COUPON TEST REPORT

Date Test No.Location

State Weld Position : Roll FixedWelder MarkWelding Time Time of dayMean temperature Wind break usedWeather conditionsVoltage AmperageWelding machine type Welding Machine SizeFiller metalReinforcement sizePipe type and gradeWall thickness Outside Diameter

1 2 3 4 5 6

Coupon Stenciled

Original Specimen Dimension

Origina Specimen Area

Maximum Load

Staincile Strength

Fracture Location

Procedure Qualifying Test Qualified

Welder Line Test Disqualified

Maximum Tensile Minimum Tensile Average TensileRemarks on tensile-strength tests1234Remarks on bead tests1234Remarks on nick-break tests1234

Test made at DateTest by Supervised by

Note : Use back for additional remarks. This form can be use to report either a procedure qualification test or a welder qualification test.

COUPON TEST REPORT

7

Note : Use back for additional remarks. This form can be use to report either a procedure qualification test or a welder

Reference : API Standard 1104, 5.2

PROCEDURE SPECIFICATION NO.

For Welding of Pipe and fittingsProcessMaterialDiameter and wall thicknessJoint designFiller metal and no. of beadsElectrical or flame characteristicsPositionDirection of weldingNo. of weldersTime lapse between passesType and removal of lineup clampCleaning and/or grindingPreheat/stress reliefShielding and gas flow rateShielding FluxSpeed of travelPlasma gas composition Plasma gas flow ratePlasma gas orifice sizeScatches and tabulations attached

Tested WelderApproved Welding SupervisorAdopted Chief Engineer

Drawing:

ELECTRODE SIZE AND NUMBER OF BEAD

Bead Number Voltage SpeedElectrode Size and

TypeAmperage and

polarity

Pipe and fittings

ELECTRODE SIZE AND NUMBER OF BEAD

Speed

QW-482 SUGGESTED FORMAT FOR WELDING PROCEDURE SPECIFICATIONS (WPS)(See QW-200.1, Section IX, ASME Bouler and Pressure Vessel Code)

Company Name By :

Welding Procedure Specification No. 1 Date 18 MEI 2006 Supporting PQR No.(s)

Welding Process(es) SMAW Type(s) MANUAL(Automatic, Manual, Machine, or Semi Automatic.)

JOINTS (QW-402) Details

Joint Design V GROOVE

Backing (Yes) (No) YES

Backing Material (Type) N/A(Refer to both backing and retainers.)

Metal Nonfusing Metal

Nonmetallic Other

*BASE METALS (QW-403)

P-No. 8 Group No. 1 To P-No. 8 Group No. 1

OR

Specification type and grade SA 240 Gr 303

to Specification type and grade SA 240 Gr 304

OR

Chem. Analysis and Mech. Prop. N/A

to Chem. Analysis and Mech. Prop. N/A

Base Metal : 10 Groove Fillet N/A

Other N/A

*FILLER METALS (QW-404)

Spec No. (SFA) 5.4 5.4

AWS No. (Class) E 308 L-17 E 308 L-17

F-No. 5 5

A-No. 8 8

Size of filler metals 2.5 2.5

Weld Metal

Thickness Range :

Groove V-GROOVE V-GROOVE

Fillet

Electrode-Flux (Class) E 308 L-17 E 308 L-17

Flux Trade Name ESAB ESAB

Consumable Insert N/A N/A

Other

* Each base metal-filler metal combination should be recorded individualy.

Sketches, Production Drawings, Weld Symbols or Written description should show the general arrangement of the parts to be welded. Where applicable, the root spacing and the details of weld groove may be specified.

(At The Option of the Mgfr., Sketches may be attached to illustrate joint design, weld layers and bead sequence, e.g.,for notch toughness procedures, for multiple process procedures, etc.)

60°

60°

10

2

2,5

QW-482 SUGGESTED FORMAT FOR WELDING PROCEDURE SPECIFICATIONS (WPS)(See QW-200.1, Section IX, ASME Bouler and Pressure Vessel Code)

1

(Automatic, Manual, Machine, or Semi Automatic.)

QW-482 (Back)

WPS No. Rev.

POSITIONS (QW-405) POST WELD HEAT TREATMENT (QW-407)

Position(s) of Groove 3 G Temperature Range

Welding Progression : Up YES Down Time Range

Position(s) of Fillet N/A

GAS (QW-408)

PREHEAT (QW-406 Percent Composition

Preheat Temp. Min. N/A Gas(es) (Mixture) Flow rate

Interpass Temp. Max. N/A Shielding N/A N/A N/A

Preheat Maintenance N/A Trailing N/A N/A N/A

(Continous or special heating where applicable should be recorded) Backing N/A N/A N/A

ELECTRICAL CHARACTERISTICS (QW-409)

Current AC or DC DC Polarity EN (root) Dan EP

Amps (Range) 45-120 Volts (Range) 22-28

Tungsten Electrode Size and Type N/A( Pure Tungsten, 2% Thoriated, etc.)

Mode of Metal Transfer for GMAW N/A( Pure Tungsten, 2% Thoriated, etc.)

Electrode Wire feed speed range N/A

TECHNIQUE (QW-410)

String or Weave Bead Stringer and weaving

Orifice or Gas Cup Size N/A

Initial and Interpass Cleaning ( Brushing, Grinding, etc.) grinding

Method of Back Gouging N/A

Oscillation N/A

Contact tube to Work Distance N/A

Multiple or Single Pass (per side) Single pass

Multiple or Single Electrodes Single Elektroda

Travel Speed (range) 4-10 cm/min

Peening N/A

Other N/A

Weld Layer(s) Process

Filler Metal Current

Class Diameter Type Polar Amp Range

1 smaw E308L-17 2,4 DCEN 45-70 22-25 4-10CM/MIN2 smaw E308L-17 3,2 DCEP 70-120 22-28 4-10CM/MIN3 smaw E308L-17 3,2 DCEP 70-120 22-28 4-10CM/MIN4 smaw E308L-17 3,2 DCEP 70-120 22-28 4-10CM/MIN5 smaw E308L-17 3,2 DCEP 70-120 22-28 4-10CM/MIN6 smaw E308L-17 3,2 DCEP 70-120 22-28 4-10CM/MIN

850-1100°C-

(Amps and volts range should be recorded for each electrode size, position, and thickness, etc. this information may be listed in a tabular form similar to that shown below.)

Volt Range

Travel Speed Range

Other( e.g., Remarks, Comments, Hot Wire

Addition, Tehnique, Torch Angle, etc.)

QW-482 (Back)

POST WELD HEAT TREATMENT (QW-407)

Percent Composition

Flow rate

N/A

N/A

N/A

( Pure Tungsten, 2% Thoriated, etc.)

( Pure Tungsten, 2% Thoriated, etc.)

Other( e.g., Remarks, Comments, Hot Wire

Addition, Tehnique, Torch Angle, etc.)

QW-483 SUGGESTED FORMAT FOR 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 STT LAS

PQR No. 1/PQR/STTL/2005 Date 9 MEI 2005

WPS No. 1/WPS/STTL/2005

Welding Process(es) SMAW

Type ( Manual, Automatic, Semi-Auto ) MANUAL

JOINTS (QW 402)

Groove Design Of Test Coupon

(for combinations, the deposited weld metal thickness shall be recorded for each filler metal or process used )

BASE METALS (QW-403) POST WELD HEAT TREATMENT (QW-407)

Material Spec. SA-240 Temperature

Type of Grade 304 Time

P-No. 8 to P-No 8 Other

Thickness of Test Coupon 10mm

Diameter of test coupon n/a GAS (QW-408)

Other n/a Percent Composition

Gas(es) (Mixture) Flow Rate

Shielding

Trailing

backing

FILLER METALS (QW-404)

SFA Classification A 5.4 ELECTRICAL CHARACTERISTIC (QW-409)

AWS Classification E 308L-17 Current DC

Filler Metal F-No. 5 Polarity DCEP

Weld Metal Analysis A-No. 8 Amps 80 Volts 24

Size of Filler Metal 3.2 Tungsten Electrode Size n/a

Other n/a Other n/a

Weld Metal Thickness n/a

POSITION (QW-405) TECHNIQUE (QW-410)

Position of Groove 3G Travel Speed 70mm/min

Weld Progression ( Uphill, Downhill ) Uphill String or Weave Bead stringer

Other n/a Oscillation n/a

PREHEAT (QW-406) Multi or single Pass (pes side) multipass

Preheat Temp. n/a Single or Multi Electrodes multi electrodes

Interpass Temp n/a Other n/a

60o

10m

m

2mm

2mm

Other n/a

QW-483 SUGGESTED FORMAT FOR PROCEDURE QUALIFICATION RECORDS ( PQR )

( See QW-200.2, Section IX, ASME Boiler and Pressure Vessel Code )

Record Actual Conditions Used to Weld Test Coupon

Groove Design Of Test Coupon

(for combinations, the deposited weld metal thickness shall be recorded for each filler metal or process used )

Percent Composition

Flow Rate

QW-483 (Back)

PQR No.

Tensile Test ( QW-150 )

Specimen No. Width Thickness Area

Guided-Bend Tests ( QW-160 )

Type and Figure No. Result

Toughness Tests ( QW-170 )

Specimen No. Notch Location Specimen Size Test TemperatureImpact Values

Drop Weight Break (Y/N)ft.lbs %Shear Mils

Fillet-Weld Test (QW-180)

Result - Satisfactory : Yes No Penetration into Parent Metal: Yes No

Macro - Results

Other Tests

Type of Test VICKERS TEST

Deposit Analysis n/a

Other n/a

Welder's Name AFFENDI YAHYA Clock No. Stamp No.

Test conducted by : B4T Laboratory Test No.

Manufacturer STT LAS

Date 9 MEI 2005 By ARIO PRAYOGA

Ultimate Total Load lb

Ultimate Unit Stress psi

Type of failure & Location

We certify that the statements in this record are cirrect and that the test welds were prepared, welded and tested in accordance with the

requirements of Section IX of the ASME Code.

(Detail of the record of tests are illustrative only and may be modified to conform to the type and number of tests required by the Code)

QW-483 (Back)

Tensile Test ( QW-150 )

Guided-Bend Tests ( QW-160 )

Result

Toughness Tests ( QW-170 )

Drop Weight Break (Y/N)

Fillet-Weld Test (QW-180)

Other Tests

Type of failure & Location

We certify that the statements in this record are cirrect and that the test welds were prepared, welded and tested in accordance with the