INSPECTION REPORT REPORT NO.

:
ULTRASONIC EXAMINATION PAGE NO.:
CLIENT : LOCATION :
CONTRACTOR : JOB NO.:
PROJECT : DATE OF TEST:
PROCEDURE NO.: REQUEST NO :
WORK INSTRUCTION : REF. CODE/STD :
EQUIPMENT, MATERIALS & OPERATION PARAMETERS…
UT EQUIPMENT TYPE: BRAND:
MODEL: SERIAL NO.:
PROBE SR. NO. BRAND PROBE ANGLE ACT. ANGLE FREQUENCY SIZE INDEX POINT WAVE MODE

CAL BLOCK TYPE: SERIAL NO.:

SIMULATION BLOCK TYPE: SERIAL NO.:
CABLE TYPE / LENGTH: CABLE TYPE / CONNECTOR:
COUPLANT: SPECIAL EQUIPMENT/PROBE:
PART IDENTIFICATION & INFORMATION…
DWG NO.: DESCRIPTIONS :
WPS NO.: VESSEL , PIPE , LINE NO.:
MATERIAL: MODULE NO.:
WELDING PROCESS: SURFACE CONDITION:
WELD TYPE:
JOINT TYPE: SINGLE V DOUBLE V SINGLE BEVEL DOUBLE BEVEL OTHER
CALIBRATION (SYSTEM PERFORMANCE) & OPERATION PARAMETERS…
TECHNIQUE: CONTACT IMMERSION PULSE ECHO TRU-TRNM ANGLE BM STRA BM DAC
SCANNING METHOD: MANUAL AUTO SCANNING PATTERN :
TEST RANGE: SCAN OVERLAP:
SENSITIVITY: EXTENT OF SCANNING:
SIZING INDICATION MTHD: SCANNING LEVEL:
REJECT SETTING: SCANNING RATE:
DATA PRESENTATION: A-SCAN B-SCAN
C-SCAN
EVALUATION… ACCEPTANCE CRITERIA:
WELD/JOINT/ DESCRIPTION… DISCONTINUITY SIZE & LOCATION
ANGULAR DISTANCE
AMP. LEVEL % DAC

INDICATION LEVEL
WELD / JOINT NO.

DEPTH FROM "A"

DISCONTINUITY
INDICATION NO.
REF. LEVEL(DB)
PROBE ANGLE

DISTANCE
(SOUND PATH)
LENGTH (mm.)

EVALUATION

REMARK
WELDER NO.

FROM FACE
WELD TYPE

FROM
MATL Thk.

SURFACE
LENGTH
SIZE , ø

% DAC
LEG

X Y

NOTES:

AUTHORIZATION EXAMINED/EVALUATED BY: REVIEWED/WITNESSED BY: REVIEWED/APPROVED BY :

COMPANY :
SIGNED :
NAME :
METHOD (LEVEL):
DATE :