ATTACHMENT E

YANSAB

H O T T A P P E R M I T

CONTRACTOR NAME SUPERVISOR

WORK LOCATION DATE OF HOT TAP TIME

SERVICE BEING TAPPED LINE NUMBER

LINE SIZE TAP SIZE

IF THE ANSWER TO ANY OF THE FOLLOWING QUESTIONS IS YES, THE HOT TAP CANNOT BE MADE.

Is hot tap diameter greater than 50% of run pipe diameter? If yes, a full
1. Yes No
encirclement pad or spit tee is required.

2. Stress relief required? Yes No

Is pressure greater than 700 psi?

3. Yes No
Pressure Reading ____________

Is temperature less than 70 degrees F or greater than 600 degrees F? Temperature

4. Yes No
Reading __________________

Pipe or plate normal thickness is less than 3/16 of an inch.

5. Yes No
Thickness Reading ______________________

Is required flow rate in line specified in job plan?

6. Yes No
Flow Rate ___________________

7. Does hot tap area include existing weld seams? Yes No

8. Are there any obstructions that may interfere with tapping machine clearance? Yes No

Tank or vessel liquid level less than three (3) feet above tap location?
9. Yes No
_________________ Level ____________________

10. Is hot tap upstream of rotating equipment without filters or traps? Yes No

APPROVAL SIGNATURES

APPROVER SIGNATURE DATE

PROJECT/SITE MANAGER

CONSTRUCTION MANAGER

PROJECT/SITE SUPERINTENDENT

PROJECT/SITE SAFETY REPRESENTATIVE

REGISTERED PROFESSIONAL MECHANICAL ENGINEER

( ONLY FOR EXCEPTIONS)

H:\000_General\Share\103\Safety\27e-Hot-Tap-Permit.doc