(a) For any incident covered under § 250.188, you must submit a written report within 15 calendar days after the incident to the District Manager. The report must contain the following information:

1. (1) Date and time of occurrence;
2. (2) Operator, and operator representative's name and telephone number;
3. (3) Contractor, and contractor representative's name and telephone number (if a contractor is involved in the incident or injury);
4. (4) Lease number, OCS area, and block;
5. (5) Platform/facility name and number, or pipeline segment number;
6. (6) Type of incident or injury;
7. (7) Operation or activity at time of incident (i.e., drilling, production, workover, completion, pipeline, crane etc.);
8. (8) Description of incident, damage, or injury (including days away from work, restricted work or job transfer), and any corrective action taken; and
9. (9) Property or equipment damage estimate (in U.S. dollars).