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Radiographic Form

1) This document is a radiographic test inspection record form used to document information about radiographic tests performed on ship hulls and components. 2) The form includes fields to document information such as the ship and hull number, joint identification, radiographic test coverage required, exposure technique, x-ray machine parameters, and radiographic interpretations. 3) The radiographer is required to provide a sketch depicting key aspects of the radiographic setup such as the direction of radiation, placement of calibration devices, location of filters and film.

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arietilang
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30 views1 page

Radiographic Form

1) This document is a radiographic test inspection record form used to document information about radiographic tests performed on ship hulls and components. 2) The form includes fields to document information such as the ship and hull number, joint identification, radiographic test coverage required, exposure technique, x-ray machine parameters, and radiographic interpretations. 3) The radiographer is required to provide a sketch depicting key aspects of the radiographic setup such as the direction of radiation, placement of calibration devices, location of filters and film.

Uploaded by

arietilang
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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COMUSFLTFORCOMINST 4790.

3 REV C CH-2

RADIOGRAPHIC TEST INSPECTION RECORD


QA FORM 20A
2. SHIP AND HULL NO.
5. CWP STEP NO.
9. QUALITY LEVEL

13. TM

14. TS

PAGE ____ OF ____

3. JCN:

4. CWP/REC SERIAL NO.

6. JOINT ID

7. REPAIR NO.

10. RT COVERAGE REQD:


( )60 DEG ( )360 DEG ( )100%
15. EXPOSURE TECH
( ) SWE/SWV
( ) DWE/DWV
( ) DWE/SWV

18. X-RAY MACHINE MFG


MODEL/TYPE
VOLTAGE RATING
21. RADIOGRAPHIC SHOOTING SKETCH

8. INSP STD & CLASS

11. PENETRAMETER:
)
SIZE
GROUP
)
16. FILM:
TYPE
BRAND
LOADED ( ) SINGLE ( ) DOUBLE
19. X-RAY PARAMETERS
KV
MA
FFS ____

SOURCE SIDE (

12. SPECIMEN MATL

FILM SIDE (
17. ISOTOPE: TYPE
DIMENSIONS
CURIE
20. SFD
22. SHIM
MATL
TM
23. LEAD SCREENS THICKNESS
F
B
24. REMARKS

Depict the following:


(1) Direction of radiation
(2) Placement of penetrameter
(3) Location of location marker
(4) Location of shims (if used)
(5) Location of Pb "B"
(6) Location & thickness of back filter
(7) Location of film
(8) Blocking/masking technique used (if applicable)
NOTE: REFERENCE TO A STANDARD SETUP IS ACCEPTABLE
25. RADIOGRAPHER

DATE:
26. RADIOGRAPHIC INTERPRETATION

LOCATION MARKERS
VISIBLE T-HOLE
LIGHTEST DENSITY
DARKEST DENSITY
SHIM DENSITY
CRACK
SLAG/OXIDE
POROSITY
LOP
LOF
MELT THROUGH
BURN THROUGH
ROOT OX
CRATER PIT
TUNGSTEN
ROOT SUR CONCAVITY
ROOT SUR CONVEXITY
UNDERCUT
ROOT C/L CREASE
INCOMPLETE INSERT MELT
OTHER
27. ( ) ACCEPT
( ) REJECT
29. RT EXAMINER

REMARKS:

DESCRIPTION AND SIZE OF INDICATIONS

28. RT INSPECTOR
IDENT

DATE

DATE

THE PERSON DESIGNATED TO SIGN FOR AN ACTION VERIFIES, BASED ON PERSONAL OBSERVATION OR
CERTIFIED RECORDS, AND CERTIFIES BY HIS/HER SIGNATURE THAT THE ACTION HAS BEEN PERFORMED IN
ACCORDANCE WITH THE SPECIFIED REQUIREMENTS.

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