Procedure Qualification Records (PQR) Form

Labour and Immigration
Mechanical and Engineering
Procedure Qualification Records (PQR)
(See QW-200.2, Section IX, ASME Boiler and Pressure Vessel Code)
Record Actual Conditions Used to Weld Test Coupon.
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Winnipeg, MB R3C 0P8
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Fax: (204) 948-2309
Company Name________________________________________________________________________________
Procedure Qualification Record No. ___________________________________ Date: _______________________
WPS No. _____________________________________________________________________________________
Welding Process(es) ____________________________________________________________________________
Types (Manual, Automatic, Semi-Auto.) _____________________________________________________________
Joints (QW-402)
Groove Design of Test Coupon
(For combination qualifications, the deposited weld metal thickness shall be recorded for each filler metal or process used.)
Base Metals (QW-403)
Material Spec. _________________________________
Type or Grade _________________________________
P-No. ________________ to P-No._________________
Thickness of Test Coupon ________________________
Diameter of Test Coupon _________________________
Other ________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
Postweld Heat Treatment (QW-407)
Temperature ______________________________
Time _____________________________________
Other ____________________________________
_________________________________________
_________________________________________
Gas (QW-408)
Percent Composition
Gas(es) (Mixture) Flow Rate
Shielding ________ _______ _________
Filler Metals (QW-404) Trailing ________ _______ _________
SFA Specification ______________________________ Backing ________ _______ _________
AWS Classification _____________________________
Filler Metal F- No. ______________________________
Weld Metal Analysis A-No. _______________________
Size of Filler Metal______________________________
Other ________________________________________
_____________________________________________
Weld Metal Thickness____________________________
Electrical Characteristics (QW-409)
Current__________________________________
Polarity ________________________________
Amps. _____________ Volts ________________
Tungsten Electrode Size ____________________
Other ___________________________________
Position (QW-405) Technique (QW – 410)
Position of Groove _____________________________ Travel Speed _____________________________
Weld Progression (Uphill, Downhill) ________________ String or Weave Bead ______________________
Other ________________________________________ Oscillation _______________________________
_____________________________________________ Multipass or Single Pass (per side) ____________
Single or Multiple Electrodes _________________
Other ___________________________________
Preheat (QW-406)
________________________________________
Preheat Temp. __________________________________ ________________________________________
Interpass Temp. _________________________________ ________________________________________
Other _________________________________________ ________________________________________
______________________________________________ ________________________________________

Procedure Qualification Records (PQR) Page 2 / 2
Tensile Test (QW-150)
Specimen
No.
Width Thickness Area
Ultimate Total
Load, lb
Ultimate Unit
Stress, psi
PQR No.________
Type of
Failure &
Location
Guided-Bend Tests (QW-160)
Type and Figure No.
Result
Toughness Tests (QW-170)
Specimen
No.
Notch
Location
Specimen
Size
Test Temp.
Impact
Values
ft-lb % Shear Mils
Drop
Weight
Break (Y/N)
Comments ____________________________________________________________________________________
_____________________________________________________________________________________________
Fillet-Weld Test (QW-180)
Result – Satisfactory: Yes ________ No _________ Penetration into Parent Metal: Yes ________ No __________
Macro – Results ________________________________________________________________________________
Other Tests
Type of Test ___________________________________________________________________________________
Deposit Analysis _______________________________________________________________________________
Other ________________________________________________________________________________________
Welder’s Name ____________________________________ Clock No. ___________ Stamp No. ___________
Tests conducted by :________________________________________ Laboratory Test No. __________________
We certify that the statements in this record are correct and that the test welds were prepared, welded, and tested in
accordance with the requirements of Section IX of the ASME Code.
Manufacturer: _______________________________
Date __________________________________________
By ________________________________________
(Detail of record of tests are illustrative only and may be modified to conform to the type and number of tests required by the Code.)