Blank Welding Operator Performance Qualification Record

WELDING OPERATOR PERFORMANCE QUALIFICATION RECORD RESISTANCE WELDING Welding operator’s name Identification No. Test Description (Information Only) Identification of WPS followed Test Coupon Production weld Specification and type/grade or UNS number of base metal(s) Total Joint Thickness of test coupon ( T ) Base Metal 1 Thickness (t ) to Base Metal 2 Thickness (t ) To Base Metal 3 Thickness (t ) Base Metal P- or S- Number to P- or S- Number Position (1G, 2G, 6G, 3F, etc.) Tube Pipe (enter diameter, if pipe or tube) Sheet Plate Filler metal (SFA) specification Filler metal or electrode classification Testing Conditions and Qualification Limits When Using Automatic or Machine Welding Equipment Welding Variables (QW-384) Actual values Range qualified Type of welding (automatic or machine) Machine Machine Welding process [RSW (Spot), RSEW (Seam), RPW(Projection)] RSW RSW Machine Type Controller Type Position AL L RESULTS Visual Examination of Completed Weld (QW-302.4) Macro-Examination (QW-196.1) Sample # Results (Satisfacto ry / Unsatisfactory) Sample # Results (Satisfactor y / Unsatisfactory) N/A N/A Shear Test (QW-196.2.1) or Peel Test (QW-196.2.2) Mechanical Testing (QW-196.2) Sample # lbs(kg) per spot (Shear Test) Fracture location (Peel Test) Results (Satisfactory / Unsatisfactory) Mechanical test evaluated by: Company Macro-Ex aminati on ev al ua te d by: Compan y Welding supervised by: Company Equipment Used: Calibration Due Date Measuring Equipment Used: Calibration Due Date We certify that the statements in this record are correct and that the test coupons 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 3/16/2012 Certified By

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WELDING OPERATOR PERFORMANCE QUALIFICATION RECORD

RESISTANCE WELDING

Welding operator’s name Identification No. Test Description (Information Only)

Identification of WPS followed Test Coupon Production w

Specification and type/grade or UNS number of base metal(s) Total Joint Thickness of test coupon (T )Base Metal 1 Thickness (t ) to Base Metal 2 Thickness (t ) To Base Metal 3 Thickness (t ) Base Metal P- or S- Number to P- or S- Number Position (1G, 2G, 6G, 3F, etc.)

Tube Pipe (enter diameter, if pipe or tube) Sheet Plate

Filler metal (SFA) specification Filler metal or electrode classification Testing Conditions and Qualification Limits When Using Automatic or Machine

Welding Equipment

Welding Variables (QW-384) Actual valuesRange

qualifiedType of welding (automatic or machine) Machine Machin

Welding process [RSW (Spot), RSEW (Seam), RPW(Projection)] RSW RSW

Machine Type Controller Type

Position ALL

RESULTS

Visual Examination of Completed Weld (QW-302.4)

Macro-Examination (QW-196.1)

Sample #Results

(Satisfactory /Unsatisfactory)

Sample #Results

(Satisfactory /Unsatisfactory)

N/A N/A

Shear Test (QW-196.2.1) or Peel Test (QW-196.2.2)

Mechanical Testing (QW-196.2)

Sample #lbs(kg)per spot

(Shear Test)

Fracture location(Peel Test)

Results(Satisfactory /Unsatisfactory)

Mechanical test evaluated by: CompanyMacro-Examination evaluated by: CompanyWelding supervised by: CompanyEquipment Used: Calibration Due DateMeasuring Equipment Used: Calibration Due Date

We certify that the statements in this record are correct and that the test coupons were prepared, welded, and tested in accordance with therequirements of Section IX of the ASME Boiler and Pressure Vessel Code.

Manufacturer or Contractor

Date 3/16/2012 Certified By