Welder Name:

Welder Identification Number :

TEST CONDITION
W.P.S followed by welder during welding of test coupon :
Base Material Welded :
Welding Process :
Type : MANUAL

Variables Actual Value Range Qualified

Pipe OutsideDiameter / Plate THK

Base Metal Thickness

Weld Deposit Thickness For Each Process

Welding Position
Backing
P-NO. (or Groups)

Filler Metal Spec./ F-NO./ Classification

Progression ( UP HILL / DOWN HILL )

Welding Current Type / Polarity

Joint type
Shielding Gas

Visual Examination Result Accept Reject N/A

Radiographic Test Result Accept Reject N/A

Fillet Weld -Fracture Test Accept Reject N/A

Macro Test Result Accept Reject N/A

Guided - Bend Result Accept Reject N/A

Radiographic test report no : Conductedd by :

Welding and mechanical test Conducted by :

WE CERTIFY THAT THE STATEMENTS IN THIS RECORD ARE CORRECT AND THAT THE TEST COUPONS WERE REPARED

WELDED,AND TESTED IN ACCORDANCE WITH THE REQUIERMENTS OF SECTION 9 OF THE ASME CODE.

SHAFAB Co. MAPNA Co. GHODS NIROO

NAME: B.BAGHERIAN NAME: NAME:

SIGN.: SIGN.: SIGN.:

DATE: DATE: DATE: