ANNEX N

AWS D1.1/D1.1M:2010

WELDING PROCEDURE SPECIFICATION (WPS) Yes

PREQUALIFIED
QUALIFIED BY TESTING
or PROCEDURE QUALIFICATION RECORDS (PQR) Yes
Identification #
Revision
Company Name

UNI

Date

Authorized by

Welding Process(es) SMAW

Supporting PQR No.(s)

TypeManual
Mechanized

JOINT DESIGN USED

Type:
Single
Double Weld
Backing:
Yes
No
Backing Material:

POSITION
Position of Groove:
Vertical Progression:

Root Opening

Root Face Dimension

Groove Angle:

Radius (JU)

Back Gouging:

Yes

No

Date
Semiautomatic
Automatic
Fillet:
Up

Transfer Mode (GMAW)

Method

BASE METALS
Material Spec.
Type or Grade
Thickness: Groove

Other
Tungsten Electrode (GTAW)
Size:

Fillet

Diameter (Pipe)

Gas
Composition
Flow Rate
Gas Cup Size

Angle
Contact Tube to Work Distance
Peening
Interpass Cleaning:

PREHEAT
Preheat Temp., Min.

POSTWELD HEAT TREATMENT

Temp.

Interpass Temp., Min.

Max.

Time

WELDING PROCEDURE
Filler Metals
Proces
s

Globular
DCEN

TECHNIQUE
Stringer or Weave Bead:
Multi-pass or Single Pass (per side)
Number of Electrodes
Electrode Spacing
Longitudinal
Lateral

SHIELDING

Pass
or
Weld
Layer

Short-Circuiting

Type:

FILLER METALS
AWS Specification
AWS Classification

Electrode-Flux (Class)

Down

ELECTRICAL CHARACTERISTICS

Current: AC
DCEP
Power Source: CC
CV

Flux

By

Class

Diam.

Type
&
Pola

Curr
ent
Amps or
Wire Feed
Speed

354

Spray
Pulsed

ANNEX N

AWS D1.1/D1.1M:2010

Form N-1 (Front)

354

Procedure Qualification Record (PQR) #

Test Results
TENSILE TEST
Specim
en
No.

Widt
h

Thicknes
s

Area

Ultimate
Tensile
Load, lb

Ultimate
Unit
Stress,

Character of
Failure and
Location

GUIDED BEND TEST

Specim
en
No.

Type of
Bend

Res
ult

Remar
ks

VISUAL INSPECTION
Appearance

Radiographic-ultrasonic examination

Undercut
Piping porosity

RT report no.:
Result
UT report no.:
Result
FILLET WELD TEST RESULTS

Convexity
Test date
Witnessed by

Minimum size multiple pass Maximum size single pass

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.

Welders name

Clock no.

358

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 CodeSteel.
(year)

Signed
Manufacturer or Contractor

By
Title
Date
Form N-1 (Back)