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Labour and Immigration www.gov.mb.ca/labour/safety/mechanic

Mechanical and Engineering 500 – 401 York Avenue
Winnipeg, MB R3C 0P8
PH: (204) 945-3373
Fax: (204) 948-2309
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________________________________________________________________________________
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) Postweld Heat Treatment (QW-407)

Material Spec. _________________________________
Type or Grade _________________________________
P-No. ________________ to P-No._________________
Thickness of Test Coupon ________________________
Diameter of Test Coupon _________________________
Other ________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
Filler Metals (QW-404)
SFA Specification ______________________________
AWS Classification _____________________________
Filler Metal F- No. ______________________________
Weld Metal Analysis A-No. _______________________
Size of Filler Metal______________________________
Other ________________________________________
_____________________________________________
Weld Metal Thickness____________________________
Temperature ______________________________
Time _____________________________________
Other ____________________________________
_________________________________________
_________________________________________
Gas (QW-408)
Percent Composition
Gas(es) (Mixture) Flow Rate
Shielding ________ _______ _________
Trailing ________ _______ _________
Backing ________ _______ _________
Electrical Characteristics (QW-409)
Current__________________________________
Polarity ________________________________
Amps. _____________ Volts ________________
Tungsten Electrode Size ____________________
Other ___________________________________

Position (QW-405) Technique (QW – 410)

Position of Groove _____________________________
Weld Progression (Uphill, Downhill) ________________
Other ________________________________________
_____________________________________________
Preheat (QW-406)
Preheat Temp. __________________________________
Interpass Temp. _________________________________
Other _________________________________________
______________________________________________
Travel Speed _____________________________
String or Weave Bead ______________________
Oscillation _______________________________
Multipass or Single Pass (per side) ____________
Single or Multiple Electrodes _________________
Other ___________________________________
________________________________________
________________________________________
________________________________________
________________________________________
________________________________________
 Procedure Qualification Records (PQR) Page 2 / 2
PQR No.________
Tensile Test (QW-150)
Type of
Specimen Ultimate Total Ultimate Unit
Width Thickness Area Failure &
No. Load, lb Stress, psi
Location

Guided-Bend Tests (QW-160)

Type and Figure No. Result

Toughness Tests (QW-170)

Impact Drop
Specimen Notch Specimen
Test Temp. Values Weight
No. Location Size
ft-lb % Shear Mils 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.)