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Application for

SNT-TC-1A Level II

Transition

to the

ASNT Central

Certification Program

Submit applications by surface mail or traceable carrier (Fed-Ex, UPS, etc.) to:

Transitioning Applications ASNT Technical Services Department 1711 Arlingate Lane Columbus OH USA 43228

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General Information on ACCP Transitioning The ASNT Central Certification Program (ACCP) transitioning program permits eligible NDT Level II personnel qualified in accordance with ASNT Recommended Practice No. SNT-TC-1A to attain ACCP Level II certification in the MT, PT, RT, UT and VT methods without additional examination.

Transition applications will be processed for a period of one year, from October 1, 2002 through September 30, 2003. Applications postmarked after September 30, 2003 will not be accepted. Transition may be made into one or both of the new ACCP Industrial Sectors, General Industry and Pressure Equipment, as defined below: General Industry (GI) Sector: The GI Sector is designed to provide a central certification option for NDT personnel who work in more than one industry. It is intended for personnel working in accordance to multiple codes, standards and specifications such as building and bridge codes, piping codes, pressure vessel codes, tank standards, etc. Applicants for the GI Sector must document a minimum of three (3) years of Level II work experience in the applicable test method to be eligible for this Sector. At least 50% of that experience must have been gained within the last five years. An ASNT NDT Level III or ACCP Professional Level III must attest to all Level II work experience. Pressure Equipment (PE) Sector: The PE Sector was developed to meet the needs of the Boiler and Pressure Vessel industry, and is designed for NDT personnel working predominantly in accordance with the ASME Boiler & Pressure Vessel Code, the ANSI/ASME B31.1 Power Piping Code, the ANSI/ASME B31.3 Process Piping Code or equivalent standards. Applicants must have a minimum of three (3) years documented Level II work experience in the applicable test method specifically in pressure related work to apply for this Sector. At least 50% of that experience must have been gained within the last five years. An ASNT NDT Level III, ACCP Professional Level III, or an Authorized Inspector (AI) holding a currently valid AI certificate must attest to all Level II work experience for this Sector. Eligible PE Sector applicants automatically qualify for GI Sector certification in the same test methods at no additional charge and may apply for that certification by checking the appropriate boxes on page 6. Certification Period: ACCP certification is valid for a maximum of five (5) years, which will start when the certification application is approved. Recertification/Renewal: At the end of the first 5-year ACCP certification cycle you will be required to recertify by taking an abbreviated practical examination. At the end of the second certification cycle (10 years after initial certification), renewal may be done by re-examination or by showing documented proof of continuous satisfactory performance.

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EN 473 Certification: ASNT has made a special arrangement with Rheinisch-Westfalischer Technischer Uberwachungsverein (RWTUV), a Recognized Third-Party Organization for NDT located in Essen, Germany. RWTUV will permit NDT personnel who are approved for the Pressure Equipment Sector in ACCP to apply for equivalent EN 473 certification at a special rate. Further examination is not required, though some additional documentation is needed. This special pricing is only available to ACCP certificate holders during the transition period. RWTUV will not issue certification independently of ACCP certification through this program. EN 473 certification through RWTUV will meet European Pressure Equipment Directive (PED) requirements for MT, PT, RT and UT. If you qualify for the PE Sector and wish to apply for EN 473 certification, fill out the RWTUV Certification Order (Appendix A) and insert the EN 473 fee total in the Fees section on page 5 of this application. Application period: The time required to process your application will be dependent upon the volume of applications received. Due to the review process and the expected number of applicants, results may take ninety (90) days or more, and all applicants are advised not to request information on the status of their applications prior to that time. Certification will be dated from the date your application is approved.

Application Instructions

Applications must be sent to ASNT by surface mail or traceable carrier to the address shown on the cover page of this application. Fill out the following application as completely as possible. Applicants submitting incomplete applications will be notified of any missing information and will be given ONE opportunity to resubmit proper or additional documentation. If the re-submittal is not sufficient for approval of your application, it will be disapproved and your fees will not be refunded.

No refunds will be given for any reason, so it is your responsibility to make sure your application is correct and completely filled out.

Before you select an Industry Sector for certification, make sure you qualify for that Sector. If you are uncertain of which Sector you qualify for, read the General Information on the preceding page, review the eligibility requirements shown on the ACCP Transitioning page under the Certification link on the ASNT website, at www.asnt.org. Or contact the ASNT Technical Services Department at (614) 274-6003 (800-222-2768 in the US and Canada) or by fax at (614) 274-6899.

Do NOT send original training documents and keep a copy of your application for your records. All documents should be in English. If your records are in another language, write in the English translation for the pertinent information (course names, test methods, etc.) Legibly printed hand-written translations are acceptable.

If applying for EN 473 certification, fill out the RWTUV Certification Order (application) which is attached as Appendix A of this application and include the proper EN 473 fees in the appropriate block in the Fee section on page 5 of this application. Be sure you enclose the additional photographs and documentation required by RWTUV for that certification. Those requirements are listed at the top of page 14 of this application.

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Application Checklist Once you have completed your application, you may wish to use the following checklist to help ensure that you have submitted all of the necessary information with the application.

Did you check which address you wish to have correspondence sent?

Is your e-mail address correct? (This is the fastest way to get information to and from ASNT.)

Did you select the Sector(s), methods and techniques for which you seek certification?

Are the fees calculated correctly for all of the applicable Sectors, methods and techniques?

If a non-US resident, did you include the international surcharge for postal or shipping fees?

Is a check enclosed or is the credit card information correct?

Have you filled out the Experience Summary?

Has the appropriate person attested to your NDT experience?

If an AI attested to your experience, is a photocopy of his currently valid AI card attached?

Have you attached a copy of your currently valid employer-based NDT Level II certificate?

Is your visual examination form completed and dated within 30 days of the application date?

Have you placed your signature totally within the box as required?

Have you attached two (2) passport-size (2 x 2) photos to the application?

If applying for EN 473 certification, and if you wish to buy the optional wallet card, have you attached two additional passport photos?

If applying for EN 473 certification, have you attached the additional examination information?

Have you attached a copy of your passport cover page or drivers license?

Have you read and do you understand the Code of Ethics for ACCP Level II personnel?

Have you signed and dated your application?

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Application for Transition to the ASNT Central Certification Program

Personal Data

Name _________________________________________________________________________________________________ Last First Middle Initial (Please check your preferred mailing address below)

Home Address________________________________________________________________________________________

___________________________________________________________________________________________________ City State Country Postal Code

Home Telephone Number ______________________________________Fax______________________________________

E-Mail Address_______________________________________________________________________________________

Business Name _______________________________________________________________________________________

Business Address_____________________________________________________________________________________

___________________________________________________________________________________________________ City State Country Postal Code

Business Telephone Number____________________________________Fax______________________________________

E-Mail Address ______________________________________________________________________________________

Note: Use the worksheet on the following page to determine which Industrial Sectors, NDT Test Methods and NDT Techniques you wish to apply for before filling out the fee totals below.

Fees (in US dollars)

First Method Fee $150.00

Additional Method Fees (Number of methods ________ times $30.00

International Surcharge (For all non-US residents) $40

EN 473 Application Fees* (For Pressure Equipment Sector applicants only - see fees listed in Appendix A.)

* See Appendix A, page 13 Total Fees:

*** Fees must be enclosed before the application will be reviewed. ***

*** No refunds will be given *** Method of Payment

Check Credit Card Credit Card Type: Personal Corporate

Funds Transfer American Express Discover Mastercard VISA

Credit Card Number ________________________________________________ Expiration Date ____________

Signature ____________________________________________________ Todays Date _________________ ASNT USE ONLY

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Sectors, Test Methods & Techniques Requested Select the Sector(s), Test Methods and Techniques below for which you wish ACCP certification. You must be able to document your experience in each of the Sectors, Test Methods and Techniques in the following pages. If you qualify for the Pressure Equipment Sector, you automatically qualify for the General Industry Sector but you must check the method blocks under General Industry (below) to get the additional Sector.

Pressure Equipment Sector Magnetic Particle Testing (MT)

Techniques: Yoke Horizontal Wet Bath (Bench) Both

Liquid Penetrant Testing (PT)

Techniques: Solvent Removable Water-Washable Post-Emulsifiable All Radiographic Testing (RT)

Techniques: Gamma Only X-ray Only Both Ultrasonic Testing (UT)

Techniques: Straight & Angle Beam (weld) Straight & Angle Beam (forgings/castings) Both Visual Testing (VT)

Techniques: Direct Remote Both

General Industry Sector Magnetic Particle Testing (MT)

Techniques: Yoke Horizontal Wet Bath (Bench) Both Liquid Penetrant Testing (PT)

Techniques: Solvent Removable Water-Washable Post-Emulsifiable All Radiographic Testing (RT)

Techniques: Gamma Only X-ray Only Both Ultrasonic Testing (UT)

Techniques: Straight & Angle Beam (weld) Straight & Angle Beam (forgings/castings) Both Visual Testing (VT)

Techniques: Direct Remote Both

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TRAINING SUMMARY

*** Photocopy this page as needed if additional pages are required ***

Fill out the Training Summary below, listing all relevant NDT training. Attach copies of your training certificates or certificates of completion to the back of this application that will support your claim for the required hours of training for each applicable NDT test method as shown in the following table:

Required Initial Training Hours (Level II) Education Level MT PT RT UT VT

High School graduate or equivalent 20 12 79 80 24

Completion with a passing grade of at least 2 years of engineering or science study at a university college or

technical school 12 8 64 70 12

If claiming lower training hours due to higher education, list the educational facility(ies) below and attach documentation to support your claim.

Educational Institution From To Location (mailing address)

Training Summary

Total Hours

NDT Method

Level I or II

Name of Organization and Instructor Providing Training

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EXPERIENCE SUMMARY Use this page to document the Level II NDT work experience that would make you eligible for transition into the ASNT Central Certification Program (ACCP). Attach a copy of your currently valid Level II certificate issued by your employer.

Photocopy this page for each employer and list your full work experience history for each Test Method and Technique for which you are applying.

Experience type: General Industry Pressure Related (ASME B&PV Code work or equivalent) Dates of Employment as a Level II: From __________________ To _____________________

Employer Name _______________________________________________________________________________________

Employer Contact Name _________________________________________________________________________________

Employer Address ______________________________________________________________________________________

_____________________________________________________________________________________________________ City State Country Postal Code (ZIP)

Employer Telephone Number _____________________ Fax_________________ E-mail ___________________________

Check the NDT test methods below that were performed during this employment and indicate the applicable technique(s):

MT Techniques: Yoke Horizontal Wet Bath (Bench) Both PT Techniques: Solvent Removable Water-Washable Post-Emulsifiable All RT Techniques: Gamma Only X-ray Only Both UT Techniques: Straight & Angle Beam (weld) Straight & Angle Beam (forgings & castings) Both VT Techniques: Direct Remote Both How many months/years of this work experience were spent doing General Industry inspections? _______________________ How many months/years of this work experience were spent doing Pressure Equipment inspections? _______________________ In the space below, briefly describe your applicable experience for each test method and technique for this employment period. (Attach additional pages if needed.)

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Vision Requirements Near distance vision: You must have visual acuity in at least one eye capable of reading the Jaeger J1 test chart, or

equivalent, at a distance of not less than 30 cm (12 in.)

Color vision: You must be able to differentiate between the colors used in the NDT method(s) for which certification is required.

Vision examinations shall be administered by a physician, licensed nurse, ophthalmologist or optometrist, or by personnel approved by the employers Level III. The visual examination date must be within 12 months of the date this application is signed. *** Other forms containing the same information may also be used. ***

RECORD OF VISUAL ACUITY ______________________________________________________ ________________________ Candidate's name ASNT Certificate or File No. (If certified) Meets without Requires

eye correction eye correction Near Vision

Jaeger J1 eye chart at a minimum distance of 30 cm (12 in.) Color Perception Meets Does not meet (Check one test type):

Pseudo-Isochromatic plates

Ishihara Eye Chart

Other(describe): ___________________________________________________________________ ==============================================================================================

I certify that I, ______________________________________________, administered the above eye examinations Printed name of Eye Examiner

To ____________________________________________________________, on _______________________ Printed name of Candidate Month/Day/Year

Check one of the following:

Ophthalmologist/Optometrist Physician Registered Nurse

NDT Level III: Certificate # _______________ Expiration Date: _____________

Professional License # ____________________ _________________________________________________

Street address _____________________________________________

City, State Zip

___________________________________________ Tel. No. (________)__________________________ Signature of Eye Examiner FORMCHECKBOXFORMCHECKBOX

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Applicant Signature The following signature will be reduced and electronically applied to your certification wallet card.

Please sign in the box below. Use black or blue ink only.

Keep your signature completely within the box or you will be required to resubmit another signature.

NOTE: If applying for EN 473 certification, you will need to submit two additional

passport photos, a copy of an identification card (see below) and proof of employer examination in accordance with Recommended Practice No. SNT-TC-1A or CP-189.

(Proof of examination should be copies of examination documents for each employer-based NDT Level II certification you currently hold. Copies of your employers personnel certification records (composite score sheets or examination records) as required by Section 9 of the ASNT Recommended Practice No. SNT-TC-1A are acceptable.

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Have you attached a legible copy of your passport cover page, drivers license or other official photo ID* to this application?

(This will be used as verification of the above signature by ASNT and RWTUV.) Yes

* If you choose not to enclose this information, you will be required to provide a signature in person

in the presence of a staff member or an ASNT exam Monitor at an AEC or national exam site.

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STATEMENTS AND SIGNATURES By signature on this application, if certified by ASNT, I agree to abide by the ASNT Code of Ethics for ACCP Level II Personnel (attached), so long as I maintain an ACCP Certificate. Further, I understand the right of ASNT to suspend or revoke any Certificate granted if I abuse the privileges therein granted to me.

I understand that all certifications which may result from this application do not constitute any form of license.

I hereby attest that all facts on this application are true and correct and no information which might be detrimental to acceptance of my application has been withheld. ASNT may make any inquiries necessary to determine my qualifications for certification. I agree to abide by the decision of ASNT relative to the granting of any Certifications as applied for herein.

For valuable consideration, the undersigned, having made application for Certification in the ASNT Central Certification Program, does hereby release and forever discharge The American Society For Nondestructive Testing, an Ohio Corporation, from any and all liabilities, claims, demands, or causes of action whatsoever, which now exist or which may hereafter arise on account of the undersigneds activities henceforth as an ACCP Level II certified by ASNT.

The undersigned further acknowledges that this release is being given as a prerequisite for having filed application for consideration by ASNT.

The undersigned further represents that if not certified by ASNT, then this release and discharge shall have no force and effect; otherwise, upon certification as set forth above, this release shall be binding on the undersigned and The American Society for Nondestructive Testing, Inc. and any and all agents of ASNT in connection with such certification process. I understand that no refunds will be given. ________________________________________ ____________________________ Applicants Signature Date

Attestation of Experience

Only an ASNT NDT Level III ACCP Professional Level III, or an Authorized Inspector* may sign. I have reviewed this application and hereby attest that the experience times claimed by the above applicant are true and correct to the best of my knowledge. I understand that should the above information be found fraudulent, the applicants certification may be revoked and other penalties may apply. _____________________________________ Printed Name

_____________________________________ ___________________________ Signature ASNT NDT Level III Certificate Number

or _____________________________________ ___________________________ Position / Title AI Certificate* Number (for PE Sector Only) _____________________________________ ___________________________ Company Date

* A photocopy of the AIs currently valid certification card should be attached to this

application when an AI signs off on a Pressure Equipment Sector application.

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Code of Ethics for ACCPTM Level II Personnel 1.0 Purpose

1.1 The following Code of Ethics is binding upon every individual who possesses a current ACCP Level II Certification. These rules are necessary to protect the life, health, property and welfare of the public, and to maintain the credibility of the ASNT Central Certification Program and the NDT profession. Accordingly, each ACCP Level II certified individual agrees to:

2.0 Code of Ethics

2.1 Responsibility: Protect the safety, health and welfare of the public, by performing all NDT activities to the best of his/her ability in accordance with properly established and approved procedures and only in situations for which qualified.

2.2 Integrity: Perform all NDT activities honestly, and treat the public, clients and employer in an impartial and ethical manner. All reports of NDT activities shall faithfully and accurately reflect the tests conducted, procedures used, and results obtained.

2.3 Conflict of Interest: Consciously avoid conflict of interest situations with employer or client, promptly informing same if such situations cannot be avoided.

2.4 Improper Conduct: Refrain from work activities outside the area of certification without written approval of his/her supervisor.

2.5 Safety: Act in a safe and responsible manner while conducting NDT activities, ensuring that all required and necessary safety procedures are in place and are being used by ones self and others under his/her jurisdiction.

3.0 Penalty

3.1 Violation of this Code of Ethics by any ACCP certified Level II person may be cause for disciplinary action against that person.

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Certification Order

to the TV CERT certification body for NDE person Note for applicant: If you qualify for certification in the ACCP Pressure Equipment Sector, you may choose to apply for EN 473 certification to meet the European Pressure Equipment Directive (PED) requirements through Rheinisch-Westfalischer Technischer Uberwachungsverein (RWTUV), a Recognized Third-Party Organization for NDT located in Essen, Germany. Please fill out the information below, which will be attached to a copy of your ACCP application and forwarded to RWTUV for consideration for EN 473 certification.

Personal Data

Name ________________________________________________________________ Title: _____________________________ Surname First Name

Address _______________________________________________________________________________________________ Street name/number City/State Postal Code Country

Telephone Number_______________________________________________Fax______________________________________

E-Mail Address __________________________________________________________________________________________

Company Data

Business Name __________________________________________________________________________________________

Business Address ________________________________________________________________________________________ Street name/number City/State Postal Code Country

Business Telephone Number _______________________________________Fax______________________________________

E-Mail Address___________________________________________________ Certifications

I wish to apply for the following EN 473 certifications to meet PED requirements:

MT level II Techniques: Yoke

PT level II Techniques: Solvent Removable Water-Washable Post-Emulsifiable All

RT level II Techniques: Gamma Only X-ray Only Both

UT level II Technique: Straight & Angle Beam (welds) Fees (Applicable for ACCP applicants only during the transition period)

First Test Method... $80.00 Additional Methods (number of additional methods _____ x $20.00) Wallet card (optional)* $30.00

TOTAL** $

* All certificated test methods are summarized on one card

** Enter this total in the EN 473 Application Fees box on page 5 of the ACCP application

APPENDIX A

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Additional documentation The following items are to be attached to this application:

Two (2) passport photographs (for optional wallet card only)

Copies of applicants examination records

(Note for applicant: Proof of examination should be copies of examination documents for each employer-based NDT Level II certification you currently hold. Copies of your employers personnel certification records [composite score sheets or examination records] as required by Section 9 of the ASNT Recommended Practice No. SNT-TC-1A are acceptable.)

Applicants Declaration The applicant acknowledges:

that the certificate is only valid for the duration of the applicants NDE activity and physical suitability; that interruptions in the NDE activity lasting more than one year renders the certificate invalid; that supplying false information, misuse of the certificate or violation of the principles of professional ethics

can lead to the withdrawal of the certificate. I hereby agree:

that the certification is made public; that my name, date and place of birth and the data of the issued certificate are electronically stored; that the certification body obtains all information relevant to the certification; that I notify the certification body of all complaints raised against my certification without delay.

I hereby indemnify the certification body from any claims which might result from improper use or misuse of the certificate.

I declare that all information hereby submitted is to my knowledge true. Applicant ___________________ _______________ ____________________________________ Place Date Signature

The customer (employer) acknowledges that the certification order will be processed only upon payment of the fees that are charged to the customer when we submit our order confirmation. Should the application be turned down or the certificate withdrawn, the customer is not entitled to a reimbursement of the fees paid.

Customer ____________________ _______________ _____________________________________ (Employer) Place Date Signature