INFORMATION
Rig Arrival Date
Manned (warm)
Any modifications,
repairs, or
construction:

Rig Departure Date
Un-manned (cold)
Date of
Modifications,
repairs, or
construction

Area Name

Location:
Block No.

Latitude (Optional)

Longitude (Optional)

Yes ___ No ___
Area Clearance
Is Area Clear of Obstructions?
If No, Explain
Information
Yes___ No ___
(Optional)
Remarks (Explain any modifications, repairs, or construction.)

CERTIFICATION: I certify that the information submitted above is complete and accurate to the
best of my knowledge. I understand that making a false statement may subject me to criminal
penalties under 18 U.S.C. 1001.

Name and Title: ________________________________ Date: ___________________

FORM BSEE-0144 (04/2022 – Supersedes all previous versions of this form which may not be used).

Page 2 of 2

BSEE OCS CONTACT INFORMATION
District/Subdistrict

Telephone

Telefax

E-mail Address

New Orleans District

(504) 734-6740

(504) 734-6741

[email protected]

Houma District

(985) 853-5884

(985) 879-2738

[email protected]

Lafayette District

(337) 289-5100

(337) 236-6084

[email protected]

Lake Charles District

(337) 437-4600

(337) 582-3112

[email protected]

Lake Jackson District

(713) 286-2300

(979) 238-8122

[email protected]

Alaska OCS Region

(907) 334-5300

(907) 334-5202

[email protected]

Pacific OCS Region

(805) 384-6370

(805) 383-6309

[email protected]

PAPERWORK REDUCTION ACT of 1995 (PRA) STATEMENT: The PRA (44 U.S.C. 3501 et seq.) requires us to
inform you that we collect this information to obtain knowledge of equipment and procedures to be used in drilling,
sidetracking, completing, reworking, recompleting, and abandoning wells. BSEE uses the information to schedule
inspections and verify that equipment and/or procedures are adequate to perform the proposed operations safely.
Responses are mandatory (43 U.S.C. 1334). Proprietary data are covered under 30 CFR 250.197. 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 OMB Control Number. Public reporting burden for reviewing the instructions, completing, and filling out
this form is estimated to average 42 minutes per response. This form has been assigned OMB Control Number 10140028. However, this form is also used for activities regulated under 30 CFR 250, subparts D, E, F, P, and Q. 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, 45600 Woodland Road, Sterling, VA 20166.

FORM BSEE-0144 (04/2022 – Supersedes all previous versions of this form which may not be used).

Page 3 of 2