Annex VI of NR-37 Incident Communication on Platform

a) Name of the installation operator, address, CNPJ, email, and phone number:

b) Identification, type, and location of the platform:

c) Date and time of the incident:

d) Chronology and technical description of the incident:

e) Description of the equipment, installations, processes, and activities involved in the incident:

f) Emergency measures adopted:

g) Consequences for the safety and health of workers:

h) Name, gender, age, role, and organization of the injured worker:

i) Current status of the operation:

j) Date and time of communication:

k) Identification and signature of the person responsible for the communication: