Dd Form 2757 - Welding Examination Record Page 2

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INSTRUCTIONS FOR COMPLETION OF DD FORM 2757.
WELDING EXAMINATION RECORD
SECTION I:
Block 2 - NAME. Self-explanatory.
Block 3 - PARENT ORGANIZATION. Self-explanatory.
Block 4 - UNIT ADDRESS. Self-explanatory.
Block 5 - QUALIFICATION GROUP. Metal groups submitted for certification.
Block 6 - RATING/RATE. Enter military rank or civilian pay number.
Block 7 - WELDER IDENTIFICATION NUMBER. Enter military identification number or civilian pay
number.
Block 9 - WELDING SCHOOL OR SOURCE OF TRAINING. Self-explanatory.
Block 10 - WELDING PROCESS. Process used to accomplish the weld.
Block 11 - WELDING PROCEDURE USED. Conditions used in completing test welds will be listed
under appropriate WPS number column (See Table 3-3).
Block 12 - SIGNATURE OF APPLICANT. Self-explanatory.
Block 13 - SIGNATURE OF OBSERVING OFFICIAL. Signature of the person observing the certification
welding.
SECTION II:
Blocks 14 - 17. The appropriate blocks will be marked either satisfactory (SAT) or unsatisfactory
(UNSAT) in accordance with the results of the particular examination.
Block 18 - REMARKS. Record cause of any unsatisfactory results or other relevant information.
Block 19 - TO OBTAIN REQUALIFICATION OPERATOR MUST. Decision made by evaluating activity
after failure of previous test specimens.
Block 20 - TESTING OFFICIAL. Annotate whether qualified or not qualified in appropriate box (All
DOD). Signature of the official who evaluates the test specimens. Organization and address of
testing official.
Block 21 - CERTIFYING OFFICIAL. The welding instructor/inspector who actually certifies the welder
at the evaluation laboratory will enter signature and record the effective date of certification.
DD FORM 2757 (BACK), JUN 1997

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