WELDER and WELDING OPERATOR PERFORMANCE
QUALIFICATION RECORD
Welder’s Name: ATF No: Test No.
Welder’s SS No. XXX-XX- Date: Reference WPS No:
VARIABLE QUALIFICATION TEST DETAIL QUALIFICATION RANGE*
Welding Process and Type:
Manual Semiautomatic Manual Semiautomatic
Mechanized Automatic Mechanized Automatic
Backing: Used Not Used Required if used
Base Metal Spec/P or M-Number
Plate/Pipe Thickness – Groove Plate Pipe Thick.
Plate/Pipe Thickness – Fillet Plate Pipe Thick.
Pipe/Tubular Outside Diameter – Groove
Pipe/Tubular Outside Diameter – Fillet
Filler Metal Specification No.
Classification No.
F No.
Diameter
Consumable Insert Yes No
Penetration Enhancing Flux Yes No
Deposited Weld Metal Thickness
Current/Polarity & Current Range Type/Polarity:
Range: Amperes
Metal Transfer Mode (GMAW or FCAW)
Torch Shielding Gas Type: Flow:
Root Shielding Gas NA Type: Flow:
Position(s) Test Position(s) (1G, 2G, etc.): Qualified Position(s):
F, H, V, O, All
Vertical Progression Uphill Downhill Uphill Downhill
* NOTE: Insert NA for Variables that are identified as Non-essential in the Code or Specification used for the Performance Qualification Test
GUIDED BEND TEST RESULTS
Type And Figure No. Results Type And Figure No. Results
Guided Bend Testing Conducted By: Date:
NONDESTRUCTIVE EXAMINATION RESULTS
Radiographic Results: Report No.
Radiographic Testing Conducted By:
Welding Witnessed By: Visual Inspection: Pass Fail (reason )
We certify that the statements in this record are correct and the test welds were prepared, welded and tested in accordance with
the requirements of: AWS D1.1- , AWS B2.1- Other:
Date Qualified: ATF Name and Number:
Signed By: CWI No.
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