COMPONY NAME

COMPONY LOGO RT INTERPRETATION REPORT

(PROJECT)

PROJECT NO . : QC/QA FORM FORM NO . :

PROJECT NAME : SITE INSPECTION & TEST REPORT DATE :

REPORT NO. : SHEET : OF :

TECHNICAL DENSITY : SENSETIVTY : IQI: EXPOSURE TECH. : DOUBLE SINGLE

INSPECTION SOURCE SIZE : SOURCE ACTIVIY : FILM TYPE : MATERIAL :

JOINT INFORMATION OBSERVED FAULT JUDGMENT

CONCAVITY

ROOT UNDERCUT
SLAG INCLUSION

TUNGSTEN INCL.

BURN TROUGH
EXCESS PENET
THICKNESS

WELDER ID
JOINT SIZE

SHRINKAGE
SHEET No.
X-RAY NO.

JOINT No.
SEGMENT

EXTERNAL

RESHOOT
INTERNAL

CUT OUT
PROSITY
ITEM No.

ACCEPT
ISO NO.

CRACKS

REPAIR
L.O.P

L. O . F
LOCATION OF
LINE No. DEFECT

TOTAL INCH DIA (THIS REPORT) RADIOGRAPHY CONTRACTOR MAIN CONTRACTOR QA/QC TEC. INSPECTION DEP.
NAME: NAME: NAME:
DATE/SIGN: DATE/SIGN: DATE/SIGN