INSPECTION AND TEST REPORT REPORT. NO.

:
FOR TANK (GENERAL) PAGE : OF

PROJECT: JOB NO.:

Area / Unit : Date :

Location : Subcon. Name :

Equipment Name : Equipment No. :

Ref. Dwg. : Rev. No. :

Note :

Inspection Result : □ Accept □ Conditionally Accept □ Reject

Inspection by Subcontractor Contractor Client

Name

Signature

Date
Form No. : ITR-MST-001
 INSPECTION AND TEST REPORT REPORT NO. :

FOR FOUNDATION LEVEL PAGE : OF

PROJECT: JOB NO. :

Area / Unit : Date :
Location : Subcon. Name :
Equipment Name : Equipment No. :
Ref. Dwg. : Rev. No. :
Drawing No. Tank Diameter(mm) Slope
A B C D E O
Check Point

Radius 10' Radius 15' Radius 30 Radius 45 Radius 90 Radius 0

Elevation Elevation Elevation Elevation Elevation Elevation
Readings Diff Readings Diff Readings Diff Readings Diff Readings Diff Readings Diff
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15 * Where a sloping foundation is specified. The actual elevation
16 difference shall not deviate from the calculated difference
17 By more then following tolerances :
18 a. Where a concrete ring wall is provided, ±3mm in any 9m of
19 circumference and ±6mm in total circumference.
20 b. Where a concrete ring wall is not provided, ±3mm in any 3m of
21 circumference and ±13mm in total circumference.
22
23
24
25
26
27 A B C D E O
28
29
30 H
31
32 R
33
34
35
36 Tolerance :

Note :

Inspection Result : □ Accept □ Conditionally Accept □ Reject

Inspection by Subcontractor Contractor Client
Name
Signature
Date
Form No. : ITR-MST-002
 INSPECTION AND TEST REPORT REPORT NO. :

FOR ANCHOR BOLT LOCATION PAGE : OF

PROJECT: JOB NO. :

Area / Unit : Date :
Location : Subcon. Name :
Equipment Name : Equipment No. :
Ref. Dwg. : Rev. No. :

Radius ® Spacing(d) Radius ® Spacing(d)

Check

Check
Point

Point
DWG Actual Diff DWG Actual Diff DWG Actual Diff DWG Actual Diff

1 21
2 22
3 23
4 24
5 25
6 26
7 27
8 28
9 29
10 30
11 31
12 32
13 33
14 34
15 35
16 36
17 37
18 38
19 39
20 40

0'

* Anchor bolt circle diameter & spacing r

Start from 0' toward clockwise direction. 90'
270'
* Tolerance r & d : +3mm
180'

Note :

Inspection Result : □ Accept □ Conditionally Accept □ Reject

Inspection by Subcontractor Contractor Client
Name
Signature
Date
Form No. : ITR-MST-003
 INSPECTION AND TEST REPORT REPORT NO. :

FOR WELDING FIT-UP PAGE : OF

PROJECT: JOB NO. :

Area / Unit : Date :

Location : Subcon. Name :

Equipment Name : Equipment No. :

Ref. Dwg. : Rev. No. :

Inspection
Drawing No.
Area or Part
Joint Preparation
Location or Result
Weld Checking
No Orientation of Misalign Root Cleaning of Fit-up Remark
Joint No. Date
Weld Joint (HIHO) Gap Weld Joint Accept Reject

Note :1. See the Weld Joint Map or the applicable drawing attached.

Inspection Result : □ Accept □ Conditionally Accept □ Reject

Inspection by Subcontractor Contractor Client
Name

Signature

Date
Form No. : ITR-MST-004
 INSPECTION AND TEST REPORT REPORT NO. :

FOR VISUAL INSPECTION ON WELDING PAGE : OF

PROJECT: JOB NO. :

Area / Unit : Date :

Location : Subcon. Name :

Equipment Name : Equipment No. :

Ref. Dwg. : Rev. No. :

Inspection
Drawing No.
Area or Part
Welding Completed Weld(1)
Weld Result
No Applied. Welder Back Chipping Visual NDE(2) Remark
Joint No.
WPS No. No. Check(1) Check RT MT PT Accept Reject

Note :
(1) To fill completion date of each inspection and testing in the blank.
(2) The NDE result of the weld joint is shown in the NDE report separately.
(3) The welder No. and RT location may be recorded in other sheet with the
illustration of weld joint location such as-built RT Map, Weld Map, etc.
Inspection Result : □ Accept □ Conditionally Accept □ Reject
Inspection by Subcontractor Contractor Client
Name

Signature

Date
Form No. : ITR-MST-005
 INSPECTION AND TEST REPORT REPORT NO. :

FOR TANK SHELL LEVEL PAGE : OF

PROJECT: JOB NO. :

Area / Unit : Date :

Location : Subcon. Name :

Equipment Name : Equipment No. :

Ref. Dwg. : Rev. No. :

Drawing No. Shell Course No.
Tank Diameter (mm) Tolerance (mm)

Measured Difference Measured Difference

Shell Check Shell Check
Dimension(A) against Dimension(A) against
Plate No. point Plate No. point
(mm) average(mm) (mm) average(mm)

1 9

2 10

3 11

4 12

5 13

6 14

7 15

8 16

Average =

L
1/4L Scale
1/4L

Shell Plate

Note :

Inspection Result : □ Accept □ Conditionally Accept □ Reject

Inspection by Subcontractor Contractor Client
Name

Signature

Date
Form No. : ITR-MST-006
 INSPECTION AND TEST REPORT REPORT NO. :

FOR PLUMPNESS OF SHELL COURSE PAGE : OF

PROJECT: JOB NO. :

Area / Unit : Date :

Location : Subcon. Name :

Equipment Name : Equipment No. :

Ref. Dwg. : Rev. No. :

Height (mm) ±Tolerance (mm)

Measured Dimension(A) Out-of- Measured Dimension(A) Out-of-

Shell
Check (mm) Plumb Shell Check (mm) Plumb
Plate
point (A-B) Plate No. point (A-B)
No.
Top(A) Bottom(B) (mm) Top(A) Bottom(B) (mm)

1 1

2 2

3 3

4 4

5 5

6 6

7 7

8 8

1/4L 1/4L

Top(A)

Height
Shell Plate
Bottom(B)

Note : 1) Tolerance for out-of plumb : 1/200 of height Plumb bob

2) + shows leaning to outside.
3) - shows leaning to inside.

Note :

Inspection Result : □ Accept □ Conditionally Accept □ Reject

Inspection by Subcontractor Contractor Client
Name

Signature

Date
Form No. : ITR-MST-007
 INSPECTION AND TEST REPORT REPORT NO. :

FOR ROUNDNESS OF SHELL COURSE PAGE : OF

PROJECT: JOB NO. :

Area / Unit : Date :

Location : Subcon. Name :

Equipment Name : Equipment No. :

Ref. Dwg. : Rev. No. :

Tank Dia (mm) ±Tolerance (mm)

Shell Shell
Check Check
Plate Actual Radius(mm) Diff(mm) Plate Actual Radius(mm) Diff(mm)
point point
No. No.

1 1
S1-1 S1-5
2 2

3 3
S1-2 S1-6
4 4

5 5
S1-3 S1-7
6 6

7 7
S1-4 S1-8
8 8

top shell only

300mm
Note : 1) Measurement shall be made after verts 2nd to top shell
and comer welds are completely weld.
300mm
2) Roundness tolerances.
Diameter) Radius Tolerance(mm) 1st shell
< 12 ± 13
12 to < 45 ± 19 inside radius
45 to < 75 ± 25
300mm
≥ 75 ± 30
3) The shell roundness shall be measured
at 1/4L and on the each plate. GL

Bottom Plate

Note :

Inspection Result : □ Accept □ Conditionally Accept □ Reject

Inspection by Subcontractor Contractor Client
Name

Signature

Date
Form No. : ITR-MST-008
 INSPECTION AND TEST REPORT REPORT NO. :

FOR DIMENSION OF NOZZLE, M/H & SUMP PAGE : OF

PROJECT: JOB NO. :

Area / Unit : Date :

Location : Subcon. Name :

Equipment Name : Equipment No. :

Ref. Dwg. : Rev. No. :

Nozzle Size

A or F(mm) B(mm) C(mm) D(mm) S(mm)

Nozzle No.

(NPS)

Attached
Tolerance.: ± 9.5 ± 14.3 / ± 25.4 -0, +5 / -0, +10 +1/2˚ / +1˚ Max 1.5mm
on
DWG Diff. DWG Diff. DWG Diff. Diff. Diff.

F
C 0˚
S
B
C
270˚ 90˚
D
B
A
F
180˚

* Note : All flange bolt holes shall be straddled the principal center line of the tank, unless
otherwise specified unless otherwise specified

Inspection Result : □ Accept □ Conditionally Accept □ Reject

Inspection by Subcontractor Contractor Client
Name

Signature

Date
Form No. : ITR-MST-009
 INSPECTION AND TEST REPORT REPORT NO. :
FOR GAP OF RIM SPACE FOR INTERNAL
PAGE : OF
FLOATING ROOF(1/2)

PROJECT: JOB NO. :

Area / Unit : Date :

Location : Subcon. Name :

Equipment Name : Equipment No. :

Ref. Dwg. : Rev. No. :

Width and Level Check Hydrostatic Test I.F.R Floating Roof

Location 0˚ 45˚ 90˚ 135˚ 180˚ 225˚ 270˚ 315˚

Lower of Shell Plate

Height of Shell Plate

Average

Differential

Others Reference to form No, ITR-MST-011

Tolerance :

Note :

Inspection Result : □ Accept □ Conditionally Accept □ Reject

Inspection by Subcontractor Contractor Client
Name

Signature

Date
Form No.: ITR-MST-010
 INSPECTION AND TEST REPORT REPORT NO. :
FOR GAP OF RIM SPACE FOR INTERNAL
PAGE : OF
FLOATING ROOF(2/2)

PROJECT: JOB NO. :

Area / Unit : Date :
Location : Subcon. Name :
Equipment Name : Equipment No. :
Ref. Dwg. : Rev. No. :
Result
No Inspection Item Description Check Point Criteria
Accept Reject
Tank shell & Rim Rim space shell KFS 150mm±100 Smooth grinding &
1
Space Surface check Welding part No edge

Primary rim plate Bolting joint & Bolting joint & 40mm
2
Visual Overlap Overlap

Floating tube ass'y Floating tube saddle Damage visual Vertical & Horizon.

3 & strip housing leg Visual Level

Support

Column & Gauge Assembly of seal Visual Column Gap

4 Well Assembly Gasket Bolting 10±5mm

Well support Erection visual Visual

5 Stub Drain Visual Visual

Ground Cable Ground Ass'y Ass'y of ground No Interference

6
cable

Anti-rotation ass'y Wire housing ass'y Tightening of Tightening

7
Stainless wire
More than 50mm
Form seal ass'y Envelope End & splice joint
Overlap
8 Form block Space visual Visual
Hold down plate
Visual Visual
& wire
More than 100mm
Wiper seal ass'y Wiper seal End joint
overlap
9
Seal clamp bar Visual

10 Roof vent Visual Visual

Tolerance :
Note :

Inspection Result : □ Accept □ Conditionally Accept □ Reject

Inspection by Subcontractor Contractor Client
Name
Signature
Date
Form No.: ITR-MST-011
 INSPECTION AND TEST REPORT REPORT NO. :
FOR PERMANENT ATTACHMENT ON THE
PAGE : OF
TANK

PROJECT: JOB NO. :

Area / Unit : Date :

Location : Subcon. Name :

Equipment Name : Equipment No. :

Ref. Dwg. : Rev. No. :

Position (mm) Inspection Item
No. Part Name Drawing
Orie. (±14.3) Elev. (±9.5) Dimension Visual

Tolerance :

Note :

Inspection Result : □ Accept □ Conditionally Accept □ Reject

Inspection by Subcontractor Contractor Client
Name
Signature
Date
Form No.: ITR-MST-012
 INSPECTION AND TEST REPORT REPORT NO. :

FOR VERTICALITY OF GAUGE POLE PAGE : OF

PROJECT: JOB NO. :

Area / Unit : Date :

Location : Subcon. Name :

Equipment Name : Equipment No. :

Ref. Dwg. : Rev. No. :

Gauge Pole no. X (mm) Y (mm) Diff (mm) Remarks

Top
Y Location of
String Plumb bob

X
Gauge Pole X' X

Check Point
Plumb bob

Y'

* Note : The verticality of each gauge pole shall not exceed the recommended tolerance
of instrument maker. (Tolerance : ±75 mm)

Note :

Inspection Result : □ Accept □ Conditionally Accept □ Reject

Inspection by Subcontractor Contractor Client
Name

Signature

Date
Form No.: ITR-MST-013
 INSPECTION AND TEST REPORT REPORT NO. :

FOR OIL PENETRATION TEST PAGE : OF

PROJECT: JOB NO. :

Area / Unit : Date :

Location : Subcon. Name :

Equipment Name : Equipment No. :

Ref. Dwg. : Rev. No. :

Test Method

Assembly or Area
Surface Condition
(DWG No)

Test Fluid Cleaning Method

Test result Holding Time

Test Date Tolerance

Note or Sketch :

Inspection Result : □ Accept □ Conditionally Accept □ Reject

Inspection by Subcontractor Contractor Client
Name

Signature

Date
Form No.: ITR-MST-014
 INSPECTION AND TEST REPORT REPORT NO. :

FOR VACUUM BOX TEST PAGE : OF

PROJECT: JOB NO. :

Area / Unit : Date :

Location : Subcon. Name :

Equipment Name : Equipment No. :

Ref. Dwg. : Rev. No. :

Test Method

Description and stage of items examined

Assembly or Area
Assembly or Area ID
(DWG No)

Surface Condition Cleaning Method

Design Pressure Test Pressure

Actual Test Pressure Holding Time

Pressure Gauge ID Test Fluid

Calibration No. of Pressure Calibration Date of Pressure

Gauge Gauge

Test result Test Date

Note or Sketch :

Tolerance :

Inspection Result : □ Accept □ Conditionally Accept □ Reject

Inspection by Subcontractor Contractor Client
Name

Signature

Date

Form No.: ITR-MST-015

 INSPECTION AND TEST REPORT REPORT NO. :
FOR AIR LEAK TEST OF NOZZLE
PAGE : OF
REINFORCING PAD

PROJECT: JOB NO. :

Area / Unit : Date :

Location : Subcon. Name :

Equipment Name : Equipment No. :

Ref. Dwg. : Rev. No. :

Nozzle Nozzle
Nozzle

Nozzle
Attached Checking Checking Checking Checking
No.

No.
Size Size Attached on
on Result Date Result Date
(NPS) (NPS)

Pressure Gauge

Detector Solution Test Medium

Detector Solution

* Note : (1) Test Pressure : 0.1Mpa (=1.0kg/cm2)

(2) Test Medium : Compressed Air Nitrogen Gas
(3) Leak Detector Solution : Soap Water
(4) Leak Test of reinforcing pad was carried out on three weld surface
( 1, 2, 3) and one inside surface(4) of each nozzle listed above.

Note :

Inspection Result : □ Accept □ Conditionally Accept □ Reject

Inspection by Subcontractor Contractor Client
Name

Signature

Date
Form No.: ITR-MST-016
 INSPECTION AND TEST REPORT REPORT NO. :
FOR WATER FILLING AND FOUNDATION
PAGE : OF
SETTLEMENT CHECK-2 STAGE

PROJECT: JOB NO. :

Area / Unit : Date :

Location : Subcon. Name :

Equipment Name : Equipment No. :

Ref. Dwg. : Rev. No. :

Average Differential
Survey Point 1 (0˚) 2 (45˚) 3 (90˚) 4 (135˚) 5 (180˚) 6 (225˚) 7 (270˚) 8 (315˚)
(mm) (mm)

1 Initial

2 1/2 Filling

3 Full Filling

4 1/2 Draining

5 Full Draining

Average/Settlement

Differential(mm)

Tolerance :
Note :

1st Step: Settlement check for hydrostatic test.

2nd Step: Half water filling in tank.
3rd Step: Full water filling in tank.
4th Step: Half draining of water in tank.
5th Step: Settlement check after full draining of tank.

Inspection Result : □ Accept □ Conditionally Accept □ Reject

Inspection by Subcontractor Contractor Client

Name

Signature

Date

Form No.: ITR-MST-017

 INSPECTION AND TEST REPORT REPORT NO. :
FOR WATER FILLING AND FOUNDATION
PAGE : OF
SETTLEMENT CHECK-4 STAGE

PROJECT: JOB NO. :

Area / Unit : Date :

Location : Subcon. Name :

Equipment Name : Equipment No. :

Ref. Dwg. : Rev. No. :

Average Differential
Survey Point 1 (0˚) 2 (45˚) 3 (90˚) 4 (135˚) 5 (180˚) 6 (225˚) 7 (270˚) 8 (315˚)
(mm) (mm)

1 Initial

2 1/2 Filling

3 Full Filling

4 1/2 Draining

5 Full Draining

6 3/4 Draining

7 2/4 Draining

8 3/4 Draining

9 Full Draining

Average/Settlement

Differential(mm)

Tolerance :

Note :
1st Step: settlement check for hydrostatic test.
2nd Step: 1/4th filling of water.
3rd Step: half filling of water.
4th Step: 3/4 filling of water.
5th Step: full filling of water.
6th Step: 1/4 the draining of water.
7th Step: half draining of water.
8th Step: 3/4th draining of water.
9th Step: settlement check after full draining of tank.

Inspection Result : □ Accept □ Conditionally Accept □ Reject

Inspection by Subcontractor Contractor Client

Name

Signature

Date
Form No.: ITR-MST-018
 INSPECTION AND TEST REPORT REPORT NO. :

FOR PAINTING OF STORAGE TANK PAGE : OF

PROJECT: JOB NO. :

Area / Unit : Date :

Location : Subcon. Name :

Equipment Name : Equipment No. :

Ref. Dwg. : Rev. No. :

Please Check Shop Internal Coating Primer

Field External Coating Intermediate

Finish

Weather and Surface Condition :

Ambient Temperature : ℃ Wet Bulb : ℃

Surface Temperature : ℃ Relative Humidity : %

Dew point : ℃ Checking Time :

Painting Material applied :

Product Name & No. :
Manufacturer :
Batch No. A: B: Thinner %

Mixing Ratio A: B: Thinner %

By Weight
By Volume

Tolerance :

Note :

Inspection Result : □ Accept □ Conditionally Accept □ Reject

Inspection by Subcontractor Contractor Client

Name

Signature

Date
Form No.: ITR-MST-019
 INSPECTION AND TEST REPORT REPORT NO. :

FOR PAINTING D.F.T RECORD PAGE : OF

PROJECT: JOB NO. :

Area / Unit : Date :

Location : Subcon. Name :

Equipment Name : Equipment No. :

Ref. Dwg. : Rev. No. :

Application stage : Primer Intermediate Finish

Specified D.F.T : μ Accumulated Spec. D.F.T : μ

Reading value Reading value

Product Product
Average Average
Mark Mark
Primer Intermed. Finish Primer Intermed. Finish

Tolerance(thickness) :
Note :

Inspection Result : □ Accept □ Conditionally Accept □ Reject

Inspection by Subcontractor Contractor Client

Name

Signature

Date
Form No.: ITR-MST-020
 INSPECTION AND TEST REPORT REPORT NO. :

FOR FINAL PAINTING INSPECTION PAGE : OF

PROJECT: JOB NO. :

Area / Unit : Date :

Location : Subcon. Name :

Equipment Name : Equipment No. :

Ref. Dig. : Rev. No. :

Primary 1st : (DFT) Microns

Intermediate 2nd: (DFT) Microns

Final 3rd: (DFT) Microns

(Total) (DFT) Microns

This storage tank described above is certified as having been satisfactorily and completely

inspected in accordance with the contract painting specification and accepted in the presence

of the witness signature above.

Tolerance(thickness) :
Note :

Inspection Result : □ Accept □ Conditionally Accept □ Reject

Inspection by Subcontractor Contractor Client

Name

Signature

Date
Form No.: ITR-MST-021
 INSPECTION AND TEST REPORT REPORT NO. :

FOR INSULATION (STORAGE TANK) PAGE : OF

PROJECT: JOB NO. :

Area / Unit : Date :

Location : Subcon. Name :

Equipment Name : Equipment No. :

Ref. Dwg. : Rev. No. :

Insulation Specification

1) Surface Condition :

2) Insulation Material :

3) insulation Thickness :

4) Number of Layers :

5) Vapor- Barrier :

6) Metal Jacketing :

Inspection Result

1) Surface Condition :

2) Insulation Material :

3) insulation Thickness :

4) Number of layers :

5) Vapor- Barrier :

6) Metal Jacketing :

7) Final Inspection Result :

Inspection Result : □ Accept □ Conditionally Accept □ Reject

Inspection by Subcontractor Contractor Client

Name

Signature

Date

Form No.: ITR-MST-022

 INSPECTION AND TEST REPORT REPORT NO. :

FOR WATER SPRAY SYSTEM PAGE : OF

PROJECT: JOB NO. :

Area / Unit : Date :

Location : Subcon. Name :

Equipment Name: Equipment No. :

Ref. Dwg. : Rev. No. :

Drawing No :

Tank Type :

Diameter :

Height :

Inspection Result :

This storage tank described above is certified as having been satisfactorily and completely

inspected for Spray Pattern of Water Spray System in accordance with contract

specification and accepted in the presence of the witness signed above.

Note :

Inspection Result : □ Accept □ Conditionally Accept □ Reject

Inspection by Subcontractor Contractor Client

Name

Signature

Date
Form No.: ITR-MST-023
 INSPECTION AND TEST REPORT REPORT NO. :

FOR FACSIMILE OF NAME PLATE PAGE : OF

PROJECT: JOB NO. :

Area / Unit : Date :

Location : Subcon. Name :

Equipment Name : Equipment No. :

Ref. Dwg. : Rev. No. :

Drawing No.

* Note : Please attach the facsimile of name plate on this Report.

Note :

Inspection Result : □ Accept □ Conditionally Accept □ Reject

Inspection by Subcontractor Contractor Client

Name

Signature

Date
Form No.: ITR-MST-024
 INSPECTION AND TEST REPORT REPORT NO. :

FOR VISUAL INSPECTION OF TANK INTERNAL PAGE : OF

PROJECT: JOB NO. :

Area / Unit : Date :

Location : Subcon. Name :

Equipment Name : Equipment No. :

Ref. Dwg. : Rev. No. :

Before Hydrostatic Test Final

Installation O.K.(Signature and Date)

Items of Check
Result Date Inspector

Inside cleanness

Mixer

Tank Attachment correctly located as per Drawings

Other internals

F.R Pontoon Check

F.R Seal Check

F.R Drain system tested

Floor tested by

Roof tested by

Deck checked by

Bottom tested by

No. Non-Conformance or Reference

Note :

Inspection Result : □ Accept □ Conditionally Accept □ Reject

Inspection by Subcontractor Contractor Client

Name

Signature

Date
Form No.: ITR-MST-025
 INSPECTION AND TEST REPORT REPORT NO. :
FOR VISUAL INSPECTION OF TANK
PAGE : OF
EXTERNAL

PROJECT: JOB NO. :

Area / Unit : Date :

Location : Subcon. Name :

Equipment Name : Equipment No. :

Ref. Dwg. : Rev. No. :

Before Hydrostatic Test Final

Installation O.K.(Signature and Date)

Items of Check
Result Date Inspector

Tank free form external damage

Tank nameplate correct to DWG

Tank attachments correctly located

Tank nozzles located and orientated correctly

No. Non-Conformance or Reference

Note :

Inspection Result : □ Accept □ Conditionally Accept □ Reject

Inspection by Subcontractor Contractor Client

Name

Signature

Date
Form No.: ITR-MST-026
 INSPECTION AND TEST REPORT REPORT NO. :

FOR CERTIFICATION OF TANK PAGE : OF

PROJECT: JOB NO. :

Area / Unit : Date :

Location : Subcon. Name :

Equipment Name : Equipment No. :

Ref. Dwg. : Rev. No. :

Client : (Name)
(Address)
Project Title :
Contract No. :
Tank No. :

Tank Type : Cone Roof Tank Dome - Internal Floating Roof Tank

Dome Roof Tank Cone Roof - Internal Floating Roof Tank

Tank Capacity : Tank Size :

(Diameter X Height)
We hereby certify that the tank constructed for you
at

(Location)
and described above has been satisfactorily and completely constructed
In accordance with the applicable requirements of contract Specification.

(Manufacturer's name)
(Representative) Date
The tank described above has been inspected in accordance with the
applicable requirements of Contract Specification and has been accepted
in the presence of the witness(es) signed below.

(Client's) (Representative) Date

( ) (Representative) Date

Note :

Inspection Result : □ Accept □ Conditionally Accept □ Reject

Inspection by Subcontractor Contractor Client

Name

Signature

Date
Form No.: ITR-MST-027
 WELDING PROCEDURE PAGE: 1 OF 2
SPECIFICATION (WPS) (1/2)

PROJECT: JOB NO.:

Welding Procedure Specification No. Revision Date

Supporting PQR No. Revision Date
Welding Process (es) Type
(Automatic, Manual, Machine or Semi-auto)

JOINTS (QW-402)
Groove Design
Backing (Yes)
Backing Material (Type)
(Refer to both backing and retainers.)
Metal Non Fusion Metal
Nonmetalic Other

BASE METALS (QW-403)

P. No. Group No. to P. No. Group No.
OR
Specification type and grade
to Specification type and grade
OR
Chem. Analysis and Mech. Prop.
to Chem. Analysis and Mech. Prop.
Thickness Range :
Base Metal : Groove Fillet
Pipe Dia Range : Groove Fillet
Other

FILLER METALS (QW-404) Root & Hot Filling / Capping

Spec. No. (SFA)
AWS No. (Class)
F. No.
A. No.
Size of Filler Metals
Deposited Weld Metal :
Thickness Range :
Groove :
Fillet :
Electrode-flux (Class)
Flux Trade Name
Consumable Insert
Other

CMN-WPS-001
PAGE: 1 OF 2

CMN-WPS-001
 WELDING PROCEDURE PAGE: 2 OF 2
SPECIFICATION (WPS) (2/2)

POSITION (QW405) POST WELD HEAT TREATMENT (QW-407)

Position(s) of Groove : Temperature Range
Welding Progression : Uphill Downhill Time Range
Position(s) of Fillet : Heating & Cooling Rate

PREHEAT (QW-406) GAS (QW-408) Percentage Composition

Preheat Temp. Min. Gas(es) (Mixture) Flow Rate
Interpass Temp. Max. Shielding
Preheat Maintenance Trailing
Back./ Purg.

ELECTRICAL CHARACTERISTICS (QW-409)

Currnet AC or DC Polarity
Amps (Range) See Below Volts (Range) See Below
Tungsten Electrode Size and Type
( Pure Tungsten, 2% Thoriated, etc. )
Mode of Metal Transfer for GMAW
( Spray arc. Short circuting arc, etc. )
Electrode Wire feed speed range

TECHNIQUE (QW-410)
String or Weave bead
Orifice of Gas Cup Size
Initial and interpass Cleaning (Brushing, Grinding etc.)

Method of Back Gouging

Oscillation
Contact Tube to Work distance
Multiple or Single pass (per side)
Multiple or Single Electrodes
Travel Speed (Range)
Peening
Other

Filler Metal Current Travel

Other
Weld Speed
Process (kJ/cm)
Layer Type Amp. Volt Range
Class Dia (Heat Input)
Polar Range Range (cm/min)
Root
Hot
3rd & Over

Reviewd/Approved by Subcontractor (Prep'd) Contractor (Reviewed) Client (Approved)

Name

Signature

Date
CMN-WPS-002
PAGE: 2 OF 2

Percentage Composition
Flow Rate

See Below

Other
(kJ/cm)
(Heat Input)

Client (Approved)

CMN-WPS-002
 WELDER QUALIFICATION Doc.No.:
RECORD (WQR) Page of

PROJECT: JOB NO.:

Welder Name : Welder Test Date :

WPS No. : Revision :

This welder is qualified for the range mentioned below

Actual Values Used
Variables Range of Qualified
for Qualification
Process
Type of Process
Backing
Thickness Groove Fillet
Diameter Groove Fillet
Filler Metal Spec. No.
Class
F-No.
Welding Position
Progression
Type of Gas
Electrical Characteristics Current
Polarity
Others
Guided Bend Test Results
Type & Fig. No. Results Type & Fig. No. Results

Picture
Radiographic Test Results for Alternative Qualification of Groove Welds by Radiography

Radiographic test results : Accept Reject Report No.

Fillet Weld Results
Fracture test
Length and percent of defects mm %
Macro test
Fillet leg length mm mm Convexity mm Concavity mm
Welding test conducted by Laboratory test No.

We certify that statements in this record are correct and that the test coupons were prepared, welded, and tested
in acordance with the requirements of Section IX of the ASME standard.

Reviewd/Approved by Subcontractor (Prep'd) Contractor (Reviewed) Client (Approved)

Name

Signature

Date
CMN-WQR-001
 Doc.No.:
Page of

ualified for the range mentioned below

Range of Qualified

Guided Bend Test Results

Results

ults for Alternative Qualification of Groove Welds by Radiography

Fillet Weld Results

correct and that the test coupons were prepared, welded, and tested
on IX of the ASME standard.

Client (Approved)

CMN-WQR-001