REPORT NO:

VISUAL EXAMINATION REPORT

DATE:

CUSTOMER: WORK ORDER:

POJECT: DRAWING NO:

WELD/PART NAME: WELD / PART IDENTIFICATIN NO:

EQUIPMENT USED: STAGE OF INSPECTION:

MATETIAL: SURFACE CONDITION:

TECHNIQUE USED: THICKNESS:

APPLICABLE STANDARD WITH REVISION LIGHT SOURCE:

ACCEPTANCE STANDARD WITH REVISION LIGHT INTENSITY:

WELDING PROCESS: TYPE OF JOINT:

INSPECTION AGENCY: PREVIOUS REPORT NO :

OBSERVATION AND EVALUATION

SL.NO WELD / PART IDETIFICATION NO: AREA EVALUATION REMARKS

We, the undersigned, certify that the statements in this record are correct and that the welds/ parts
were tested as per the requirements of the standard mentioned above.
INSPECTOR INTERPRETED AND EVALUATED BY WITNESSED BY

SIGNATURE: SIGNATURE: SIGNATURE:

DATE OF EXAMINATION: DATE: DATE:

NAME: NAME: NAME:

LEVEL: LEVEL: LEVEL:

VT REPORT-REV.00