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Procedure Qualification Record

Qualified Per: 5.12.1 5.12.2 5.13 Contractor (Fabricator)
Process PQR Prepared by:
Position (1G, 2G, 3G, 4G) Welder's name
Electrode( s) Mfg. Designation AWS Specification
Electrode Extension AWS Classification
Flux Mfg. Designation Active, Neutral, or Alloy Flux:


Electrode Diam. (inch) Current (amps) WFS* (ipm) Voltage (volts) Current & Polarity Travel Speed (IPM)


1
2
3 * wire feed may be used in lieu of current when a correlation curve is provided for the same electrode diameter and electrode extension.


Calculated Heat Input (KJ/ In) (See AWS D1.5 5.12)
Shielding Gas Flow Rate (cfph) Dew Point (° F)
Base Metal Thickness (In) Backing Thickness (In)
Base Metal and Backing Specification & Heat Nos. (Attach Certified Copies of Mill Test Reports)


A709 50W carbon equivalent % , carbon content %
Preheat Temp. (° F) Interpass Temp. (° F) Min. Max.
Welding Witness: Agency: Signature:


PHYSICAL AND NONDESTRUCTIVE TEST RESULTS (Complete below and attach laboratory reports)
SPECIMEN TEST RESULTS


All Weld Metal Tension (AWMT) Tensile Strength (psi)
Yield Strength (psi)
Elongation in 2 in. (%)
Reduction in Area (%)


Side Bends (accept/ reject) 1. 2. 3. 4.


Reduced Section Tension (psi) Tensile Strength 1. Location of Break 1. 2. 2.


Charpy V-Notch Impact ( , , , , ) Toughness of Weld Metal Avg. ft. lb. ** @ o F
(Ft. lbs.) ** Discard the highest and lowest values and average the remaining values.


Visual Acceptable? Radiographic Test Acceptable? (Attach RT Report)
Physical Tests witnessed by: Agency
Expiration Date (5 years for Non Fracture Critical): (3 years for Fracture Critical):


I attest that the above information is correct: Date: (Authorized representative of contractor (fabricator)

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