SPECIALIST SERVICES
WELDER, WELDING OPERATOR, OR TACK WELDER PERFORMANCE QUALIFICATION TEST RECORD
Name                                                                                                         TEST DATE                          22-SEP-19
Welder ID No                                                                                                 Certificate No.                    --
Company                         Specialist Services                                                          WPS No.                             
Welding Process                  GMAW-S                                                                      Qualified To                       AWS D1.1 Edition 20
BASE METALS                             Specification         Type or Grade       AWS Group No.         Size (NPS)          Schedule             Thickness            Diameter
Base Material                           ASTM A36              --                  1                     --                   --                  10 mm                --
Welded To                               ASTM A36              --                  1                     --                  --                   10 mm                --
 VARIABLES                                                             ACTUAL VALUES                            RANGE QUALIFIED 
 Type of Weld Joint                                  Plate-Groove without backing                               a)Plate: CJP, PJP and Fillet(Dihedral 30°to unlimited)
                                                                                                                b) Pipe (Dia ≥24"): CJP (with backing, back gouging or both a
                                                                                                                T-Y-K:PJP(Groove
                                                                                                                angle>30°                                      Fillet(Dihedral
                                                                                                                30° unlimited}                                           c)BOX
                                                                                                                tube:CJP (with backing,backgouging or both and PJP
                                                                                                                (groove angle >30°,              Fillet             T-Y-K:PJP
                                                                                                                (Dihedral 30°to unlimited)
                                                                                                                d) Plug and slot welds In test position.
Base Metal                                  ASTM A36                                           Any carbon steel material
                                            Groove         Fillet                              Groove                           Fillet
Plate Thickness                             10 MM          -                                   3 mm lo 20 mm                    3 mm lo 20 mm
Pipe/Tube Thickness                         -              -                                   3 mm to 20 mm                    3 mm to 20 mm
Pipe Diameter                               -              -                                   ≥ 24"                            Unlimited
Welding Process                             GMAW-S                                             GMAW
Type(Manual, Semiautomatic,
Mechanized, Automatic)                      Semi-Automatic                                     Semi-Automatic
Backing                                     Without                                            With/without backing
Filler Metal (AWS Spec.)                    AWS 5.18                                           AWS 5.18                          
AWS Classification                          ER7OS-6                                            Any                               
F-Number                                    F6                                                 Any F6                            
Position                                    3G,Vertical uphill                                 F,H & V (Uphill)                  
Groove: Plate & Pipe 24 in                  --                                                 All                               
Groove: Pipe < 24 in                        --                                                 -                                 
Fillet: Plate & Pipe ≥ 24 in                --                                                 All                               
Fillet: Pipe < 24 in                        --                                                 All                               
Progression                                 Vertical up                                        Vertical up                       
GMAW Transfer Mode                          Short                                              Short, Globular, spray
Single or Multiple Electrodes               Single                                             Single
Gas/Flux Type                               80%Ar+20%C02                                       Any shielding gas
TEST RESULTS                                                                               
Type of Test                                            Acceptance Criteria               Results                    Remarks
Visual Inspection                                         As per AWS D1.1:4.9.1           Acceptable                  
Radiographic inspection                                             --                    --                          
Bend test                                                 As per AWS D1.1:4.3.3           Acceptable                 BCTS report no. M 5264 B
Fillet weld break test                                                                    --
Test Conducted by                  BCTS Lab, Dubai
Test witnessed by                  DNV GL
We, the undersigned, 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 Clause 4 of AWS D1.1/D1.1M (2015) Structural Welding Code-Steel.
Form M4 AWS D1.1/D1.1M:2015
      SPECIALIST SERVICES
 Manufacturer: Specialist Services                                 Third Party Inspector (TPI)…………………………………………
 Authorized by ………………………………………..                                    
 Date ……………………………………………………….                                        
Welder’s Name : …………………………………………………………………………….
Badge Number : …………………………………………………………………………….
WPS NUMBER : …………………………………………………………………………….
Certificates is valid only if the welder has been employed on the class or type of welding covered by the certificate
during the six months preceding the date of the Surveyor's signature.
                               Signature, stamp and
                               position of employer's           Signature and stamp of
 Validity Extended                                                                               Reference report number
                              representative verifying       surveyor verifying acceptable
        up to                                                                                           and date
                             employment and welding              welding performance
                                    performance
                                                                                              
                                                                                              
                                                                                              
                                                                                              
                                                                                              
                                                                                              
                                                                                              
                                                                                              
                                                                                              
                                                                                              
                                                                                              
                                                                                              
                                                                                              
Form M4 AWS D1.1/D1.1M:2015