WELDER

Welder /Welder operator name: WQTR Number: Variable

Welding Process Type of current/polarity: Method of Application: Machine settings: Type of joint Type of weld Weld Position and Progression Backing Consumable Insert {GTAW only} Backing/Insert Size and Type BASE METAL Specification/ M # (see B2.1, annex D) Plate {Thickness} Pipe/Tube {Thickness} Pipe {Diameter}/Tube {Size} Notes: Filler Metal Classification F Number Gas/Flux Other Type Yes Yes Amps/WFS

W.Q.T.R.
Date of Qualification: Actual Variable used in Qualification

Qualification Test Record

Welder/Welder operator ID #: WPS Number(s): Qualification Range

Rev #:

Volts

NO NO

N/A N/A

Welded to

Spec. Size Mix

Guided Bend Test Results

Type Result

Visual Inspection Result:

N/A Appearance:

Fillet Weld Test Results

Fillet Size Macro etch test

N/A

Type

Result

Fracture Test Root Penetration Describe the location, nature,& size of any crack or tearing of specimen

Radiographic Test Results

Film ID # Results Remarks

N/A Inspector Inspector Stamp & Signature:___________________________

Test #: Inspected by: Cert. #:

Date:

Organization: or

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 ANSI/AWS: D18.3 Manufacture ( 20 ) Specification for welding of tanks, vessels, and other equipment in sanitary(hygienic) Contractor applications. AND B2.1 (20 ) Specification for welding procedure and performance qualification.

Authorized by:

Signature: ___________________________________

Date: