PROCEDURE QUALIFICATION RECORD (PQR) for Qualification, Pretest, and Verification of Results

Contractor: Test Date: Process: Filler Metal: Position: Electrode(s) Mfg. Designation: AWS Classification: Flux Mfg. Designation: AWS Classification: Electrode Extension:

Electrode Diam. Current WFS* Voltage Current & Polarity

1 2 3

Calculated Heat Input: See AWS D1.5 Section 5.12

Shielding Gas: Flow Rate: Dew Point: Travel Speed: Base Metal Specification & Thickness: Attach Certified Copy of Mill Test Report Preheat Temperature: Interpass Temperature: Min: Max:

SPECIMEN TEST RESULTS All Weld Metal Tension (AWMT) Tensile Strength (psi) Yield Strength (psi) Elongation in 2 in. (%) Reduction in Area (%)

1 2 3 4 Side Bends

Tensile Strength Location of Break Reduced Section Tension

Charpy V-Notch Impact 1 2 3 4 Average** Temperature: Toughness of Weld Metal 1 2 3 4 Average** Temperature: SMAW, SAW, FCAW, GMAW 5 Reg. ESW & EGW – 8 Reg. **Discard the highest and lowest values and average remaining values.

Chemistry of deposited weld metal C Mn Si P S when required by Contract Documents Ni Cr Mo V Cu

REMARKS Visual: Radiographic:

* Wire feed may be used in lieu of current when a correlation curve is provided for the same electrode diameter and same extension.

Test Witness: Agency:

Results Reviewed: State Acceptance: Date: