QW-483 SUGGESTED FORMAT FOR PROCEDURE QUALIFICATION RECORDS (PQR)
(See QW-200.2, Section IX, ASME Boiler and Pressure Vessel Code)
                         Record of the Actual Conditions Used to Weld Test Coupon
Company Name                                                                  
Procedure Qualification Record No.                                Date            
WPS No.                                                                   
Welding Process (es)                                                            
Types (Manual, Automatic, Semi-auto)
JOINTS (QW-402)
              
                                   Groove Design of Test Coupon (sketch, figure or reference)
(For combination qualifications, the deposited weld metal thickness shall be recorded for each filler metal and process used.)
BASE METALS (QW-403)                                                     POST WELD HEAT TREATMENT (QW-407)
Material Specification                                                   Temperature           
Type or Grade or UNS Number                                              Time                  
P No.     Group No.     to P No.     Group No.                           Other                  
Thickness of Test Coupon                                                                        
Diameter of Test Coupon                                                                         
Maximum Pass Thickness                  
Other                                                                    GAS (QW-408)
                                                                                               Percent Composition
FILLER METALS (QW-404)                                                                   Gas (es) (Mixture) Flow Rate
Layer (combination welds)           1            2            3          Shielding                                    
SFA Specification                                                        Trailing                                     
AWS Classification                                                       Backing                                      
Filler Metal F No.                                                       Other                                        
Weld Metal Analysis A No.                                        
Size of Filler Metal                                             
Filer Metal Product Form                                                 ELECTRICAL CHARACTERISTICS (QW-409)
Supplemental Filler Metal                                                Current           
Electrode Flux Classification                                            Polarity          
Flux Type                                                                Amps                     Volts          
Flux Trade Name                                                          Tungsten Electrode Size             
Weld Metal Thickness                                                     Transfer Mode for GMAW (FCAW)           
Other                                                                    Other                                                                                                                                                                                     
POSITION (QW-405)
Position of Groove                       
Weld Progression (Uphill, Downhill)                                      TECHNIQUE (QW-410)
Other                                                                    Travel Speed              
                                                                         String or Weave Bead            
                                                                         Oscillation        
PREHEAT (QW-406)                                                         Multipass or Singles Pass (per side)              
Preheat Temperature                                                      Single or Multiple Electrodes                     
Interpass Temperature                                                    Other                               
Other                                          
                                                             QW-483 (Back)
                                                                                                                  PQR No.                
                                                        Tensile Test (QW-150)
                                                                                                                                     Type of
  Specimen                                                                                  Ultimate            Ultimate
                        Width          Thickness                   Area                                                             Failure &
    No.                                                                                    Total Load          Unit Stress
                                                                                                                                    Location                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
                                                   Guided Bend Tests (QW-160)
                    Type and Figure No.                                                                 Result                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
                                                    Toughness Tests (QW-170)
Specimen         Notch         Specimen            Test
                                                                         Impact Values                                   Drop Weight Break
 Number         Location         Size          Temperature
                                                            Ft-lb or J   % Shear Mils                  (in.) or mm             (Yes/No)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
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                                                                          
Welders Name                                                               Clock No.               Stamp No.                           
Tests Conducted by                                                            Laboratory Test Number                               
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 Boiler and Pressure Vessel Code
                                                       Manufacturer or Contractor                                        
    Date                              Certified By