(In Accordance to ASME Section IX Boiler & Pressure Vessel Code, 2007 Edition) Supporting PQR No. Date WPS No. Date JOB No. Date Welding Process Type JOINT (QW-402) : (For Combination Qualifications, the deposited weld metal thickness shall be recorded for each filler metal or process used) POST WELD HEATREATMENT (QW-407) Temperature Time Other BASE METAL (QW-403) Material Spec. Type or Grade P. No. Thickness of test coupon Diameter of test coupon Other GAS (QW 408 ) Precent Composition Gas Mixture Flow Rate Shielding Trailing Backing FILLER METALS (QW-404) SFA Specification AWS Classification F-No. A-No. Size of Filler metal Trade Name Weld metal Thickness Other ELECTRICAL CHARACTERISTICS (QW 409) Current Polarity Ampere Volt Tungsten Electrode size Tungsten Electrode Type Other POSITION (QW-405) Position Weld Progression Other PREHEAT (QW 406 ) Preheat Temperature Interpass Temperature Others TECHNIQUE (QW 410 ) Travel Speed String or Weave Bead Oscillation Multi pass or Single pass (per side) Multi or Single Electrode Other *) Each Base metal and filler metal combination should be recorded individually N/A = Not Applicable 2 PQR No. : Page of WELDING PARAMETER Layer No. Type & Size of Filler Ampere (A) Volt (V) Duration Time Per Layer (min) Travel Speed (mm/minute) Time Lapse Between Pass TENSILE TEST (QW - 150) Specimen No. Width Thickness Area Ultimate Total Load (Lb) Ultimate Unit Stress (psi) Type of Failure & Location GUIDE BEND TEST (QW 160 ) Type & Figure Result CHEMICAL COMPOSITION ANALYSIS : DATA REPORT AND ATTACHMENT Welder Name Penetrant Test Conducted by Report No. Mech. Test Conducted by Report No. Chemical Test Conducted by Report No. We Certify that the statement in this record are correct and the test weld were prepared, welded and tested in accordance with the requirement of Section IX of the ASME Code, 2007 Edition. Manufacturer : Date : Prepared by, APPROVED BY,