COMUSFLTFORCOMINST 4790.

3 REV B

PIPE, MACHINERY AND PRESSURE VESSEL WELD RECORD Page 1 of ____

QA FORM 20C (NEW 09/05) (WORK PLANNING TO FILL IN BLOCKS/EVALUATE BLOCK OPTIONS IDENTIFIED BY
A  PRIOR TO RELEASE)
1. SHIP HULL NO. 2. JCN 3. LWC/SHOP 4. CWP/REC SER NO.

5. SYSTEM/COMPONENT 6. FABRICATION STD: 7. 8. JT DESIGN 9. SSMAP/JT ID DWG & 10. JOINT NO.
278 250-1500-1 WELD REV MARK JNT
CLASS

11. PART DESCRIPTION SIZE (NPS) SCHED/CLASS PART DESCRIPTION SIZE (NPS) SCHED/CL.
NO. 1 NO. 2
DWG NO. & REV. PC. NO. MATL. DWG NO. & REV. PC. NO. MATL.
12. PART NO. 1 EXISTING EXST MATL MKS GEN MATL TEST PART NO. 2 EXISTING EXST MATL MKS GEN MATL TEST
NEW MATERIAL MRKS/TEST RESULT: NEW MATERIAL MRKS/TEST RESULT:
NEW MATERIAL (INCLUDING CONSUMABLE INSERTS, BACKING MATERIAL, ETC.)
13. PART 14. DESCRIPTION 15. LEVEL I NO./OTHER TRACEABILITY NUMBER/ 16. FITTER / INSPECTOR (Signature, Badge, Date)
NO. MATERIAL/SPECIFICATION MARKINGS
INSTALLATION

17. PART WALL THICKNESS: 20. FITUP 21. VERIFICATION

18. REQD 19. ACTUAL PREWELD JOINT DESIGN FITUP: FITUP FITTER (Signature, Badge, Date)
NDT INSTALLED AFTER
NO. 1 Nom: Min:
COMP SAT TACK
 Min: SAT
Nom: Min:  NA  NA INSPECTOR (250-1500-1 welds) (Signature, Badge, Date)
NO. 2
 Min:
22. WELD PROC / REV / CH & TECH DATA SHEET 23. POSITION 24. MIN PREHEAT 25. FABRICATION LOCATION: SHOP /BLDG _________________
TEMP: SHIPBOARD
HFP VFP OOP COMPT: FRAME LEVEL P C S
MAX INTERPASS
26. LAYER(S) 27. FILLER 28. FILLER SERIAL NO. TEMP: 29. WELDER (Signature, Badge, Date)
(T/R/I/F) TYPE (e. g., Level I No.)
SAT
WELDING

SAT

SAT

SAT

30. STRESS RELIEF REQD 31. PROCEDURE: ___________________________

32. HEAT TREATER (Signature, Badge, Date)

YES NO
TEMPERATURE: DURATION HR MIN
33. WELDING COMPLETE, SURFACE IS PREPPED AND READY FOR WELDER or FITTER (Signature, Badge, Date)
FINAL NDT, AND JOINT NUMBER IS PERMANENTLY MARKED NEAR
JT IF “MARK JT” BOX IN BLOCK 10 IS CHECKED.
WELD INSPECTIONS: (I) = INTERMEDIATE, (F) = FINAL # = PREWELD INSPECTION (EXCAVATION, END-PREP, ETC.) ## = NUCLEAR ONLY
34. ACCEPTANCE STANDARD: CLASS
35. INSP 36. INSPECTION TYPE 37. PROCEDURE USED 38. INSPECTOR (Signature, Badge, Date)
 _______#  5X RT SAT
NA PT TYPE II-C MT EQPT NO: _______________ REJ
 TACK ##  VT 5X SAT
NA PT TYPE II-C MT EQPT NO: _______________ REJ
 ROOT  VT 5X SAT
NA PT TYPE II-C MT EQPT NO: _______________ REJ
 BKGOUGE  5X SAT
NA PT TYPE II-C MT EQPT NO: _______________ REJ
 PT/MT (I) SAT
NA  PT TYPE II-C MT EQPT NO: _______________ REJ
 VT (F) OUTSIDE (ALL VTs) INSIDE INACCESSIBLE SAT
NA INSIDE PARTIAL INSIDE INSP REJ
 PT/MT (F)  24 HR. MT SAT
NA PT TYPE II-C MT EQPT NO: _______________ REJ
 PT/MT-ID  PT TYPE II-C MT EQPT NO: _______________ SAT
NA (F) INACCESSIBLE PARTIAL INSP DONE REJ
 RT (F)  8 HR. SAT
NA 60 360 100% REJ
39. REMARKS (SHOP REMARKS ALSO)

40. SUPERVISOR (Signature, Badge, Date) 41. LOCAL GOVERNMENT INSP./QAS (Signature, Badge, Date)
FINAL
DISPOSITION
COMUSFLTFORCOMINST 4790.3 REV B

PIPE, MACHINERY AND PRESSURE VESSEL WELD RECORD - CONTINUATION SHEET

QA FORM 20C - 1
SHIP: DWG/JCN: JOINT NO.: PAGE OF
WELD HISTORY (CONTINUATION SHEET) T = TACK R= ROOT I = INTERMEDIATE LAYER F = FINAL
42. LAYER 43. FILLER 45. WELD TEMPS DEG F
44. FILLER SERIAL NO. (MIC NO.) 46. WELDER (SIGNATURE/DATE)
T/R/I/F TYPE PREHEAT INTERPASS

WELD INSPECTIONS (CONTINUATION SHEET) I = INTERMEDIATE F= FINAL

47. INSPECTION 48. INSPECTION TYPE 49. PROCEDURE USED 50. INSPECTOR (SIGNATURE/DATE)
SAT
REJ
SAT
REJ
SAT
REJ
SAT
REJ
SAT
REJ
SAT
REJ
SAT
REJ
SAT
REJ
51. REMARKS
 COMUSFLTFORCOMINST 4790.3 REV B

PIPE, MACHINERY AND PRESSURE VESSEL WELD RECORD – WELD DEFECT REPAIR SHEET
QA FORM 20C-2
SHIP: DWG/JCN: JOINT NO.: PAGE OF
52. DEFECT DESCRIPTION
CRACK INCOMP INSERT FUSION INCOMPLETE FUSION ARC STRIKE ROUNDED
SLAG CRATER PIT BURN THRU WELD SPLATTER OTHER: (ENTER BELOW)
POROSITY INTERNAL CONCAVITY MELT THRU ROOT EDGE FUSION COND
UNDERCUT INTERNAL CONVEXITY TUNGSTEN LINEAR
OXIDATION CENTERLINE CREASE INCOMPLETE PENETRATION LINEAR DISPOSED
53. DEFECT LOCATION(S) AND EXTENT 54. INSPECTOR (SIGNATURE/DATE)
SEE SKETCH IN REMARKS
DEFECT REPAIR
55. TYPE OF REPAIR 56. REPAIR LOCATION(S) AND EXTENT 57. WELD PROC AND REV/CH 58. EXCAV NDT 59. ROOT PASS INSP
GRIND ONLY SEE SKETCH IN REMARKS NA REQUIRED REQUIRED
GRIND AND WELD SAME AS ORIGINAL Y (MARK REQD INSP Y (MARK REQD INSP
BLK 65/66) BLK 65/66)
WELD ONLY
N N
OTHER (SEE REMARKS)
60. LAYER 61. FILLER 63. PREHEAT/
62. FILLER SERIAL NO. (MIC NO.) 64. WELDER (SIGNATURE/DATE)
T/R/I/F TYPE INTERPASS TEMP
SAT

SAT

SAT

REPAIR INSPECTIONS
REPAIR WELD REQUIRES THE SAME INSPECTIONS AS THE ORIGINAL WELD. CARRY OVER ALL REJECTED OR VOIDED INSPECTIONS FROM PAGE 1.
65. INSPECTION 66. INSPECTION TYPE 67. PROCEDURE USED 68. INSPECTOR (SIGNATURE/DATE)
EXCAV 5X PT TYPE IIC SAT
NA MT/EQUIP NO.: REJ

ROOT VT 5X PT TYPE IIC SAT

NA MT/EQUIP NO.: REJ

BACKGOUGE 5X PT TYPE IIC SAT

NA MT/EQUIP NO.: REJ

PT/MT ( I ) PT TYPE IIC SAT

NA MT/EQUIP NO.: REJ

VT (F) OUTSIDE (ALL VTs) INSIDE INACCESSIBLE SAT

NA INSIDE PARTIAL INSIDE INSP REJ

PT/MT(F) PT TYPE IIC SAT

NA 24 HOUR MT/EQUIP NO.: REJ

PT/MT – ID(F) PT TYPE IIC MT/EQUIP NO.: SAT

NA INACCESSIBLE PARTIAL INSP DONE REJ

RT (F) 8 HOUR SAT

NA 60 360 100% REJ

69. REMARKS