Company Name

WELDING OPERATOR PERFORMANCE QUALIFICATION RECORD LASER BEAM WELDING

Welding Operators Name

Identification No.

Production weld

Identification of WPS followed Total Joint Thickness of test coupon (T) Base Metal 1 Thickness (t) Base Metal P- or S- Number Tube Sheet

Test Description (Information Only) mm

Test Coupon

Specification and type/grade or UNS number of base metal(s) mm to Base Metal 2 Thickness (t) to P- or S- Number

N/A

mm To Base Metal 3 Thickness (t) Position (1G, 2G, 6G, 3F, etc.)

Pipe (enter diameter, if pipe or tube) Plate

N/A

Filler metal (SFA) specification

Filler metal or electrode classification

FORMTEXT N/A
Range qualified

Testing Conditions and Qualification Limits When Using Automatic or Machine Welding Equipment
Welding Variables (QW-361.2) Type of welding (machine) Welding process Total Joint Thickness (T) Type of laser for LBW (CO2, YAG, etc.) Automatic joint tracking Base Metal P No. Position Backing (with/without) Single or multiple passes per side Actual values

RESULTS
Visual Examination of Completed Weld (QW-194) Mechanical (Peel) Test (QW-197.2)
Sample # Visual Inspection Fracture location (Peel Test)# Results (Satisfactory / Unsatisfactory)

by

1 2 3
Fusion Zone Measurement (nearest .001)

4 5 6 Macro-Examination (QW-197.2)
Sample # 1 2 3 4 5 6 Penetration Measurement (nearest .001) Results (Satisfactory / Unsatisfactory)

Mechanical test evaluated by: Macro-Examination evaluated by: Welding supervised by: Equipment Used: Measuring Equipment Used:

Company Company Company Calibration Due Date: Calibration Due Date:

We certify that the statements in this record are correct and that the test coupons were prepared, welded, and tested in accordance with the requirements of Section IX of the ASME Boiler and Pressure Vessel Code. Manufacturer or Contractor Date Certified By