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FORM QW-484A SUGGESTED FORMAT A FOR WELDER …

RT or UT (check one)(07/13)FORM QW-484A SUGGESTED FORMAT A FOR WELDER PERFORMANCE QUALIFICATIONS (WPQ)(See QW-301, Section IX, ASME Boiler and Pressure Vessel Code) WELDER s nameIdentification DescriptionTesting Variables and Qualification LimitsRESULTSA ctual ValuesWelding Variables (QW-350)Identification of WPS followedSpecification and type/grade or UNS Number of base metal(s)Welding process(es)Test couponProduction weldThicknessAlternative Volumetric Examination Results (QW-191):Fillet weld fracture test ( )Length and percent of defectsMacro examination (QW-184)Fillet size (in.)Concavity/convexity (in.) Other testsFilm or specimens evaluated byCompanyMechanical tests conducted byLaboratory test supervised byWe 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 byOrganizationRange QualifiedType ( ; manual, semi-automatic) usedBacking (with/without)PlatePipe (enter diameter if pipe or tube)Base metal P-Number to P-NumberFiller metal or electrode specifica

Inert gas backing (GTAW, PAW, GMAW) Transfer mode (spray/globular or pulse to short circuit-GMAW) GTAW current type/polarity (AC, DCEP, DCEN) Type Result Transverse face and root bends [QW-462.3(a)] Longitudinal bends [QW-462.3(b)] Side bends (QW-462.2) Pipe bend specimen, corrosion-resistant weld metal overlay [QW-462.5(c)]

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