Report No.

:
RADIOGRAPHIC
01 of 01
EXAMINATION Page:
Request No.:
REPORT
Project Name : Procedure No.: Job No.:

Client Name: Acceptance Standard : Place of Examination:

Item : Dwg. No.: Temperature of the object:

Tag No :
Serial No.:
Type of joint: Welding Process: Extent of Examination:
Number of repair: Surface condition :
Material Type: Weld Size (mm/inch): Date of inspection:
Material Thick( mm): Weld Thk./Reinf. Thick (mm):
X-RAY GAMMA RAY
Type : KV Current : mA Type : Ir 192 Se 75
Test Volatage : KV Current : mA Source Size :
Equipment

Focal Spot Size : mm Ug : Activity : Ci Ug :

S.O.D : mm O.F.D : mm S.O.D : mm O.F.D : mm
Exposure Time : Sec Exposure Time : Sec
Number of exposures: Number of exposures:
Number of Film in Cassette Number of Film in Cassette:
Film Type : Film Size (cm) Technique SWSI DWSI
Technique

Screen Type : Filter DWDI PANORAMIC

Density Required : Radiographic Class: IQI Position: Source Side Film side
IQI Type : IQI Wire Required: Film Processing: Manual Automatic
Imperfection Result
Weld Film Film IQI Wire
No. Welder No. Size Location Remark
Identification Location Density Visible Type ACC REJ RSH
(mm) (mm)

Total of Film 0 Films

ACC: accepted LF: Lack of Fusion LP: Lack of Penetration S.O.D.: Source to Object Distance
RSH: Reshoot BT:Burn Through ISI: Isolated Slag Inclusion O.F.D.: Object to Film Distance
REJ: Rejected CP: Cluster Porosity NSD: Non Significant Defect SWSI: Single Wall Single Image
ABBREVIATION C: Crack IU: Internal Undercut ESI: Elongated Slag Inclusion DWSI:Double Wall Single Image
P: Porosity IC: Internal Concavity EU: External Undercut DWDI:Double Wall Double Image
FM :Film Mark TI: Tungsten Inclusion N/A: Not Applicable IQI: Image Quality Indicator
ER:Excess Root EC: External concavity Ug: Geometric Unshapness
AlphaNDT Reviewed by QC Inspector Reviewed by Client Reviewed by A.I.
Evaluated by: Name: Name: Name:

Qualified:
Signature: Signature: Signature: Signature:

Date: Date: Date: Date: