Type of Bend

FORM QF-484 Suggested Format for Fusing Machine Operator Performance Qualifications (FPQ)
(See QF-301.4, Section IX, ASME Boiler and Pressure Vessel Code)
Fusing Machine Operator's Name Identification No.
Type of Test:
Pipe Specification
Original qualification
Fusing Variables (QF-360)
Pipe Size (Diameter)
Actual Values
Testing Conditions and Qualification Limits
Fusing Machine Manufacturer
Pipe Position
Bend Tests (QF-302.2)
Visual Examination of Completed Joint [QF-305.2(a)]
Identification of FPS Followed
Company
Fusing Supervised By
Mechanical Tests Conducted By
We certify that the statements in this record are correct and that the test coupons were prepared, fused, and
tested in accordance with the requirements of Section IX of the ASME Boiler and Pressure Vessel Code.
Bend Specimens Evaluated By
Requalification
Range Qualified
Test Description (Information Only)
RESULTS
Laboratory Test No.
Examination of Data Acquisition Output [QF-305.2(b)]
Data Acquisition Output Examined By
Date
Organization
Certified by
Type of Bend
Classification to Specification Classification
Pipe Material
Specimen No. Result Specimen No. Result
Pipe Size (Diameter) Pipe Wall Thickness
(07/13)