QW-483 SUGGESTED FORMAT FOR PROCEDURE QUALIFICATION RECORDS (PQR)

(See QW-200.2, Section IX, ASME Boiler and Pressure Vessel Code) Record Actual Conditions Used to Weld Test Coupon
Company Name Procedure Qualification Record No. WPS No. Welding Process (es) Types (Manual, Automatic, Semi-auto) Joints (QW-402)
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Date
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Groove Design of Test Coupon (For combination qualifications, the deposited weld metal thickness shall be recorded for each filler metal or process used.)

BASE METALS (QW-403) Material Spec XXXXX XXXXXX Type or Grade P no. To P No. XXXXXXXXX XXXXX Thickness of Test Coupon XXXXXXXXX Diameter of Test Coupon XXXXXXX XXXXXXX Other
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POST WELD HEAT TREATMENT (QW-407) XXXXXXXXX Temperature XXXXXXXXX Time XXXXX Other

GAS (QW-408) Percent Composition Gas (es) (Mixture) Flow Rate

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FILLER METALS (QW-404) XXXXX SFA Specification XXXXXXXXX AWS Classification XXXXX Filler Metal F No. XXXXXX Weld Metal Analysis A No. XXXXXXXXX Size of Filler Metal XXXXX Other
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Shielding Trailing Backing

Weld Metal Thickness

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POSITION (QW-405) XXXXXXXXX Position of Groove XXXXXXXXX Weld Progression (Uphill, Downhill) Other XXXXXX
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ELECTRICAL CHARACTERISTICS (QW-409) XXXXX Current Polarity XXXXXXXXX XXXXXXXXX Amps Volts XXXXX Tungsten Electrode Size XXXXXXX XXXXXXXXX Other TECHNIQUE (QW-410) XXXXXXXXX Travel Speed XXXXXXXXX String or Weave Bead XXXXXXXXX Oscillation Multipass or Singles Pass (per side) Single or Multiple Electrodes XXXXXX Other
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PREHEAT (QW-406) Preheat Temp. Interpass Temp. Other

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QW-483 (Back)
PQR No. Tensile Test (QW-150) Specimen No.
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Width
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Thickness
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Area
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Ultimate Total Load lb

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Ultimate Unit Stress psi

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Type of Failure & Location

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Guided Bend Tests (QW-160) Type and Figure No.

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Result
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Specimen No.
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Notch Location
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Specimen Size
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Toughness Tests (QW-170) Test Impact Values Temp. Ft. lbs % Shear
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Mils
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Drop Weight Break (Y/N)

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Comments Result- Satisfactory: Yes Macro - Results Type of Test Deposit Analysis Other Welders Name Tests Conducted by
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No

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Fillet Weld Test (QW-180) Penetration into Parent Metal: Yes

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No

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Other Tests

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XXXXX Clock No. Laboratory Test No.

Stamp No.
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We certify that statements made 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 XXXXX Manufacturer

Date

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By
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(Detail of record of tests are illustrative only and may be modified to conform to the type of and number of tests required by the Code