RADIOGRAPHY EXAMINATION REPORT

PT. Rekayasa Penta Asia

Client : Procedure : Report No :
Project : Criteria : Date :
Location :
Material : Source Size : Film Size : Intensifying Screen :
Material Thickness : Curie : IQI : Min SOD :
Weld Process : KV : Sensitivity : Max SSOD to Film :
Radiography Technique : MA : Ug max : Exposoure Time :
Radiation Source : Film Type : Placement of IQI :

Slag Inclusion

Penetration
Result

Concavity
Undercut
Undercut
Excesive
Porosity
Crack
Joint Welder

Root
Root

Accept
Reject
No Joint Indentification Drawing No Density Location Remarks

IP
IF
No Stamp

Total of Sheets Interpreter QA/QC Inspector Authorized Inspector Client

4 "x 15 " : Sheets
4 "x 10 " : Sheets
Personel
Radiographer :
Operator :