ANNEX

Sample Forms
--``,``-`-`,,`,,`,`,,`---

Contents
AWS D1.l
Form E-1 (Front) Welding Procedure Specification (WPS) ............................................................................................
Form E-1 (Back) Procedure Qualification Record (PQR)...............................................................................................
Form E-3 Welding Procedure Qualification Test Record For Electroslag and Electrogas..............................................
Form E-4 Welder. Welding Operator or Tack Welder Qualification Test Record ...........................................................
Form E-7 Report of Radiographic Examination of Welds ..............................................................................................
Form E-8 Report of Magnetic Particle Examination of Welds........................................................................................

ASME B31.1 SECTION IX

Form E00006 (Front) QW-482 Suggested Format For Welding Procedure Specifications (WPS) ................................
Form E00006 (Back) QW-482 ........................................................................................................................................
Form E00007 (Front) QW-483 Suggested Format for Procedure Qualification Record (PQR) .....................................
Form E00007 (Back) QW-483 ........................................................................................................................................
Form E00008 QW-484 Suggested Format for Manufacturers Record of Welder or Welding Operator
Qualification Tests (WPQ) ..............................................................................................................................................

284
285
286
287
288
289

290
291
292
293
294

API 1104
Procedure Specification Form .........................................................................................................................................

295

AWS QC-1
Certified Welding Inspector Certificate...........................................................................................................................

296

283
Copyright American Welding Society
Provided by IHS under license with AWS
No reproduction or networking permitted without license from IHS

Not for Resale

ANNEX B-SAMPLE

FORMS

WELDING PROCEDURE SPECIFICATION (WPS) Yes

PREQUALIFIED
QUALIFIED BY TESTING
or PROCEDURE QUALIFICATION RECORDS (PQR) Yes
Identification#
Revision
Date
Authorized by
Type-Manual 0
Machine 0

Company Name
Welding Process(es)
Supporting PQR No.(s)

Short-Circuiting 0
Globular
Spray 0
DCEP 0 DCEN 0 Pulsed 0

Transfer Mode (GMAW)

Current: AC
Other
Tungsten Electrode (GTAW)
Size:
Type:

Fillet

TECHNIQUE
Stringer or Weave Bead:
Multi-pass or Single Pass (per side)
Number of Electrodes
Electrode Spacing
Longitudinal
Lateral
Angle

SHIELDING
Flux

Gas
Composition
Flow Rate
Gas Cup Size

Electrode-Flux (Class)

PREHEAT
Preheat Temp., Min
Interpass Temp., Min

Contact Tube to Work Distance

Peening
Interpass Cleaning:
POSTWELD HEAT TREATMENT
Temp.
Time

Max

Filler Metals

WELDING PROCEDURE
Current
Travel

Form E-1 (Front)

284
--``,``-`-`,,`,,`,`,,`---

Copyright American Welding Society

Provided by IHS under license with AWS
No reproduction or networking permitted without license from IHS

Fillet:
Down 0

ELECTRICAL CHARACTERISTICS

FILLER METALS
AWS Specification
AWS Classification

Pass or
Weld
Layer(s)

POSITION
Position of Groove:
Vertical Progression: Up

JOINT DESIGN USED

Type:
Single O
Double Weld 0
Backing: Y e s o N o m
Backing Material:
Root Openinq
Root Face Dimension
Groove Angle:
Radius (J-U)
Method
Back Gouging: Yes 0 No 0
BASE METALS
Material Spec.
Type or Grade
Thickness: Groove
Diameter (Pipe)

BY
Date
Semi-Automatic0
Automatic

Not for Resale

ANNEX B-SAMPLE

FORMS

Procedure Qualification Record (PQR) #

Test Results
TENSILE TEST

GUIDED BEND TEST

I Sp:2enI

TypeofBend

Result

Remarks

VISUAL INSPECTION
Appearance
Undercut
Piping porosity
Convexity
Test date
Witnessed by

Radiographic-ultrasonicexamination
RT report no.:
Result
UT report no.:
Result
FILLET WELD TEST RESULTS
Minimum size multiple pass Maximum size single pass
Macroetch
Macroetch
1.

3.

2. ___
Other Tests

1.

3.

2.

All-weld-metal tension test

Tensile strength, psi
Yield pointlstrength, psi
Elongation in 2 in., %
Laboratory test no.
Clock no.

Welders name

Stamp no.
Laboratory

Tests conducted by
Test number
Per

We, the undersigned, certify that the statements in this record are correct and that the test welds were prepared, welded, and
) Structural Welding Code-Steel.
tested in accordance with the requirements of section 4 of AWS D i .i,
(
(year)

Signed
Manufacturer or Contractor

BY
Title

Date
--``,``-`-`,,`,,`,`,,`---

Form E-1 (Back)

285
Copyright American Welding Society
Provided by IHS under license with AWS
No reproduction or networking permitted without license from IHS

Not for Resale

ANNEX 6-SAMPLE

FORMS

WPS QUALIFICATION TEST RECORD FOR

ELECTROSLAG AND ELECTROGASWELDING
TEST RESULTS

PROCEDURE SPECIFICATION

Reduced-section tensile test

Material specification
Welding process
Position of welding
Filler metal specification
Filler metal classification
Filler metal
Flux
Shielding gas
Flow rate
Gas dew point
Thickness range this test qualifies
Single or multiple pass
Single or multiple arc
Welding current
Preheat temperature
Postheat temperature
Welders name
~~~

Tensile strength, psi

1.
2.

All-weld-metal tension test

Tensile strength, psi
Yield pointktrength, psi
Elongation in 2 in., Oo

Side-bend tests
1.
2.

3.
4.

Radiographic-ultrasonicexamination
RT report no.
UT report no.

VISUAL INSPECTION (Table 6.1, Cyclically loaded

limitations)

Impact tests

Appearance
Undercut
Piping porosity

Size of specimen
2.
Ft4b: 1.
5. ____ 6.
High
Laboratory test no.
~

Test date
Witnessed by

Test temp

3.___ 4. ___
Avg.
Low

WELDING PROCEDURE
6

Pass
No.

Electrode
Size

Welding Current
Amperes

Volts

Joint Detail

Guide tube flux

Guide tube composition
Guide tube diameter
Vertical rise speed
Traverse length
Traverse speed
Dwell
Type of molding shoe

Procedure no.

Manufacturer or contractor

Revision no.

Authorized by

Form E-3

Date

286
--``,``-`-`,,`,,`,`,,`---

Copyright American Welding Society

Provided by IHS under license with AWS
No reproduction or networking permitted without license from IHS

Not for Resale

ANNEX 6-SAMPLE

FORMS

WELDER, WELDING OPERATOR, OR TACK WELDER QUALIFICATIONTEST RECORD

Record Actual Values

Used in Qualification
Variables
Processflype [Table 4.10,Item (l)]
Electrode (single or multiple) [Table 4.10,Item (8)]
CurrenVPolarity
Position [Table 4.1O, Item (4)]
Weld Progression [Table 4.1

I
l

Backing (YES or NO) [Table 4. O, Item (7)]

MateriaVSpec.
Base Metal
Thickness: (Plate)
Groove
Fillet
Thickness: (Pipe/tube)
Groove
Fillet
Diameter: (Pipe)
Groove
Fillet
Filler Metal [Table 4.10,Item (3)]
Spec. No.
Class
F-No. [Table 4.1O, Item (2)]
Gas/Flux Type [Table 4.10,Item (3)]
Other

Type

to

Results

Type

Result

Film Identification
Number

Qualification Range

Film Identification
Number

Remarks
I

Results

Remarks

~~

Interpreted by
Organization

Result

Test Number
Date

We, the undersigned, certify that the statements in this record are correct and that the test welds were prepared, welded, and
) Structural Welding Code-Steel.
tested in accordance with the requirementsof section 4 of AWS D1.l, (
(year)

Manufacturer or Contractor

Authorized By
Date

Form E-4

--``,``-`-`,,`,,`,`,,`---

Copyright American Welding Society

Provided by IHS under license with AWS
No reproduction or networking permitted without license from IHS

287

Not for Resale

ANNEX B-SAMPLE

FORMS

REPORT OF RADIOGRAPHIC EXAMINATION OF WELDS

Project
Quality requirements-section no.
Reported to

WELD LOCATIONAND IDENTIFICATIONSKETCH

Technique
Source
Film to source
Exposure time
Screens
Film type
(Describe length, width, and thickness of all joints radiographed)

We, the undersigned, certiy that the statements in this record are correct and that the test welds were prepared and tested in
accordance with the requirements of AWS DI .1, (
) Structural Welding Code-Steel.
(year)

Radiographer(s)

Manufacturer or contractor

Interpreter

Authorized by

Test date

Date

Form E-7

--``,``-`-`,,`,,`,`,,`---

Copyright American Welding Society

Provided by IHS under license with AWS
No reproduction or networking permitted without license from IHS

288

Not for Resale

ANNEX &SAMPLE

FORMS

REPORT OF MAGNETIC-PARTICLE EXAMINATION OF WELDS

Project
Quality requirements-Section No.
Reported to

WELD LOCATION AND IDENTIFICATIONSKETCH

Quantity:

Total Accepted:

Total Rejected:

PRE-EXAMINATION
Surface Preparation:
EQUIPMENT
Instrument Make:

Model:

METHOD OF INSPECTION
0Dry
O Wet
How Media Applied:
0Residual
0Continuous
0AC
0DC
0Prods
0Yoke
Direction for Field:
0Circular

0Visible

S. No.:

0Fluorescent

0True-Continuous
0Half-Wave
Cable Wrap
Longitudinal

Other

Strength of Field:
(Ampere turns, field density, magnetizing force, number, and duration of force application.)

POST EXAMINATION
DemagnetizingTechnique (if required):
Cleaning (if required):

Marking Method:

(Year)

Inspector

Manufactureror Contractor

Level

Authorized By

Test Date

Date

Form E-8

289
Copyright American Welding Society
Provided by IHS under license with AWS
No reproduction or networking permitted without license from IHS

Not for Resale

--``,``-`-`,,`,,`,`,,`---

We, the undersigned, certify that the statements in this record are correct and that the test welds were prepared and tested in
) Structural Welding Code-Steel.
accordance with the requirements of AWS D1.1, (

ANNEX & S A M P L E

FORMS

QW-482 SUGGESTED FORMAT FOR WELDING PROCEDURE SPECIFICATIONS (WPS)

(See QW-200.1, Section IX, ASME Boiler and PressureVessel Code)
Company Name
Welding Procedure Specification No.
Revision No.

By:
Supporting PQR No.(s)

Date
Date

Welding Process(es)

Typeis)
(Automatic, Manual, Machine, or Semi-Auto.)
Details

JOINTS (QW-402)
Joint Design
Backing (Yes)
Backing Material (Type)

(No)
(Refer to both backing and retainers.)

0 Metal 0 Nonfusing Metal

0 Nonmetallic 0 Other
Sketches, Production Drawings, Weld Symbols or Written Description
should show the general arrangement of the parts to be welded. Where
applicable, the root spacing and the details of the weld groove may be
specified.
(At the option of the Mfgr., sketches may be attached to illustrate joint
design, weld layers and bead sequence, e.g. for notch toughness procedures, for multiple process procedures, etc.)

'BASE METALS (OW-403)

P-No.
Group No.

to P-NO.

Group No.

OR
Specificationtype and grade
to Specificationtype and grade
OR
Chem. Analysis and Mech. Prop.
to Chem. Analysis and Mech. Prop.
Thickness Range:
Base Metal:
Groove
Pipe Dia. Range:
Groove

Fillet
Fillet

'FILLER METALS (QW-404)

Spec. No. (SFA)
AWS No. (Class)

Size of Filler Metals

Weld Metal
Thickness Range:
Groove
Electrode-Flux (Class)
Flux Trade Name
Consumable Insert

* Each base metal-fillermetal combination should be recorded individually.

This form (E00006) may be obtained from the Order Dept., ASME, 22 Law Drive, Box 2300,Fairlield, NJ 07007-2300

(Source ASME 831. I , SEC IX)

290
--``,``-`-`,,`,,`,`,,`---

Copyright American Welding Society

Provided by IHS under license with AWS
No reproduction or networking permitted without license from IHS

Not for Resale

ANNEX &SAMPLE

QW-482 (Back)
I

WPS No. -Rev.

POSTWELD HEAT TREATMENT (QW-407)

POSITIONS (QW-405)
Position(s) of Groove
Welding Progression: Up
Position(s) of Fillet

FORMS

Temperature Range
Down

Time Range
GAS (QW-408)

PREHEAT (QW-406)

Percent Composition

Preheat Temp. Min.

InterpassTemp. Max.
Preheat Maintenance

Gas(es)

(Continuous or special heating where applicable should be recorded.)

(Mixture)

Flow Rate

Shielding
Trailing
Backing

ELECTRICAL CHARACTERISTICS 9QW-409)

Polarity
Current AC or DC
Amps (Range)
Volts (Range)
(Amps and volts range should be recorded for each electrode size,
position, and thickness, etc. This information may be listed in a tabular form similiar to that shown below.)
Tunsten Electrode Size and Type
(PureTungsten, 2% Thoriated, etc.)
Mode of MetalTransfer for GMAW
(Spray arc, short circuiting arc, etc.)
Electrode Wire feed speed range
TECHNIQUE (OW-410)
String or Weave Bead
Orfice or Gas Cup Size
Initial and Interpass Cleaning (Brushing, Grinding, etc.)
Method of Back Gouging
~~

Contact Tube to Work Distance

Multiple or Single Pass (per side)
Multiple of Single Electrodes
Travel Speed (Range)
Peening
Other

Other
(ag., Remarks, Cornments. Hot Wire
Addition, Technique,
Torch Angle, etc.)

(Source ASME 631.1, SEC IX)

29 1
--``,``-`-`,,`,,`,`,,`---

Copyright American Welding Society

Provided by IHS under license with AWS
No reproduction or networking permitted without license from IHS

Not for Resale

~~

ANNEX 8-SAMPLE

FORMS

QW-483 SUGGESTED FORMAT FOR PROCEDURE QUALIFICATION RECORD (pqr)

(See QW-200.2, Section IX, ACME Boiler and PressureVessel Code)
Record Actual Conditions Used to Weld Test Coupon.
Company Name
Procedure Qualification Record No.

Date

WPS No.
Welding Process(es)
Types (Manual, Automatic, Semi-Auto.)
JOINTS (OW-402)

(For combination qualifications, the deposited weld metal thickness shall be recorded for each filler metal or process used.)
POSTWELD HEAT TREATMENT (OW-407)
BASE METALS (OW-403)
Temperature
Material Spec.
Time
Type or Grade
P-NO.
to P-NO.
Other
Thickness of Test Coupon
Diameter of Test Coupon
Other
GAS (OW-408)
Percent Composition
Gac(es)
(Mixture)
Flow Rate
Shielding
Trailing
Backing
FILLER METALS (OW-404)
SFA Specification
ELECTRICAL CHARACTERISTICS (OW-409)
AWS Classification
Current
Filler Metal F-No.
Polarity
Weld Metal Analysis A-No.
Amps
Volts
Size of Filler Metal
Tungsten Electrode Size
Other
Other
Weld Metal Thickness
I

PREHEAT (OW-406)
Preheat Temp.
InterpassTemp.
Other

TECHNIQUE (OW-410)
Travel speed
String or Weave Bead
Oscillation
Multipass or Single Pass (per side)
Single or Multiple Electrodes
Other
--``,``-`-`,,`,,`,`,,`---

POSITION (OW-405)
Position of Groove
Weld Progression (Uphill, Downhill)
Other

(Source ACME 331.1, SEC IX)

292
Copyright American Welding Society
Provided by IHS under license with AWS
No reproduction or networking permitted without license from IHS

Not for Resale

ANNEX B-SAMPLE

FORMS

QW-483 (Back)
TensileTest (QW-150)

Specification
No.

Width

Thickness

Ultimate
Total Load
Ib

Area

PQR No.
Ultimate
Unit Stress
psi

Type of
Failure &
Location

Guided-Bend Tests (QW-160)

Type and Figure No.

I
I

ToughnessTests (QW-170)

Fillet-WeldTest (QW-180
Result - Satisfactory: Yes

No

Penetration into Parent Metal: Yes

No

Macro - Results

Other Tests
Type of Test
Deposit Analysis
Other

Stamp No.
Welder's Name
Clock No.
Laboratory Test No.
Tests Conducted by:
We 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 Section IX of the ASME Code.
Manufacturer
Date
BY
(Detail of record of tests are illustrative only and may be modified to conform to the lype and number of tests required by the Code.)

293
Copyright American Welding Society
Provided by IHS under license with AWS
No reproduction or networking permitted without license from IHS

Not for Resale

--``,``-`-`,,`,,`,`,,`---

(Source ASME 831 . I , SEC IX)

ANNEX &SAMPLE

FORMS

QW-484 SUGGESTED FORMAT FOR MANUFACTURER'S RECORD OF WELDER OR

WELDING OPERATOR QUALIFICATIONTESTS (WPQ)
See OW-301, Section IX, ASME Boiler and Pressure Vessel Code

Welder's name

Clock number

Welding process(es) used

Identification of WPS followed by welder during welding of test coupon

Stamp no.

Type
Thickness

Base material(s) welded

Manual or SemiautomaticVariables for Each Process (OW-350)

Actual Values

Range Qualified

Backing (metal, weld metal, welded from both sides, flux etc.) (QW-402)
to ASME P-No. (QW-404

ASME P-NO.

( ) Plate ( ) Pipe (enter diameter, if pipe)

Classification (QW-404)

Filler metal specification (SFA):

Filler Metal F-No.
Consumable insert for GTAW or PAW
Weld deposit thickness for each welding process
Welding position ( l G , 5G, etc.) (QW-405)
Progression (uphill/downhill)

Backing gas for GTAW, PAW, GMAW; fuel gas for OFW (QW-408)
GMAW transfer mode (QW-409)
GTAW welding current type/polarity

Actual Values

Machine Welding Variables for the Process Used (OW-360)

Range Qualified

Directhemote visual control

Automatic voltage control (GTAW)
Automatic joint tracking
Welding position ( l G , 5G, etc.)
Consumable insert
Backing (metal, weld metal, welded from both sides, flux, etc.)

Guided BendTest Results

Guided Bend Test Type
~

(
~

) QW-462.2 (Side) Results (

) QW-462.3(a)(Trans. R & F) Type

) QW-462.3(b) (Long, R & F) Results

Visual examination results (QW-302.4)

--``,``-`-`,,`,,`,`,,`---

Radiographic test results (QW-304 and Qw-305)

(For alternative qualification of groove welds by radiography)

Length and percent of defects

Fillet Weld Fracture test
Macro test fusion
Fillet leg size
in. x
in.
Concavity/covexity
Welding test conducted by
Mechanical tests conducted by
We certify that the statements in this record are correct and that the test coupons were prepared, welded, and tested in accordance with the
requirements of Section IX of the ASME Code.
Organization
Date

in.

in.

BY
This form (EOOOOS) may be obtained from the Order Dept., ASME, 22 Law Drive, Box 2300, Failfield NJ 07007-2300

(Source ASME 831.1, SEC Il

294
Copyright American Welding Society
Provided by IHS under license with AWS
No reproduction or networking permitted without license from IHS

Not for Resale

ANNEX &SAMPLE
--``,``-`-`,,`,,`,`,,`---

%?ference:API Standard 1104,2.2

PROCEDURE SPECIFICATION NO.

'or

Welding of

Pipe and Fittings

'rocess
Aaterial
liameter and wall thickness
loint design
'iller metal and no. of beads
ilectrical or flame characteristics
'osition
lirection of welding

lo. of welders
%ne lapse between passes
Fype and removal of lineup clamp
leaning andlor grinding
'reheat stress relief
Shielding gas and flow rate
shielding flux
Speed of travel
Sketches and tabulations attaches
rested

Welder

4pproved

Welding supervisor

idopted

Chief engineer

1/16 in. (1.59 mm)

1/32-1/16 in. (0.79-1.59

mm)

Approximately 1/16 in. (1.59

mm)

A '1,t 1/16 f 1/32 in. (1.59

f 0.79 mm)

Standard V-Bevel Butt Joint

Approximately 1/8 in. (3.17 mm)

Sequence of Beads
NOTE: Dimensions are for reference only.

Electrode
Size and
Bead Number

Type

Amperage
Voltage

295
Copyright American Welding Society
Provided by IHS under license with AWS
No reproduction or networking permitted without license from IHS

Not for Resale

and
Polarity

Speed

FORMS

FORMS

296
Copyright American Welding Society
Provided by IHS under license with AWS
No reproduction or networking permitted without license from IHS

Not for Resale

--``,``-`-`,,`,,`,`,,`---

ANNEX B-SAMPLE