WELDER and WELDING OPERATOR PERFORMANCE

QUALIFICATION RECORD
Welders Name:
Welders SS No. XXX-XX-

ATF No:
Test No.
Reference WPS No:

Date:

VARIABLE

QUALIFICATION TEST DETAIL

QUALIFICATION RANGE*

Code or Specification Used:

Welding Process and Type:
Manual
Semiautomatic
Mechanized
Automatic
Backing:

Used

Base Metal

Manual
Semiautomatic
Mechanized
Automatic

Not Used

Required if used

Spec/P or M-Number

Plate/Pipe Thickness Groove

Plate

Pipe

Thick.

Plate/Pipe Thickness Fillet

Plate

Pipe

Thick.

Pipe/Tubular Outside Diameter Groove

Pipe/Tubular Outside Diameter Fillet
Filler Metal

Specification No.
Classification No.
F No.
Diameter
Consumable Insert

Yes

No

Penetration Enhancing Flux

Yes

No

Deposited Weld Metal Thickness

Current/Polarity & Current Range

Type/Polarity:
Range:

Amperes

Metal Transfer Mode (GMAW or FCAW)

Torch Shielding Gas

Type:

Root Shielding Gas

Flow:

NA Type:

Position(s)

Flow:

Test Position(s) (1G, 2G, etc.):

Vertical Progression

Uphill

Qualified Position(s) (F, H, V, O, or All)

Downhill

Uphill

Downhill

* NOTE: Insert NA for Variables that are identified as Non-essential in the Code or Specification used for the Performance Qualification Test

MECHANICAL TEST RESULTS

Type And Figure No.

Results

Type And Figure No.

Guided mechanical Testing Conducted By:

Results

Date:

NONDESTRUCTIVE EXAMINATION RESULTS

Radiographic Results:

Report No.

Radiographic Testing Conducted By:

Welding Witnessed By:

Visual Inspection:

Pass

Fail (reason

We certify that the statements in this record are correct and the test welds were prepared, welded and tested in accordance with
the requirements of: AWS D1.1, AWS B2.1Other:
Date Qualified:

ATF Name and Number:

Signed By:

ATF WPQR Blank Form 2010-04-15.docx

CWI No.

AWSCertifiedWelderApplication
Pleaseprintinblueorblackink

$35,Certificationfeemustaccompanythisform.(Pricesaresubjecttochange.)

PersonalInformation.(Tobecompletedbytheapplicant)
LastName:

HomeAddress:

FirstName:

MI:

Apt./Ste.No.:

City:

State:

Province/Country:

ZipCode:

S.S.#:XXXXX

EmailAddress:

HomeTel.#:

( )

WorkTel.#:

( )

CheckheretohavetheWeldersCertificationmailedtotheemployersaddress.
CompanyName:

CompanyAddress:

Ste.No.:

City:

State:

Province/Country:

ZipCode:

Uponobtainingmycertification,IgiveAWStherighttorevealmycertificationstatusasitrelatestoitsvalidityandtheexpirationdate
only.Nootherinformationrelatedtomycertificationshallberevealed.YesNo.IfYes,pleaseinitialhere

TestInformation(TobecompletedbyFacilitysTestSupervisor)
AccreditedTestFacility:
WPS:

Certificate#:

DateTested:

IndicateWPSasrequiredbyAWSB2.1.IfSupplementGisused,indicatetheWPSNumberasassignedbytheemployer.ex:04/12/2012

QUALIFICATIONSRANGE:Placetheappropriateabbreviationineachcategorybox
Supplement

Gas
(optional)

Filler
Metal

BaseMetal

Code

Process

Position(s)

Thickness,Backing
or
Thickness,PipeOD&Backing

REVIEWED:FacilityTestSupervisor:

Signature

PrintedName

DateCWICertificationNumberExpirationDate

CWIStamp(required)

8669
Doral Boulevard Suite 130, Doral, Florida 33166 Tel: (800) 4439353, Ext. 273 Fax (305) 4436445
8669DoralBoulevard,Doral,Florida33166Tel:(800)4439353,Ext.273Fax(305)4436445
MethodofPayment

Check#:

Visa

MasterCard

AmericanExpress

DinersClub

Discover

CreditCard#:
Signature:

Exp.Date:

AWSUseOnly
DateReceived:

CertCWCertifiedWelderApplication09/20/12

Account#:

Amount:


CertifiedWelderApplication
INSTRUCTIONSFORAPPLICATION

Thereisa$35feeforeachcertificationgranted.Forcreditcardinformation,fillouttheboxatthebottomoftheapplication.Pleasefillout
aseparateapplicationforeachcertificationthattheweldertested.

Personal Information (supplied by welder): The welder is responsible for maintaining the certification and AWS must have a personal
addressinordertostayincontactwithhim/her.Allcertificationmaterialswillbesenttothewelder'shomeaddress,unlessspecifiedtobe
senttoemployersaddress.RemembertocontactAWSifyouchangeyouraddress!IftheboxSendResultstoEmployer,ischecked,the
employer'saddressmustbesupplied.AWSwillsendaconfirmationlettertothecompanyaddressindicatedbelowthebox.

TestInformation(suppliedbytheFacilityTestSupervisor):WhenusingSupplementG,AWSmusthaveacopyoftheactualWPSonfile.If
you have previously submitted the WPS or are utilizing an AWS B2 SWPS, the AWS Certification Department has a record of this
information.AnyfurthertestsusingthatsameWPScanbereferencedontheapplication.IfthisisthefirsttimeaWPSisbeingused,please
submitacopyofthatWPSandanysupportingpaperworkalongwiththeapplication.

Under Qualifications, list the abbreviations that should appear on the welder certification card using the codes below. Note that some
categories, such as Gas, may not apply in all situations (SMAW for example). Also, consider the typical essential variables of Welder
Qualifications,suchasposition(s),upordownprogression,thickness,outsidediameter(OD,ifpipe),anduseornonuseofbacking.

Authorization: If the welder wants the certification information to be released, for example, to people wishing to hire AWS Certified
Welders,havetheweldersigninitials,whereindicatedontheapplication.

Review:Aftercompletingtheapplication,theFacilityTestSupervisormustsignthedocument,indicatinghisCWIcertificatenumberand
itsexpirationdate.SignaturebytheATFSupervisoratteststothecompletenessandaccuracyoftherecordsupplied.

GUIDETOINTERPRETINGABBREVIATIONSONAWSCERTIFIEDWELDERCARD
EXAMPLE
Supplement

Code

Process

Gas(optional)

FillerMetal

D1.1

GTAW

Ar100%

ER70S2

A106B

FCAW

CO2

E71T1

AWSSUPPLEMENTS
C
SheetMetalWelding(AWSD9.1)
F
ChemicalPlantandPetroleumPiping(ASMEB31.3andSec.IX)
G
GenericSupplement(CompanyfurnishedWPSandacceptancecriteria)
B2.1
SWPS

CODES:
(ForSupplementGonly,referenceappropriateacceptancecriteria.)
B2.1
AWSB2.1,StandardforWeldingProcedureandPerformanceQualification
D1.1
AWSD1.1,StructuralWeldingCodeSteel
D1.2

AWSD1.2,StructuralWeldingCodeAluminum
D9.1

AWSD9.1,SheetMetalWeldingCode
ASMEIX
ASMESectionIX,QualificationStandardforWeldingandBrazingProcedures,Welders,
Brazers,andWeldingandBrazingOperators
D15.1
AWSD15.1,RailroadWeldingSpecificationCarsandLocomotives
API
API1104,WeldingofPipelinesandRelatedFacilities
CUST
OthercustomermaybeusedasindicatedontheemployersuppliedWPS

*Otherstandards/codesmaybeusedasindicatedonthe
employersuppliedWPS

PROCESSES:
SMAW
ShieldedMetalArcWelding(SMAW)
GMAW
GasMetalArcWelding(GMAW)
GMAWS
GasMetalArcWeldingShortCircuit
FCAW
FluxCoredArcWelding(FCAW)
GTAW
GasTungstenArcWelding(GTAW)
SAW
SubmergedArcWelding(SAW)
BZ
Brazing

GAS:
AR
Argon
HE
Helium
Argon/CarbonDioxide
Ar/CO2
CO2
CarbonDioxide
Otherspecify

CertCWCertifiedWelderApplication09/20/12

BaseMetal

Thickness,Backing
or
Thickness,PipeOD&Backing

4G

L:1/83/4:4OD:WB

4G

L:1/83/4:4OD:WB

Position(s)

FILLERMETAL(AWSCLASSIFICATIONNUMBER)
ER309L
E7018A1L
ER70S2

BASEMETAL
AXXX
ASTMDesignations(i.e.,A36)
M
MaterialNumbersfromB2
SAXXX
(SA106,SA105,SA304L,etc.)
PX
(P1,P8,P44,etc.)

POSITION
1G
GrooveWeld,Flat
2G
GrooveWeld,Horizontal
3G
GrooveWeld,Vertical
4G
GrooveWeld,Overhead
5G
GrooveWeld,(Pipe)Vertical
6G
GrooveWeld,(Pipe)45Vertical
6GR
GrooveWeld,(Pipe)45withRestrictionRing
1F
FilletWeld,Flat
2F
FilletWeld,Horizontal
3F
FilletWeld,Vertical
4F
FilletWeld,Overhead
V
VerticalProgressionUp
D
VerticalProgressionDown
A
All

THICKNESS
U
Unlimited(ex.1/8toUnlimited)
L
Limited(ex.1/83/4)
xxxx
Rangeinsheetgauges(ex.1118)
x/x
Thicknessinfractionsofaninch(ex.3/8)
SCH
Schedulelistingforpipethickness(ex.Sch40)
WB
Withbacking
WOB
Withoutbacking
OD
OutsideDiameter(pipe)

MAINTENANCEOFWELDERCERTIFICATION

$15,Maintenancefeemustaccompanythisform.(Pricesaresubjecttochange.)

LastName:
EmailAddress:

FirstName:

MI:

S.S.#:XXXXX

Certification#:

Enterthedateyoumostrecentlyusedtheprocessesyouwouldliketomaintain.

Important:Failuretoincludedatesbelowwillresultinpaymentbeingforfeited.

SMAW

GMAW

GTAW

Other

Yourcertificationisextendedfromthedatesyouhaveindicatedabove.Ex:04/12/2012

FCAW

Verification:/Employer/TestSupervisor/Customer:Certifythattheabovenamedwelderusedtheweldingprocess(es)onthedatesindicated.
Important:ThisformisNOTtobesignedbytheapplicant.(PleaseCircleOne)

PrintName:

Title:

Company:

Phone: ( )

Signature:

Date:

Copythisformasneeded.

Ifyourmailingaddresshaschangedinthelastsixmonths,pleaselistnewaddressbelow:
NewAddress:

Apt./Ste.No.:

City:

State: ZipCode:

Province/Country:

YOURCERTIFICATIONISIMPORTANTTOYOUANDTOUS!
Usetheseformsbeforeyourexpirationdatetoproperlymaintainyourcertification.Certificationsinaccordancewith
SupplementCorD9.1fortheSheetMetalWeldingCoderequiremaintenanceevery12months.Certificationsin
accordancewithD1.1andallothercodesrequiremaintenanceevery6months.Checktherequirementsofthestandard
thatgovernsyourcertificationtoassurethatmaintenanceisreceivedbyAWSattheproperintervals.Allchecksand
AWS, 8669 Doral Boulevard Suite 130, Doral, Florida
33166.
moneyordersmustbemadepayabletoAWSandmailedto:AWS,8669DoralBoulevard,Doral,Florida33166.

WERECOMMENDSENDINGYOURFORMVIAUSMAILRETURNRECEIPTREQUESTED.

MethodofPayment
Check#:

Visa

MasterCard

AmericanExpress

DinersClub

Discover

CreditCard#:
Signature:

Exp.Date:

AWSUseOnly
DateReceived:

Account#:

CertMaintenanceofWelderCertification09/20/12

Amount:

GUIDE TO INTERPRETING ABBREVIATIONS ON AWS CERTIFIED WELDER CARD

EXAMPLE
Thickness, Backing
- or -

Supplement
G

Code

Process

Gas (optional)

Filler Metal

D1.1

GTAW

Ar 100%

ER70S-2

FCAW

CO2

E71T-1

AWS SUPPLEMENTS
C
Sheet Metal Welding (AWS D9.1)
F
Chemical Plant and Petroleum Piping (ASME B31.3
G
B2.1

and Sec. IX)

Generic Supplement (Company-furnished WPS and
acceptance criteria)
SWPS

CODES:

(For Supplement G only, reference appropriate

acceptance criteria.)
B2.1
AWS B2.1, Standard for Welding Procedure and
Performance Qualification
D1.1
AWS D1.1, Structural Welding Code - Steel
D1.2
AWS D1. 2, Structural Welding Code - Aluminum
D9.1
AWS D9.1, Sheet Metal Welding Code
ASME IX ASME Section IX, Qualification Standard for Welding
and Brazing Procedures, Welders, Brazers, and
Welding and Brazing Operators
D15.1
AWS D15.1, Railroad Welding Specification - Cars
and Locomotives
API
API 1104, Welding of Pipelines and Related Facilities
CUST
Other customer may be used as indicated on the
employer supplied WPS
*Other standards/codes may be used as indicated on the
employer supplied WPS

PROCESSES:
SMAW Shielded Metal Arc Welding (SMAW)
GMAW Gas Metal Arc Welding (GMAW)
GMAW-S Gas Metal Arc Welding - Short Circuit
FCAW
Flux Cored Arc Welding (FCAW)
GTAW Gas Tungsten Arc Welding (GTAW)
SAW
Submerged Arc Welding (SAW)
BZ
Brazing
GAS:
AR
Argon
HE
Helium
Ar/CO2 Argon/Carbon Dioxide
CO2
Carbon Dioxide
Other - specify

Cert- Guide to Interpreting Abbreviations-06/01/2012

Base Metal
A106B

Position (s)

Thickness, Pipe OD & Backing

4G

L: 1/8-3/4: 4 OD: WB

4G

L: 1/8-3/4: 4 OD: WB

FILLER METAL (AWS CLASSIFICATION NUMBER)

ER309-L
E7018-A1L
ER70S-2
BASE METAL
AXXX ASTM Designations (i.e., A36)
M
Material Numbers from B2
SAXXX (SA106, SA105, SA304L, etc.)
PX
(P1, P8, P44, etc.)
POSITION
1G
Groove Weld, Flat
2G
Groove Weld, Horizontal
3G
Groove Weld, Vertical
4G
Groove Weld, Overhead
5G
Groove Weld, (Pipe) Vertical
6G
Groove Weld, (Pipe) 45 Vertical
6GR
Groove Weld, (Pipe) 45 with Restriction Ring
1F
Fillet Weld, Flat
2F
Fillet Weld, Horizontal
3F
Fillet Weld, Vertical
4F
Fillet Weld, Overhead
V
Vertical Progression Up
D
Vertical Progression Down
A
All
THICKNESS
U
Unlimited (ex. 1/8 to Unlimited)
L
Limited (ex. 1/8-3/4)
xx-xx Range in sheet gauges (ex. 11 - 18)
x/x
Thickness in fractions of an inch (ex. 3/8)
SCH
Schedule listing for pipe thickness (ex. Sch 40)
WB
With backing
WOB Without backing
OD
Outside Diameter (pipe)