Report No.

NDT Firm
Logo Ultrasonic Testing Date of Testing

Project : Client Name Job No. : Location :

Component and Specific Data
Component/System : Weld ID. No. Welding Process Type of Weld Groove

Material Single Wall Thickness : Thickness Range : Average Reinforcement :

Examination Specification Acceptance Standard Class Procedure Rev. : NDT Procedure No.

Testing Limitation if any : Viewing Condition : Temperature

Technical Data
Equipment : A, B, C Scan Model : Sr. No.: Calibration Block & Setting
Type of Sr. No. Frequency Size Range Type of Block Reflector Size Sensitivity Set Surface
Probes & Location Condition
Normal V1/V2/DAC/ Gain Couplant :
Angle V1/V2/DAC/ Gain Transfer loss
Other V1/V2/DAC/ Gain correction :
Interpretation Data
Weld UT Length UT ID UT Echo Beam Skip Discontinuity Acceptance /
Length Type Height Path Dist- Type & Size Rejection
(1) (2) ance (3)

1. Total Weld Length out which this Ultrasonic testing is carried out, 2. New/Repair/#R 3. Accept/ Repair

Sketch if Required

NDT Examiner Client QC Surveyor

Signature Signature Signature

Name :___________________________ Name :____________________________ Name :___________________________
Qualification : _________________ Designation : __________________ Society : _____________________
Sample format for Ultrasonic Testing Report by S. L. Nikam, IRS, Issue 1, Rev 0.0 dated 29.10.09