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Ultrasonic Report Format

This ultrasonic NDT test report summarizes the results of ultrasonic testing on welds from a construction project. It provides details of the material thickness, welding process, quality requirements, location in the structure, and results of the ultrasonic testing including indication ratings and remarks on whether the material met requirements. The report is certified by the tester and includes project details to identify the location and scope of testing.

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Aditya Pratap
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© Attribution Non-Commercial (BY-NC)
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Download as PDF, TXT or read online on Scribd
1K views1 page

Ultrasonic Report Format

This ultrasonic NDT test report summarizes the results of ultrasonic testing on welds from a construction project. It provides details of the material thickness, welding process, quality requirements, location in the structure, and results of the ultrasonic testing including indication ratings and remarks on whether the material met requirements. The report is certified by the tester and includes project details to identify the location and scope of testing.

Uploaded by

Aditya Pratap
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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School District: ___________________________________________________

Attn: ___________________________________________________
Address: ___________________________________________________
___________________________________________________

DSA FILE # _____________


DSA APPL. # _____________
DSA / LEA # ______________
Weld I.D.: __________________________________

ULTRASONIC (NDT) TEST REPORT

Material Thickness: ___________________________


Weld Joint AWS: _____________________________

Project Name: ____________________________________________

Welding Process _____________________________

Report Date:______________________________________________

Quality Requirements Section No. ______________

Location in Structure: ______________________________________

Distance
From X

From Y

Discontinuity
Evaluation

Depth from
"A" Surface

Indication
Rating

Attenuation
Factor
c

Angular Distance
(sound path)

Discontinuity

Length

Reference
Level

Indication
Level
Leg1

From Face

Transducer
Angle

Indication
Number

Decibles

Line Number

LABORATORY
LETTERHEAD
HERE

+
X
-

X
Y

Remarks

1
2
3
4
5
6
7
8
9
10
11
12

General Note: This form is applicable to Section 2, Parts B or C (Statically and Cyclically Loaded Nontubular Structures) of ASW D1.1. Do NOT use this form for Tubular structures (Section 2, Part D).
I, the undersigned, certify that the statements in this record are correct and that the welds were prepared and tested in conformance with the requirements of Section 6,
Part F of AWS D1.1/D1.1M, (_______) Structural Welding Code Steel
(year)

REMARKS: ________________________________________________________________________________________________
The Material WAS WAS NOT
cc: Project Architect
Structural Engineer
Project Inspector
DSA Regional Office
DSA-210 Template (02/06)

SAMPLED AND TESTED IN ACCORDANCE


WITH THE REQUIREMENTS OF THE
DSA APPROVED DOCUMENTS.

Signature

The Material Tested

Print Name / Title

MET DID NOT MEET

THE REQUIREMENTS OF THE


DSA APPROVED DOCUMENTS.

CERTIFICATION #

Date

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