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PT.

SAFERAD SERVIS INDONESIA


ULTRASONIC INSPECTION REPORT
CLIENT : REPORT NO :
PROJECT/ JOB DESC: JOB NO/ PO NO :
LOCATION : TEST DATE :
SPECIFICATION: ACCEPTANCE CRITERIA: PROCEDURE NO :

SPECIMENT DATA
MATERIAL: WELDING PROCESS:
TESTING TEMPERATURE: JOINT DETAILS:
SURFACE CONDITION: MATERIAL THICKNESS:
DWG NO.: COUPLANT:
REQUEST FOR INSPECTION (RFI) NO.:
EQUIPMENT:
PROBES
FREQ.
ULTRASONIC UNIT : : ANGLE SIZE (mm) SC/TC SERIAL NUMBER REF dB
(MHz)
0
SERIAL NO. : 0
CALIBRATION BLOCK : 450
REFERENCE BLOCK : 600
700

UT DATA:
CALIBRATION : SCANNING TECHNIQUE :
SENSITIVITY : SCANNING SENSITIVITY :
: TRANSFER LOSS :
SIZING TECHNIQUE: LENGTH :
HEIGHT (WIDTH) :
NOTCH :

RESULT:
RESULT
IDENTIFICATION WELD/ JOINT NUMBER WELDER WPS DIMENSION
C DNC

Note: C = Complies DNC = Does Not Comply


REMARKS:

PT. SAFERAD SERVIS INDONESIA PT. AUSTIN ENGINEERING CLIENT REPRESENTATIVE 3rd PARTY
INDONESIA

NAME:
QUALIFICATION: NAME: NAME: NAME:
DATE: DATE: DATE: DATE:
Issued date: 30 MARCH 2015 NDT-FRM-002 / REV:0
PT SAFERAD SERVIS INDONESIA
BCI Industrial Park Blok B No.18, Tj. Sengkuang, Batu Ampar, Batam, Kepulauan Riau 29453
Phone : +62 778 - 4100081 Email : info@saferad.co.id

MAGNETIC PARTICLE INSPECTION REPORT


CLIENT : REPORT NO :
JOB DESCRIPTION
PROJECT/JOB DESC: : JOB NO/ PO NO :
LOCATION : TEST DATE :
SPECIFICATION: ACCEPTANCE CRITERIA: PROCEDURE NO:

SPECIMENT DATA
MATERIAL : DRAWING NO. :
TESTING TEMPERATURE : WELDING PROCESS :
SURFACE CONDITION : WELD PREPARATION :
REQUEST FOR INSPECTION (RFI) NO. : MATERIAL DIMENTION :
MPI DATA:
EQUIPMENT USED : CONTRAST PAINT :
SERIAL NUMBER : BATCH NO. :
CALIBRATION : MAGNETIC (POWDER / INK) :
CURRENT : BATCH NO. :
ILLUMINATION : INSPECTION METHODS : DRY WET
SENSITIVITY : CONTINUOS RESIDUAL
RESULT:
RESULT
IDENTIFICATION WELD NO / JOINT NUMBER WELDER WPS DIMENSION
C DNC

Note: C = Comply DNC = Does Not Comply


REMARKS/ TEST RESTRICTIONS:

PT.PT. SAFERAD
SAFERAD SERVIS
SERVIS INDONESIA
INDONESIA PT. AUSTIN ENGINEERING CLIENT REPRESENTATIVE 3rd PARTY
INDONESIA

Name:
Qualification: Name: Name: Name:
Date: Date: Date: Date:

Page 1 of 2 NDT-FRM-006 Issued 3 Rev. 0


PT SAFERAD SERVIS INDONESIA
BCI Industrial Park Blok B No.18, Tj. Sengkuang,Batu Ampar, Batam, Kepulauan Riau, 29453
Phone : +62 778 - 4100081 Email : info@saferad.co.id

DYE PENETRANT INSPECTION REPORT


CLIENT : REPORT NO :
JOB DESCRIPTION
PROJECT/JOB DESC: : JOB NO/ PO NO :
LOCATION : TEST DATE :
SPECIFICATION: ACCEPTANCE CRITERIA: PROCEDURE NO:

SPECIMENT DATA
MATERIAL : DRAWING NO. :
TESTING TEMPERATURE : WELDING PROCESS :
SURFACE CONDITION : WELD PREPARATION :
REQUEST FOR INSPECTION (RFI) NO. : MATERIAL DIMENSION :
DPI DATA:
PENETRANT : BATCH NO. :
CLEANER : BATCH NO. :
DEVELOPER : BATCH NO. :
REMOVER : BATCH NO. :
SOAKING TIME : BATCH NO. :

RESULT:
RESULT
IDENTIFICATION WELD NO / JOINT NUMBER WELDER WPS DIMENSION
C DNC

Note: C = Comply DNC = Does Not Comply


REMARKS/ TEST RESTRICTIONS:

PT.PT. SAFERAD
SAFERAD SERVIS
SERVIS INDONESIA
INDONESIA PT. AUSTIN ENGINEERING CLIENT REPRESENTATIVE 3rd PARTY
INDONESIA

Name:
Qualification: Name: Name: Name:
Date: Date: Date: Date:

Page 1 of 2 NDT-FRM-006 Issued 3 Rev. 0

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