Bsee-0144 - Rig Movement Notification Report Template

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U. S. Department of the Interior
OMB Control Number 1014-0018
Bureau of Safety and Environmental
OMB Approval Expires: 10/31/2017
Enforcement (BSEE)
RIG MOVEMENT NOTIFICATION REPORT
Use this form to report the movement (including skids, stacking, and moving in or out of the Gulf of
Mexico OCS) of all drilling rigs, workover rigs, and coiled tubing and snubbing 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 or you have the option to e-mail or telefax
(see page 2 for contact information) to the appropriate BSEE District Office(s) at least 24 hours before
you move the rig.
GENERAL INFORMATION
Report Date
Lease Operator
Rig Name
Rig Type: BR ___
CT ___
DS ___
JU ___
PF ___
SN ___
SS ___
SU ___
Rig Representative
Rig Telephone Number
RIG ARRIVAL INFORMATION
Rig Arrival Date
Work Scheduled: Drilling ___
Workover ___
Completion ___ TA ___
PA ___
Other (specify) _________________________________________
Well API Number (10 digits)
Well Name
Expected Duration of Well Operations
Well Surface
Lease No.
Area Name
Block No.
Latitude (Optional)
Longitude(Optional)
Location Information
Structure Location
Is Well Adjacent to Structure?
If Yes, Identify Structure
Distance from Structure
Information(Optional)
Yes ___
No ___
Remarks (Include size and extent of the mooring system and number of lighted and unlighted buoys deployed.)
(Optional)
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 ___
Latitude(Optional)
Longitude(Optional)
Well Surface
Lease No.
Area Name
Block No.
Location Information
Area Clearance
Is Area Clear of Obstructions?
If No, Explain
Information(Optional)
Yes___
No ___
Remarks (Include any significant en route movements.) (Optional)
Page 1 of 2
(October 2014) – Supersedes all previous versions of this form which may not be used).
BSEE FORM BSEE-0144

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