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QW-483 SUGGESTED FORMAT FOR PROCEDURE QUALIFICATION RECORDS (PQR)

(See QW-200.2, Section IX, ASME Boiler and Pressure Vessel Code)

Record of the Actual Conditions Used to Weld Test Coupon

Company Name

Procedure Qualification RecordNo.

Date

WPS No.

Welding Process(es)

Types (Manual, Automatic, Semi-auto)

JOINTS (QW-402)

Groove Design of Test Coupon (sketch, figure or reference)

(For combination qualifications, the deposited weld metal thickness shall be recorded for each filler metal andprocess used.)

BASE METALS (QW-403) POST WELD HEAT TREATMENT (QW-407)

MaterialSpecification

Temperature

Type or Grade or UNSNumber

Time

P No. GroupNo.

to P No. Group No. Other

Thickness of TestCoupon

Diameter of TestCoupon

Maximum PassThickness

Other GAS (QW-408) Percent CompositionFILLER METALS (QW-404) Gas

(es)(Mixture

)FlowRate

Layer (combinationwelds)

1 2 3 Shielding

SFA Specification Trailing

AWS Classification Backing

Filler Metal F No. Other

Weld Metal Analysis ANo.

Size of Filler Metal

Filer Metal Product Form ELECTRICAL CHARACTERISTICS (QW-

409)Supplemental FillerMetal

Current

Electrode FluxClassification

Polarity

Flux Type Amps Volts

Flux Trade Name Tungsten ElectrodeSize

Weld Metal Thickness Transfer Mode for GMAW(FCAW)

Other Other

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POSITION (QW-405)

Position ofGroove

Weld Progression (Uphill,Downhill)

TECHNIQUE (QW-410)

Other Travel Speed

String or WeaveBead

Oscillation

PREHEAT (QW-406) Multipass or Singles Pass (perside)

Preheat Temperature Single or Multiple Electrodes

Interpass Temperature Other

Other

QW-483 (Back)PQR No.

Tensile Test (QW-150)

SpecimenNo.

Width Thickness

Area UltimateTotal Load

UltimateUnit Stress

Type ofFailure &Location

Guided Bend Tests (QW-160)

Type and Figure No. Result

Toughness Tests (QW-170)

Specimen

Number

NotchLocatio

n

Specimen Size

TestTemperatu

reImpact Values

Drop WeightBreak

Ft-lb or J % ShearMils (in.) or

mm(Yes/No)

Comments

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Fillet Weld Test (QW-180)

Result- Satisfactory:Yes

No

Penetration into Parent Metal:Yes

No

Macro - Results

Other Tests

Type of Test

Deposit Analysis

Othe

r

WeldersName

ClockNo.

StampNo.

Tests Conductedby

Laboratory TestNumber

We certify that statements made in this record are correct and that the test welds were prepared, welded, and tested in accordance with theRequirements of Section IX of the ASME Boiler and Pressure Vessel Code

Manufacturer orContractor

Date Certified By