Section IX, ASME Boiler & Pressure Code 2010

Welders Name Identification No. Revision

Welding Process(ess) WPS No. Date
Date of Test PQR No. Date
BASE METALS & JOINT DESIGN

Material 1 P No. Group No. Specification Type and Grade

Material 2 P No. Group No. Specification Type and Grade
Thickness Position
Joint Design Progression
Diameter

FILLER METALS & ELECTRICAL CHARACTERISTICS

Specification No. (SFA)

AWS NO. (Classification)
F-No.
A-No. (Weld Metal)
Size of Filler Materials
Weld Runs
Weld Metal Thickness
Process/es
Current
Polarity
Amperes
Volts

GAS

Shielding Gas
Flux Type

TEST RESULTS

Visual
Radiographic
Magnetic Particle
Penetrant
Ultrasonic
Macro
Tensile
Bend
Fracture

RANGE OF QUALIFICATION

Materials
Thickness
Filler Metals
Joint Types
Process/es
Diameter
Positions

We certify that the statements in this record are correct and that the test welds were prepared, welded, and tested in
accordance with the requirements of Section IX of the ASME Boiler and Pressure Vessel Code.

DATE WITNESSED BY

SIGNATURE FOR MANUFACTURER