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WELDER QUALIFICATION TEST RECORD

( Record No. WQT-xxx )
Page 1 of 1
Qualified to CITIZEN ID No.

Welder Name Welder ID. No. PHOTO

WPS No. Date of Test

BASE METALS
Specification and type/grade or UNS No.: ; Thickness: 18.26 mm Thickness:
Type of test:

TESTING VARIABLES AND QUALIFICATION LIMITS Process(es) Process 1 Process 2

Welding Variables (QW-350) Actual Values Range Qualified
Welding Process (es) / Type
Backing (with/without)
Base metal P-No. to P-No.
Pipe diameter
Filler metal or electrodes specifications (SFA)
Filler metal or electrodes classifications
Filler metal F-No.
Consumable insert
Filler Metal Product Form
Deposit thickness for each process
Process 1:
Process 2:
Position
Vertical Progression
Type of fuel gas
Inert gas backing
Transfer mode
Current or polarity type

TEST RESULTS
Type of Test Acceptance Criteria Results Remarks
Visual Examination QW-302.4
Face, Root, Side Bend QW-160
Macroetch -
Radiographic Examination QW-191

We, the undersigned, certify that the statements in this record are correct and that the test coupon were prepared, welded, and tested in
accordance with the requirements of Section IX of the ASME BPVC 2019 edition.

The Welding Inspections Community Third Party

Welding Engineer QA/QC Manager (Survey Report No. HMxxxxxxxx )
Name: Name: Name:

Signature: Signature: Signature:

Date: Date: Date: