# PROCEDURE QUALIFICATION RECORDS (PQR) QW-483 (Front)

| PQR No. | Date: |  |  |  |
| --- | --- | --- | --- | --- |
| WPS No.: | Type(s): |  |  |  |
| Welding Process(es): | (Manual, Automatic,Semi-Auto) |  |  |  |
| JOINTS(QW-402) |  |  |  |  |
| BASE METALS(QW-403)  
Material Spec.  
Type or Grade  
P-No. to P-No.  
Thickness of Test Coupon | POSTWELD HEAT TREATMENT(QW-407)  
Temperature  
Time  
Other |  |  |  |
| GAS(QW-408) |  |  |  |  |
| Thickness of Test Coupon |  |  |  |  |
| Diameter of Test Coupon |  |  |  |  |
| Other |  |  |  |  |
|  |  |  |  |  |
|  |  |  |  |  |
|  |  |  |  |  |
|  |  |  |  |  |
| FILLER METALS(QW-404)  
SFA Specification  
AWS Classification |  | ELECTRICAL CHARACTERISTICS(QW-409)  
Current  
Polarity |  |  |
| SF A Specification |  |  |  |  |
| AWS Classification |  |  |  |  |
| Filler Metal F-No. |  |  |  |  |
| Weld Metal Analysis A-No. |  |  |  |  |
| Size of Filler Metal |  |  |  |  |
| Other |  |  |  |  |
|  |  |  |  |  |
| Weld Metal Thickness |  |  |  |  |
| POSITION (QW-405)  
Position of Groove |  |  |  |  |
| TECHNIQUE (WQ-410)  
Travel Speed |  |  |  |  |
| Position of Groove |  |  |  |  |
| Weld Progression (Uphill, Downhill) |  |  |  |  |
| Other |  |  |  |  |
|  |  |  |  |  |
| PREHEAT(QW-406)  
Preheat Temp.  
Interpass Temp.  
Other |  |  |  |  |

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**QW-483 (Back)**

**Tensile Test (QW-150)**

**PQR No.**

| Specimen No. | Width | Thickness | Area | Ultimate Total Load lb | Ultimate Unit Stress psi | Type of Failure & Location |
| --- | --- | --- | --- | --- | --- | --- |
|  |  |  |  |  |  |  |
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**Guided-Bend Tests (QW-160)**

| Type and Figure No. | Result |
| --- | --- |
|  |  |
|  |  |
|  |  |
|  |  |

**Toughness Tests (QW-170)**

| Specimen No. | Notch Location | Specimen Size | Test Temp. | Impact Values |  |  | Drop Weight Break(Y/N) |
| --- | --- | --- | --- | --- | --- | --- | --- |
| Specimen No. | Notch Location | Specimen Size | Test Temp. | ft. lb | % Shear | Mils | Drop Weight Break(Y/N) |
|  |  |  |  |  |  |  |  |
|  |  |  |  |  |  |  |  |
|  |  |  |  |  |  |  |  |
|  |  |  |  |  |  |  |  |

## Fillet-Weld Test (QW-180)

Result – Satisfactory: Yes                      No                      Penetration into Parent Metal: Yes                        No

Macro – Results

**Other Tests**

Type of Test

Deposit Analysis

Other

Welder’s Name                                                                              Clock No.                        Stamp No.

Test conducted by:                                                                        Laboratory Test No.

We 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 Section IX of the ASME Code.

Manufacturer

<u>Date</u>

By

(Detail of record of tests are illustrative only and may be modified to conform to the type and number of tests required by the Code.)

FN 5.005.3 (Rev. 1)