Form BSEE-0187 PERFORMANCE MEASURES DATA – Renewable Energy

Appendix A

U.S. Department of the Interior

Bureau of Safety and Environmental Enforcement (BSEE)

OMB Control Number 1014-0034 OMB Approval Expires xx/xx/xxxx

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

Operator Code(s)* Calendar Year

Contact Name Email Address

Telephone Date

INJURIES / ILLNESSES

				Energy Production	Decommissioning
	Site Assessment		Construction	and Maintenance	and Removal
	Activities		Operations	Operations	Operations
A. Number of Company	1st Qtr
Employee Recordable	2nd Qtr
Non-DART** Injuries/Illnesses	3rd Qtr 4th Qtr
B. Number of Contractor	1st Qtr
Employee Recordable	2nd Qtr
Non-DART** Injuries/Illnesses	3rd Qtr 4th Qtr
C. Number of Company	1st Qtr
Employee DART***	2nd Qtr
Injuries/Illnesses	3rd Qtr 4th Qtr
D. Number of Contractor	1st Qtr
Employee DART***	2nd Qtr
Injuries/Illnesses	3rd Qtr 4th Qtr

* 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).

WORK HOURS

				Energy Production	Decommissioning
Site Assessment			Construction	and Maintenance	and Removal
Activities			Operations	Operations	Operations
A. Number of Company	1st Qtr
Employee Hours	2nd Qtr
Worked	3rd Qtr
	4thQtr
B. Number of Contractor	1stQtr
Employee Hours	2nd Qtr
Worked	3rd Qtr
	4thQtr

Electric Energy Generation

A. Number of MW-Hrs 1^st Qtr

Generated 2^nd Qtr

3^rd Qtr

4^thQtr

B. Capacity Factor (%) 1^st Qtr

[Average generation 2^nd Qtr

÷ Installed Capacity] 3^rd Qtr

4^thQtr

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

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Form BSEE-0187 (2024)