GULF TECHNICAL INSPECTION SERVICES LLC

RT Technique Sheet Checklist

Date :

Location :

Project Name :

Sender Name :

REFERENCE CODE / PDO Specification :

1 Technique / Arrangement :
2 Pipe or Plate :
3 Pipe Diameter (inch/mm) :
4 Material :
5 Schedule/Nominal Thickness(mm) :
6 Internal Protrusion (mm) :
7 External Reinforcement (mm) :
8 Total Thickness(5+6+7) :
Source : Ir 192 / Se 75 / X ray Equipment type Including
9 :
model name
Source Strength (For Ir 192 or Se 75) /
10 :
Kilo voltage (Kev for X ray)
11 Source Size / Focal Spot size (Diagonal mm) :

12 Source to Film Distance (SFD) :

13 Object to Film Distance(OFD) :

14 Source to Object Distance (SOD) mm (12-13) :

15 Film Manufacturer and type :

16 Geometric Unsharpness(Ug) (11x13/14) :

17 IQI Type :

18 IQI Placement in production radiography :

19 Source side sensitivity/ wire achieved :

20 Film side sensitivity / Wire achieved :

21 Number of exposures :

22 Segment :

23 Exposure Time (mA/min or Curie/Min) :