SPECIALIST SERVICES

WELDER, WELDING OPERATOR, OR TACK WELDER PERFORMANCE QUALIFICATION TEST RECORD

Name   TEST DATE 22-SEP-19
Welder ID No   Certificate No. --
Company Specialist Services WPS No.  
Welding Process  GMAW-S   Qualified To AWS D1.1 Edition 20
BASE METALS Specification Type or Grade AWS Group No. Size (NPS) Schedule Thickness Diameter
Base Material ASTM A36 --  1 --  -- 10 mm --
Welded To ASTM A36 -- 1 -- -- 10 mm --
 VARIABLES ACTUAL VALUES   RANGE QUALIFIED 
 Type of Weld Joint Plate-Groove without backing   a)Plate: CJP, PJP and Fillet(Dihedral 30°to unlimited)
  b) Pipe (Dia ≥24"): CJP (with backing, back gouging or both a
  T-Y-K:PJP(Groove
  angle>30° Fillet(Dihedral
  30° unlimited} c)BOX
  tube:CJP (with backing,backgouging or both and PJP
  (groove angle >30°, Fillet T-Y-K:PJP
  (Dihedral 30°to unlimited)
d) Plug and slot welds In test position.

Base Metal ASTM A36   Any carbon steel material

  Groove Fillet   Groove Fillet
Plate Thickness 10 MM -   3 mm lo 20 mm 3 mm lo 20 mm
Pipe/Tube Thickness - -   3 mm to 20 mm 3 mm to 20 mm
Pipe Diameter - -   ≥ 24" Unlimited
Welding Process GMAW-S   GMAW
Type(Manual, Semiautomatic,
Mechanized, Automatic) Semi-Automatic Semi-Automatic
Backing Without   With/without backing
Filler Metal (AWS Spec.) AWS 5.18   AWS 5.18  
AWS Classification ER7OS-6   Any  
F-Number F6   Any F6  
Position 3G,Vertical uphill   F,H & V (Uphill)  
Groove: Plate & Pipe 24 in --   All  
Groove: Pipe < 24 in --   -  
Fillet: Plate & Pipe ≥ 24 in --   All  
Fillet: Pipe < 24 in --   All  
Progression Vertical up   Vertical up  
GMAW Transfer Mode Short   Short, Globular, spray
Single or Multiple Electrodes Single   Single
Gas/Flux Type 80%Ar+20%C02   Any shielding gas
TEST RESULTS  
Type of Test Acceptance Criteria Results Remarks
Visual Inspection As per AWS D1.1:4.9.1 Acceptable  
Radiographic inspection -- --  
Bend test As per AWS D1.1:4.3.3 Acceptable BCTS report no. M 5264 B
Fillet weld break test   --

Test Conducted by BCTS Lab, Dubai

Test witnessed by DNV GL

We, the undersigned, 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 Clause 4 of AWS D1.1/D1.1M (2015) Structural Welding Code-Steel.
Form M4 AWS D1.1/D1.1M:2015
 SPECIALIST SERVICES

Manufacturer: Specialist Services Third Party Inspector (TPI)…………………………………………

Authorized by ………………………………………..  
Date ……………………………………………………….  

Welder’s Name : …………………………………………………………………………….

Badge Number : …………………………………………………………………………….

WPS NUMBER : …………………………………………………………………………….

Certificates is valid only if the welder has been employed on the class or type of welding covered by the certificate
during the six months preceding the date of the Surveyor's signature.

Signature, stamp and

position of employer's
Validity Extended
representative verifying
up to
employment and welding
performance
Signature and stamp of
Reference report number
surveyor verifying acceptable
and date
welding performance

       

       

       

       

       

       

       

       

       

       

       

       

       

Form M4 AWS D1.1/D1.1M:2015