Hot Tapping Risk Assessment Checklist Form
Complete this checklist to assess safety and readiness before starting a hot tapping job.
Job Location
*
Date of Assessment
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Is the hot tapping equipment inspected and in good condition?
*
Yes
No
Not Applicable
Has the job safety briefing been completed with all personnel?
*
Yes
No
Rate the adequacy of personal protective equipment (PPE) for this job.
*
1
2
3
4
5
Hazard Assessment
*
Rows
Not Present
Low
Medium
High
Fire/Explosion Risk
1
2
3
4
Toxic Gas Exposure
5
6
7
8
Pressure Release
9
10
11
12
Confined Space Entry
13
14
15
16
Are emergency response procedures in place and communicated?
*
Yes
No
Are isolation and lockout/tagout procedures verified?
*
Yes
No
Not Required
Overall risk level before work begins
*
Low
1
2
3
4
High
5
1 is Low, 5 is High
Additional Comments or Observations
Submit Assessment
Should be Empty: