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The CG-5136 Form is used to both summarize and detail all personnel, equipment, and other resources used during the
removal activities of an incident. The form consists of several parts.
Details on using and completing all parts of the form are included in Chapters 1 and 6 of the Technical Operating Procedures (TOPs) for Resource Documentation.
| Part... |
Is Used By... |
When... |
To.. |
| A |
FOSCs |
At end of spill (or at intervals for large spills) |
To summarize all resources used during the removal activities of a pollution incident |
| B-E |
FOSCs & Other Government Agencies |
Daily |
To list government personnel, equipment, and other resources incurred each day of removal activity |
| E1-E4 |
Contractors |
Daily |
To list contractor personnel, equipment, and other resources incurred each day of removal activity |
| F & F1 |
FOSCs |
As needed or daily |
To record changes to the ceiling and obligations incurred during an entire spill. |
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Download Entire Form & Instructions
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CG-5136A: Government Summary Sheet
Summarizes all personnel, equipment, and other resources used during the removal activities of a pollution incident. The remaining sections of CG-5136 provide detailed information on the costs.
| CG-5136A |
Pollution Incident Daily Resource Report - Gov't Summary Form |
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CG-5136B-E: Government Costs (Dailies)
FOSCs and other government organizations can use Parts B-E of the CG-5136 form to track government personnel, equipment, and other resources incurred each day of the removal activity.
| CG-5136B |
Pollution Incident Daily Resource Report - Gov't Personnel |
| CG-5136C |
Pollution Incident Daily Resource Report - Gov't Equipment |
| CG-5136D |
Pollution Incident Daily Resource Report - Gov't Purchases / Expendables / Travel Orders/Contractor |
| CG-5136E |
Pollution Incident Daily Resource Report - Gov't Short Form |
CG-5136 B-E Workbooks
You use the Microsoft Excel spreadsheets below as a substitute
for Parts B-E of the CG5136 form. These files are embedded with
the Coast Guard standard
rates (1 MB PDF) for the times indicated to quickly calculate
the daily costs related to oil spill removal. The first worksheet
in each file provides additional instructions.
|
If costs occurred. . . |
And spill lasted. . . |
Use. . . |
File Size |
On or after February 28, 2011 |
7 days or less |
Current Small Spill Form |
290 KB |
| More than 7 days |
Current Large Spill Form |
300
KB |
| On or after April 9,
2008 |
7 days or less |
Current Small Spill Form |
300 KB |
| More than 7 days |
Current Large Spill Form |
1 MB |
On or after April 5,
2007 |
7 days or less |
Current Small Spill Form |
300 KB |
| More than 7 days |
Current Large Spill Form |
1 MB |
| On or after March 15,
2006 |
7 days or less |
Current Small Spill Form |
300 KB |
| More than 7 days |
Current Large Spill Form |
1 MB |
| Between February 22, 2005,
and March 14, 2006 |
7 days or less |
Previous Small Spill Form |
300 KB |
| More than 7 days |
Previous Large Spill Form |
1 MB |
| Between October 4, 2002, and February 21, 2005 |
7 days or less |
Previous Small Spill Form |
300 KB |
| More than 7 days |
Previous Large Spill Form |
1 MB |
| Before October 4, 2002 |
N/A |
Email NPFC for appropriate standard rates |
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CG-5136E-1 through CG-5136E-4: Contractor Costs (Dailies)
Oil spill response contractors may use the Parts E1 to E4 of the CG-5136 form to track and submit daily costs. These forms are located on the Coast Guard Form Management System.
| CG-5136E-1 |
Pollution Incident Daily Resource Report - Contractor Personnel |
| CG-5136E-2 |
Pollution Incident Daily Resource Report - Contractor Equipment |
| CG-5136E-3 |
Pollution Incident Daily Resource Report - Contractor / Subcontractor Materials / Other Expenses |
| CG-5136E-4 |
Pollution Incident Daily Resource Report - Contractor / Short Form |
If you have questions concerning the CG-5136E contractor forms, please contact either the Maintenance and Logistics Command Atlantic or the Maintenance and Logistics Command Pacific.
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CG-5136-F: Ceiling Management and Incident Obligation Log
FOSCs can use the CG-5136-F to track a project's ceiling and compute cumulative obligations against an FPN during an incident.
| CG-5136F |
Environmental Response Ceiling Management - Ceiling Management & Incident Obligation Log |
| CG-5136F-1 |
Pollution Incident Daily Resource Report - Ceiling Management obligation Log Short Form |
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Adobe Acrobat Reader (PDF)
Excel