Hot Tap Checklist Form B

To be completed by the Hot Tap Contractor Prior to Drilling the Coupon

Valve Tested Before Installation? Y ( ) Name of Shop performing Test _______________________________

Pressure Test of branch weld: ( ) Hydro ( ) Pneumatic Test Pressure _________ psig ( ) Passed ( ) Failed
( ) Radiography ( ) Other __________________ ( ) Passed ( ) Failed ( ) n/a
Fluid Flow velocity: miles/hour Liquid ( ) Gas/vapor ( )
Machine support arrangement approved by the TES Engineer? ( ) Y
Machine bit rated for the maximum flow velocity of the process? ( ) Y
Dimensional Checks Completed (see machine dimension sheet)? ( ) Y
Signatures

Shift Supervisor
Print Name:
Signature: Date:

Maintenance/Construction Representative
Print Name:
Signature: Date:

Job Coordinator
Print Name:
Signature: Date:

Prior to proceeding with the Hot Tap, the above information shall be completed and confirmation of successful test
results provided, and radio communication established with the Control Room

Contractor Hot Tap Checklist:

Hot Tap Machine Used Wt lb Max Working pr psig Test date__________

Boring bar travel set at " Do-not-exceed dimension " to prevent drill through

Coupon holding pins on cutter ( ) Y ( ) N Number ______

Machine bleed off verified: ( ) Y ( ) N

Coupon Retrieved: ( ) Y ( ) N

Signatures

Hot Tap Contractor Representative

Print Name:
Signature: Date:

Maintenance/Construction Representative
Print Name:
Signature: Date:

CONTROLLED DOCUMENT- 24 HRS

8:37 am 12/29/2018
-- UNCONTROLLED THEREAFTER --