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Welder or Welding Operator
PERFORMANCE QUALIFICATION TEST RECORD (WPQ)
NAME:__________________________________________________
WELDING PROCESS: ___SMAW____________ Manual ____X__ Semiauto ______ Auto
______ STAMP NO. ______
MATERIAL: ____________Steel WPS NO. ___________________________________
FORM: _____Plate _____Sheet Thickness___________ BACKING: Yes_____ No______
_____Pipe Thickness___________ BACKING: Yes_____ No______
THICKNESS RANGE THIS QUALIFIES:__________________ WELD PROGRESSION:
Up______ Down_____
POSITION: Groove 1G 2G 3G 4G 5G 6G 6GR Fillet 1F 2F 3F 4F
(Circle correct position)

FILLER METAL: Spec. No. _________________ Class No.__________________ F

No.___________________
GAS: Type______________________________
Composition_________________________________________
ELECTRICAL CHARACTERISTICS: Current_________________________
Polarity_________________________
Record any essential variables in addition to those
above:___________________________________________________
TEST
WRITTEN TEST SCORE: __________
VISUAL TEST: ________ Pass ________ Fail TEST WITNESSED BY:
Remarks ______________________________________ Print Name:
__________________________________
______________________________________________
_____________________________________________
Welder Examiner (Signature) Date
BEND TEST
Position
Specimen
Number
Direction
of Bend
Pass
Fail
Remarks
TEST CONDUCTED BY: ____________________________________________
Welder Examiner (Signature) Date
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 WABO Welder and Welding Operator Performance Qualification Standard No. 27-13
Structural Steel.

Welder Qualifying Agency:_________________________________________

BY: ______________________________________________________
(Signature) Date
Form 200 Bend 11/02