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

(See QW-200.2, Section IX, ASME Boiler and Pressure Vessel Code)
Record Actual Variables Used to Weld Test Coupon
Organization Name
Procedure Qualification Record No. Date
WPS No.
Welding Process(es)
Types (Manual, Automatic, Semi-Automatic)

JOINTS (QW-402)

Groove Design of Test Coupon


(For combination qualifications, the deposited weld metal thickness shall be recorded for each filler metal and process used.)
BASE METALS (QW-403)
POSTWELD HEAT TREATMENT (QW-407)
Material Spec.
Temperature
Time
Type/Grade, or UNS Number
Other

P-No. Group No. to


P-No. Group No. Thickness of Test Coupon

Diameter of Test Coupon GAS (QW-408)

Maximum Pass Thickness

Other

Percent Composition
Gas(es) (Mixture) Flow Rate

FILLER METALS (QW-404) 1 2


SFA Specification Shielding
AWS Classification Trailing
Filler Metal F-No. Backing
Weld Metal Analysis A-No. Other
Size of Filler Metal
Filler Metal Product Form ELECTRICAL CHARACTERISTICS (QW-409)
Current
Supplemental Filler Metal
Polarity
Electrode Flux Classification
Amps. Volts
Flux Type
Tungsten Electrode Size
Flux Trade Name
Weld Metal Thickness Mode of Metal Transfer for GMAW (FCAW)
Heat Input
Other
Other

POSITION (QW-405)
Position of Groove Other

Weld Progression
(Uphill, Downhill) PREHEAT (QW-406)
(07/13)
Preheat Temperature
TECHNIQUE (QW-410)
Travel Speed
Interpass Temperature
String or Weave Bead
Oscillation
Other
Multipass or Single Pass (Per Side)
Single or Multiple Electrodes
Other

(07/13)
FORM QW-483 (Back)

Tensile Test (QW-150) PQR No.

Ultimate Type of
Specimen Ultimate Unit Stress, Failure and
No. Width Thickness Area Total Load (psi or MPa) Location

Guided-Bend Tests (QW-160)

Type and Figure No. Result

Toughness Tests (QW-170)

Specimen Notch Specimen Test Impact Values


No. Location Size Temperature ft-lb or J % Shear Mils (in.) or mm Drop Weight Break (Y/N)

Comments

Fillet-Weld Test (QW-180)

Result — Satisfactory: Yes No Penetration into Parent Metal: Yes No

Macro — Results

Other Tests
Type of Test
Deposit Analysis
Other

Welder’s Name Clock No. Stamp No.


Tests Conducted by Laboratory Test No.
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 Boiler and Pressure Vessel Code.

Organization

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

(07/13)

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