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 XXXXX

Procedure Qualification Record No. XXXXX Date XXXXXXX
WPS No. XXXXXXXXX
Welding Process (es) XXXXXXX
Types (Manual, Automatic, Semi-auto)
Joints (QW-402)

XXXXXXXXX

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) POST WELD HEAT TREATMENT (QW-407)

Material Spec XXXXX Temperature XXXXXXXXX
Type or Grade XXXXXX Time XXXXXXXXX
P no. XXXXX To P No. XXXXXXXXX Other XXXXX
Thickness of Test Coupon XXXXXXXXX
Diameter of Test Coupon XXXXXXX
Other XXXXXXX
XXXXXXXXX GAS (QW-408)
Percent Composition
Gas (es) (Mixture) Flow Rate
FILLER METALS (QW-404) Shielding XXXXXXX
SFA Specification XXXXX Trailing XXXXXX
AWS Classification XXXXXXXXX Backing XXXXX
Filler Metal F No. XXXXX
Weld Metal Analysis A No. XXXXXX
Size of Filler Metal XXXXXXXXX ELECTRICAL CHARACTERISTICS (QW-409)
Other XXXXX Current XXXXX
XXXXXXXXX Polarity XXXXXXXXX
Weld Metal Thickness XXXXXXXXX Amps XXXXXXXXX Volts XXXXX
Tungsten Electrode Size XXXXXXX
POSITION (QW-405) Other XXXXXXXXX
Position of Groove XXXXXXXXX
Weld Progression (Uphill, Downhill) XXXXXXXXX TECHNIQUE (QW-410)
Other XXXXXX Travel Speed XXXXXXXXX
XXXXXX String or Weave Bead XXXXXXXXX
Oscillation XXXXXXXXX
PREHEAT (QW-406) Multipass or Singles Pass (per side) XXXXXXXXX
Preheat Temp. XXXXXX Single or Multiple Electrodes XXXXX
Interpass Temp. XXXXXXXXX Other XXXXXX
Other XXXXXXXXX XXXXX
XXXXXXXXX XXXXXXX
 QW-483 (Back)
PQR No. XXXXXXXXX
Tensile Test (QW-150)
Ultimate Ultimate Type of
Specimen
Width Thickness Area Total Load Unit Stress Failure &
No.
lb psi Location
XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX
XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX
XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX
XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX

Guided Bend Tests (QW-160)

Type and Figure No. Result
XXXXX XXXXX
XXXXX XXXXX
XXXXX XXXXX
XXXXX XXXXX
XXXXX XXXXX
XXXXX XXXXX
XXXXX XXXXX

Toughness Tests (QW-170)

Specimen Notch Specimen Test Impact Values
Drop Weight Break (Y/N)
No. Location Size Temp. Ft. lbs % Shear Mils
XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX
XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX
XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX
XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX
XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX
XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX
XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX
XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX
XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX
XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX
XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX

Comments XXXXX

Fillet Weld Test (QW-180)

Result- Satisfactory: Yes XXXXX No XXXXX Penetration into Parent Metal: Yes XXXXX No XXXXX

Macro - Results XXXXX

Other Tests
Type of Test XXXXX
Deposit Analysis XXXXX
Other XXXXX

Welders Name XXXXX Clock No. XXXXX Stamp No. XXXXX

Tests Conducted by XXXXX Laboratory Test No. XXXXX

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
Manufacturer XXXXX
Date XXXXX By
XXXXX
(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