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Sample Welder Qualification Blank Form (Multi-Process) Welder, Welding Operator, or Tack Welder Performance Qualification Test Record

This document is a sample welder qualification test record form for multi-process welding. The form collects information about the welder, base materials welded, welding variables, test results, and certification. Key details include the welder's name and ID, company, date, welding process, filler metal, position, base and filler material details, plate/pipe thickness, joint type, test type and criteria, results, and signatures certifying the test was conducted according to welding code requirements.

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tuan
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388 views1 page

Sample Welder Qualification Blank Form (Multi-Process) Welder, Welding Operator, or Tack Welder Performance Qualification Test Record

This document is a sample welder qualification test record form for multi-process welding. The form collects information about the welder, base materials welded, welding variables, test results, and certification. Key details include the welder's name and ID, company, date, welding process, filler metal, position, base and filler material details, plate/pipe thickness, joint type, test type and criteria, results, and signatures certifying the test was conducted according to welding code requirements.

Uploaded by

tuan
Copyright
© © All Rights Reserved
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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AWS D1.1/D1.

1M:2020  ANNEX J

Sample Welder Qualification Blank Form (Multi-Process)


WELDER, WELDING OPERATOR, OR TACK WELDER
PERFORMANCE QUALIFICATION TEST RECORD

Name Test Date Rev.


ID Number Record No.
OPTIONAL
Stamp No. Std. Test No.
PHOTO ID
Company WPS No.
Division Qualified To

Type or AWS
BASE METALS Specification Grade Group No. Size (NPS) Schedule Thickness Diameter
Base Material
Welded To

VARIABLES Actual Values RANGE QUALIFIED


Type of Weld Joint
Base Metal

Groove Fillet Groove Fillet


Plate Thickness
Pipe/Tube Thickness
Pipe Diameter

Welding Process
Type (Manual, Semiautomatic,
Mechanized, Automatic)
Backing
Filler Metal (AWS Spec.)
AWS Classification
F-Number
Position
Groove – Plate and Pipe ≥ 24 in
Groove – Pipe < 24 in
Fillet – Plate and Pipe ≥ 24 in
Fillet – Pipe < 24 in
Progression
GMAW Transfer Mode
Single or Multiple Electrodes
Gas/Flux Type

TEST RESULTS
Acceptance
Type of Test Criteria Results Remarks

CERTIFICATION
Test Conducted by
Laboratory
Test Number
File Number

We, the undersigned, 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 Clause 6 of AWS D1.1/D1.1M (_______) Structural Welding Code—Steel.
(year)

Manufacturer or Contractor _________________________ Authorized by ___________________________________

Date _________________________________________

Form J-5 (See http://go.aws.org/D1forms)

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