AWS D1.1/D1.

1M:2015 ANNEX M

Sample Welder Qualification Form (Multi-Process)

WELDER, WELDING OPERATOR, OR TACK WELDER
PERFORMANCE QUALIFICATION TEST RECORD

Name carlos yañez Test Date Marzo 18 de 2024 Rev.

ID Number 2600429 Record No. WPQrPPT-01 0
OPTIONAL
Stamp No. PPT Std. Test No. 1
PHOTO ID
Company SERVITURBINAS WPS No. WPS-CAST-2024 0
Division FABRICACION -MANTENIMIENTO Qualified To Mantenimiento

Type or AWS
BASE METALS Specification Grade Group No. Size (NPS) Schedule Thickness Diameter
Base Material FUNDICION GRIS 40 1 --- ---- 1"

Welded To FUNDICION GRIS 40 1 1"

VARIABLES Actual Values RANGE QUALIFIED

Type of Weld Joint Filete en angulo TOPE,TODOS LOS FILETES
Base Metal P1 P1 A P11

Groove Fillet Groove Fillet

Plate Thickness 1/2" Todos 1" Todos
Pipe/Tube Thickness -- --- --- ---
Pipe Diameter --- --- --- ---

Welding Process
Type (Manual, Semiautomatic,
Mechanized, Automatic) Manual Manual Manual Manual
Backing Electrodo ---- Electrodo ---
Filler Metal (AWS Spec.)
AWS Classification E-NiCi ENiCI ENiCI ENiCI

F-Number 6 4
Position
Groove – Plate and Pipe ≥ 24 in --- --- --- ---
Groove – Pipe < 24 in 3F 3F 3F 3F

Fillet – Plate and Pipe ≥ 24 in -- -- --- --

Fillet – Pipe < 24 in 6 mm 8mm 12 mm 16 mm
Progression Plana adelante Plana adelante Plana adelante Plana adelante

GMAW Transfer Mode -- --- --- ---

Single or Multiple Electrodes Sencillos Sencillos Sencillos Sencillos
Gas/Flux Type --- -- -- ---

TEST RESULTS
Acceptance
Type of Test Criteria Results Remarks
PT AWS D 1.1 OK

CERTIFICATION
Test Conducted by Ing. Oscar Fabian Perez.
Laboratory FBI MATERIALES SAS.
Test Number
File Number

We, the undersigned, certify that the statements in this record are correct and that the test welds were prepared, welded, and tested in
accordance with the requirements of Clause 4 of AWS D1.1/D1.1M (_______)
2021 Structural Welding Code—Steel.
(year)

Manufacturer or Contractor _________________________ Authorized by ___________________________________

22/03/2024
Date _________________________________________

Form M-5 (See http://go.aws.org/D1forms)