WELD COUPON (PQR / WPQ) Date:

WITNESS REPORT

Manufacturer : Location :
pWPS / WPS No. : PQR / WPQ No. :
Joint Type & Weld : Welding Process :

Mode of Metal Transfer : Material Thickness :

Welder’ Name & No. : Outside Pipe Dia. :

Joint Design : Weld Sequence :

Method of Preparation &

Welding Position :
cleaning :
Specification of Parent Specification of Electrode
Material : Wire, Batch No. & Make :
MTC for Parent Material: Batch Cert. No. :
Size of Test Coupon : Material form :

Shielding Gas / Flux : Gas flow rate :

Purging Gas : Gas flow rate :

Preheat Temp. : Inter pass Temp. :

Tungsten electrode
Details of Back Gouging :
details :
Post heating : PWHT details :
Weaving : Ceramic Cup size :
CTWD : Torch angle :
Weld Welding Electrode / Wire Feed Travel
Voltage Current Polarity
Layer(s) Process Wire Dia. Speed Speed

Visual Inspection : Test Coupon : Acceptable / Not Acceptable

Testing to be done as per reference Standard :

Manufacturer : Name, Date & Signature Test Witnessed by (Examiner) :