WELDER CERTIFICATE

Owner : Document No. :

Contractor : Date :
Work Order No. : Project :
Purchase Order No. : Description :
Test Coupon Range Qualified
Filler Deposite
Welder Standard/ Backing Plate
No. Welder Name Base Joint Dia. Thk. Welding Metal Backing Joint Min Dia. d Weld Certificate No.
ID Reference Position Base Metal W or/and Position
Metal Design (Inch) (mm) Process (AWS Plate Design (Inch) Metal
W/O
Class) (mm)

Legend : 1G : Flat Position (Pipe & Plate) 5G : Vertical Position (Pipe) FCAW : Flux Core Arc Welding G : Groove OD : Outside Diameter
2G : Horizontal Position (Pipe & Plate) 6G : 45 Degree (Pipe) SMAW : Shielded Metal Arc Welding F : Fillet Thk : Thickness
3G : Vertical Position (Plate) W/O : Welding Procedure Specification GTAW : Gas Tungsten Arc Welding OD : Outside Diameter Y : Yes
4G : Overhead Position (Plate) W : Procedure Qualification Record SAW : Submerged Arc Welding Thk : Thickness N : No

Prepared By Reviewed By Reviewed / Approved By Reviewed / Approved By

Company
Name

Signature

Date