Pollution Incident Daily Resource Report

              (CG-5136 Form)

Download Entire Form | Government Summary Sheet | Government Dailies | Contractor Dailies | Ceiling Log 

 

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..
E1-E4 Contractors Daily To list contractor personnel, equipment, and other
resources incurred each day of removal activity

             

 

Download Entire Form & Instructions

 

If you want to print Parts E to complete the form manually, you can download
the forms through CG Form Management Website.

Most of the form can also be completed electronically (see below to download
the sections you need individually).

Which file should I download?

CG-5136 E Workbooks

You must use the Microsoft Excel Workbook (e5136) as the primary means of documenting
all costs associated with an FPN, CPN, or DPN.. 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. . .

On or after
OCT 012017

 

 7 days or less Current Small Spill Form

On or after OCT 012017

 

 

More than 7 days

 

Current Large Spill Form

 
On or after
April 28 2017		 7 days or less Current Small Spill Form
On or after
April 28 2017		 More than 7 days Current Large Spill Form
On or after
October 2016		 7 days or less Current Small Spill Form
On or after
October 2016		 More than 7 days Current Large Spill Form
    

appropriate standard rates

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 the Shore Infrastructure Logistics Center (SILC).

                                   

 

 

      
Cost Doc Forms