COUPON TEST REPORT

Date
Location

Test No.

State
Welder
Welding Time
Mean temperature
Weather conditions
Voltage
Welding machine type
Filler metal
Reinforcement size
Pipe type and grade
Wall thickness

Weld Position :
Mark
Time of day
Wind break used

Roll

Fixed

Amperage
Welding Machine Size

Outside Diameter

Coupon Stenciled
Original Specimen Dimension
Origina Specimen Area
Maximum Load
Staincile Strength
Fracture Location
Procedure

Qualifying Test

Qualified

Welder

Line Test

Disqualified

Maximum Tensile
Remarks on tensile-strength tests
1
2
3
4
Remarks on bead tests
1
2
3
4
Remarks on nick-break tests
1
2
3
4
Test made at
Test by

Minimum Tensile

Average Tensile

Date
Supervised by

Note : Use back for additional remarks. This form can be use to report either a procedure qualification test or a welder
qualification test.

COUPON TEST REPORT

rm can be use to report either a procedure qualification test or a welder

Reference : API Standard 1104, 5.2

PROCEDURE SPECIFICATION NO.

For
Process
Material
Diameter and wall thickness
Joint design
Filler metal and no. of beads
Electrical or flame characteristics
Position
Direction of welding
No. of welders
Time lapse between passes
Type and removal of lineup clamp
Cleaning and/or grinding
Preheat/stress relief
Shielding and gas flow rate
Shielding Flux
Speed of travel
Plasma gas composition
Plasma gas orifice size
Scatches and tabulations attached
Tested
Approved
Adopted

Welding of

Pipe and fitti

Plasma gas flow rate

Welder
Welding Supervisor
Chief Engineer

Drawing:

ELECTRODE SIZE AND NUMBER OF BEAD

Bead Number

Electrode Size and

Type

Voltage

Amperage and
polarity

Speed

Pipe and fittings

ODE SIZE AND NUMBER OF BEAD

Speed

QW-482 SUGGESTED FORMAT FOR WELDING PROCEDURE SPECIFICATIONS (WPS)

(See QW-200.1, Section IX, ASME Bouler and Pressure Vessel Code)
Company Name

By :

Welding Procedure Specification No.

Welding Process(es)

Date

18 MEI 2006

SMAW

Supporting PQR No.(s)

Type(s)

MANUAL
(Automatic, Manual, Machine, or Semi Automatic.)

JOINTS (QW-402)

Details

Joint Design
Backing

V GROOVE
(No)

(Yes)

Backing Material (Type)

YES

60

N/A
(Refer to both backing and retainers.)

Metal

Nonfusing Metal

Nonmetallic

Other

10
2

Sketches, Production Drawings, Weld Symbols or Written description should show

the general arrangement of the parts to be welded. Where applicable, the root
spacing and the details of weld groove may be specified.

2,5

(At The Option of the Mgfr., Sketches may be attached to illustrate joint design, weld
layers and bead sequence, e.g.,for notch toughness procedures, for multiple process
procedures, etc.)

*BASE METALS (QW-403)

8

P-No.

Group No.

To P-No.

Group No.

OR
Specification type and grade

SA 240 Gr 303

to Specification type and grade

SA 240 Gr 304

OR
Chem. Analysis and Mech. Prop.

N/A

to Chem. Analysis and Mech. Prop.

Base Metal :
Other

10

N/A
Groove

60

Fillet

N/A

N/A

*FILLER METALS (QW-404)

Spec No. (SFA)
AWS No. (Class)

5.4
E 308 L-17

5.4
E 308 L-17

F-No.

A-No.

2.5

2.5

Size of filler metals

Weld Metal
Thickness Range :
Groove

V-GROOVE

V-GROOVE

Electrode-Flux (Class)

E 308 L-17

E 308 L-17

Flux Trade Name

ESAB

ESAB

Consumable Insert

N/A

N/A

Fillet

Other

* Each base metal-filler metal combination should be recorded individualy.

AT FOR WELDING PROCEDURE SPECIFICATIONS (WPS)

ion IX, ASME Bouler and Pressure Vessel Code)

1

(Automatic, Manual, Machine, or Semi Automatic.)

QW-482 (Back)
WPS No.
POSITIONS (QW-405)

Rev.

POST WELD HEAT TREATMENT (QW-407)

Position(s) of Groove

3G

Welding Progression :

Up YES

Position(s) of Fillet

850-1100C

Temperature Range
Down

Time Range

N/A
GAS (QW-408)

PREHEAT (QW-406

Percent Composition

Preheat Temp. Min.

N/A

(Mixture)

Flow rate

Interpass Temp. Max.

N/A

Shielding

N/A

N/A

N/A

Preheat Maintenance

N/A

Trailing

N/A

N/A

N/A

Backing

N/A

N/A

N/A

(Continous or special heating where applicable should be recorded)

Gas(es)

ELECTRICAL CHARACTERISTICS (QW-409)

Current AC or DC

DC

Amps (Range)

45-120

Polarity

EN (root) Dan EP

Volts (Range)

22-28

(Amps and volts range should be recorded for each electrode size, position,
and thickness, etc. this information may be listed in a tabular form similar to
that shown below.)

Tungsten Electrode Size and Type

N/A

Mode of Metal Transfer for GMAW

N/A

Electrode Wire feed speed range

N/A

( Pure Tungsten, 2% Thoriated, etc.)

( Pure Tungsten, 2% Thoriated, etc.)

TECHNIQUE (QW-410)
String or Weave Bead

Stringer and weaving

Orifice or Gas Cup Size

N/A

Initial and Interpass Cleaning ( Brushing, Grinding, etc.)

grinding

Method of Back Gouging

N/A

Oscillation

N/A

Contact tube to Work Distance

N/A

Multiple or Single Pass (per side)

Single pass

Multiple or Single Electrodes

Single Elektroda

Travel Speed (range)

4-10 cm/min

Peening

N/A

Other

N/A
Filler Metal

Weld Layer(s)

Process
Class

1
2
3
4
5
6

smaw
smaw
smaw
smaw
smaw
smaw

E308L-17
E308L-17
E308L-17
E308L-17
E308L-17
E308L-17

Diameter

2,4
3,2
3,2
3,2
3,2
3,2

Current
Type
Polar

DCEN
DCEP
DCEP
DCEP
DCEP
DCEP

Amp Range

45-70
70-120
70-120
70-120
70-120
70-120

Volt
Range

22-25
22-28
22-28
22-28
22-28
22-28

Travel Speed
Range

4-10CM/MIN
4-10CM/MIN
4-10CM/MIN
4-10CM/MIN
4-10CM/MIN
4-10CM/MIN

Other( e.g., Remarks,

Comments, Hot Wire
Addition, Tehnique, Torch
Angle, etc.)

QW-482 (Back)

POST WELD HEAT TREATMENT (QW-407)

Percent Composition
Flow rate
N/A
N/A
N/A

( Pure Tungsten, 2% Thoriated, etc.)

( Pure Tungsten, 2% Thoriated, etc.)

Other( e.g., Remarks,

Comments, Hot Wire
Addition, Tehnique, Torch
Angle, etc.)

QW-483 SUGGESTED FORMAT FOR PROCEDURE QUALIFICATION RECORDS ( PQR )

( See QW-200.2, Section IX, ASME Boiler and Pressure Vessel Code )
Record Actual Conditions Used to Weld Test Coupon
Company Name
STT LAS
PQR No.
1/PQR/STTL/2005
WPS No.
1/WPS/STTL/2005
Welding Process(es)
SMAW
Type ( Manual, Automatic, Semi-Auto )
MANUAL

Date

9 MEI 2005

JOINTS (QW 402)

10mm

60o

2mm
2mm

Groove Design Of Test Coupon

(for combinations, the deposited weld metal thickness shall be recorded for each filler metal or process used )

BASE METALS (QW-403)

Material Spec.
SA-240
Type of Grade
304
P-No.
8
to P-No
Thickness of Test Coupon
10mm
Diameter of test coupon
n/a
Other
n/a

POST WELD HEAT TREATMENT (QW-407)

Temperature
Time
Other

GAS (QW-408)
Gas(es)

Percent Composition
(Mixture)
Flow Rate

Shielding
Trailing
backing
FILLER METALS (QW-404)
SFA Classification
A 5.4
AWS Classification
E 308L-17
Filler Metal F-No.
5
Weld Metal Analysis A-No.
8
Size of Filler Metal
3.2
Other
n/a
Weld Metal Thickness
n/a

ELECTRICAL CHARACTERISTIC (QW-409)

Current
DC
Polarity
DCEP
Amps
80
Volts
Tungsten Electrode Size
n/a
Other
n/a

POSITION (QW-405)
Position of Groove
3G
Weld Progression ( Uphill, Downhill )
Other

n/a

TECHNIQUE (QW-410)
Travel Speed
String or Weave Bead
Oscillation

PREHEAT (QW-406)
Preheat Temp.
Interpass Temp

n/a
n/a

Multi or single Pass (pes side)

Single or Multi Electrodes
Other

Uphill

24

70mm/min
stringer
n/a
multipass
multi electrodes
n/a

Other

n/a

osition
Flow Rate

QW-483 (Back)
PQR No.
Tensile Test ( QW-150 )
Specimen No.

Width

Thickness

Ultimate Total
Ultimate Unit Stress
Load
lb
psi

Area

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 Temperature

Impact Values
ft.lbs

%Shear

Mils

Drop Weight Break (Y/N)

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
Test conducted by :

VICKERS TEST
n/a
n/a

AFFENDI YAHYA
B4T

Clock No.
Laboratory Test No.

Stamp No.

We certify that the statements in this record are cirrect and that the test welds were prepared, welded and tested in accordance with the
requirements of Section IX of the ASME Code.
Manufacturer
STT LAS
Date

9 MEI 2005

By

ARIO PRAYOGA

(Detail of the record of tests are illustrative only and may be modified to conform to the type and number of tests required by the Code)

Type of failure &

Location

Weight Break (Y/N)

ordance with the