Form N-1 Welding Procedure Specification (Wps) Page 2
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1
2ANNEX N
AWS D1.1/D1.1M:2010
Procedure Qualification Record (PQR) # __________
Test Results
TENSILE TEST
Specimen
Ultimate Tensile
Ultimate Unit
Character of Failure
Width
Thickness
Area
No.
Load, lb
Stress, psi
and Location
GUIDED BEND TEST
Specimen
Type of Bend
Result
Remarks
No.
VISUAL INSPECTION
Appearance___________________________________
Radiographic-ultrasonic examination
Undercut _____________________________________
RT report no.: __________ Result ________________
Piping porosity ________________________________
UT report no.: ___________ Result ________________
Convexity_____________________________________
FILLET WELD TEST RESULTS
Test date _____________________________________
Minimum size multiple pass Maximum size single pass
Witnessed by__________________________________
Macroetch
Macroetch
1. _______
3. ________ 1. ________ 3. ________
2. _______
2. ________
Other Tests
All-weld-metal tension test
Tensile strength, psi _____________________________
Yield point/strength, psi __________________________
Elongation in 2 in, % ____________________________
Laboratory test no. _________________________
Welder’s name ________________________________
Clock no. ______________ Stamp no. _____________
Tests conducted by _________________________________________________________ Laboratory
Test number ___________________________________
Per __________________________________________
We, the undersigned, certify that the statements in this record are correct and that the test welds were prepared, welded, and
tested in conformance with the requirements of Clause 4 of AWS D1.1/D1.1M, (__________ ) Structural Welding Code—Steel.
(year)
Signed _______________________________________
Manufacturer or Contractor
By ___________________________________________
Title _________________________________________
Date _________________________________________
Form N-1 (Back)
358
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