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Company Name

PROCEDURE QUALIFICATION RECORD See QW-200.2, Section IX, ASME Boiler and Pressure Vessel Code Record of the Actual Conditions Used to Weld Test Coupon
Procedure Qualification Record No. WPS No. Welding Process (es) Types (Manual, Automatic, Semi-auto) Date

Manual

JOINTS (QW-402)

Lap Joint
Groove Design of Test Coupon (sketch, figure or reference) (For combination qualifications, the deposited weld metal thickness shall be recorded for each filler metal and process used.)

BASE METALS (QW-403) Material Specification Type or Grade or UNS Number P No. Group No. to P No. Group No. Thickness of Test Coupon Diameter of Test Coupon Maximum Pass Thickness Other FILLER METALS (QW-404) Layer (combination welds) SFA Specification AWS Classification Filler Metal F No. Weld Metal Analysis A No. Size of Filler Metal Filer Metal Product Form Supplemental Filler Metal Electrode Flux Classification Flux Type Flux Trade Name Weld Metal Thickness Other 1 2 3

POST WELD HEAT TREATMENT (QW-407) Temperature Time Other GAS (QW-408) Percent Composition Gas (es) (Mixture) Flow Rate

Shielding Trailing Backing Other

POSITION (QW-405) Position of Groove Weld Progression (Uphill, Downhill) Other PREHEAT (QW-406) Preheat Temperature Interpass Temperature Other

ELECTRICAL CHARACTERISTICS (QW-409) Current Polarity Amps Volts Tungsten Electrode Size Transfer Mode for GMAW (FCAW) Other

TECHNIQUE (QW-410) Travel Speed String or Weave Bead Oscillation Multipass or Singles Pass (per side) Single or Multiple Electrodes Other

Company Name
PROCEDURE QUALIFICATION RECORD
PQR No. MECHANICAL SHEAR TESTS (QW-196) Specime n No. lb per spot Kg per spot Results Specime n No. lb per spot Kg per spot Results

METALLOGRAPHIC EXAMINATION (QW-196)

Specimen No.

Result

Specimen No.

Result

Mechanical Shear Tests evaluated by: Metallographic Examination by: Welding conducted by:

Company Company Company

We certify that the statements in this record are correct and that the test coupons were prepared, welded, and tested in general accordance with the requirements of the ASME Code, Section IX. Organization Date By

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