← All blank forms Two sides of US Letter — qualification on the front, continuity log on the back.

Welder Performance Qualification

What the welder was tested on, and what that test qualifies them to do.
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Ranges come from the code, not from this form Qualified ranges for position, thickness, diameter and filler metal are set by ASME Section IX, API 1104 or AWS D1.1 — whichever your contract names. This form is somewhere to record them once you have looked them up. Filling in the boxes does not qualify a welder.
Test Coupon — as welded
Ranges Qualified — from the code
Test Results
TestTypeResultReport / Lab Ref.
Visual examination
Radiographic / Ultrasonic
Bend test — root
Bend test — face
Bend test — side
Fillet fracture
Macro examination
Other
Certification
We certify that the statements in this record are correct, and that the test coupons were prepared, welded and tested in accordance with the requirements of the governing code named above.
Welding Parameters Recorded During the Test
Pass / LayerProcess Filler ClassSize Current / PolarityAmps VoltsTravel SpeedHeat Input
Vision Examination
Other Qualifications Held — this welder
Test Coupon & Records
Welder Signature / Date
QA/QC Approval / Date
Client / Owner Acceptance / Date
HP-WPQ-01  |  Rev 0  |  Side 1 of 2 Free blank form from HOT PASS QA/QC — hotpassqc.com

Welder Continuity Log

Proof the qualification was still live on the day each weld was made.
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Why this is on the back of the certificate A qualification lapses if the welder goes long enough without using the process — the interval is set by your governing code. This is the record that most often goes missing, and the consequence is not paperwork: every weld made after a lapse is unqualified, and the remedy is cutting them out of a system that is already tested and painted. Record a date each time the welder uses the process, and check this page before they return to the job after time off.
#Date UsedProcess Project / Job No.Weld or Joint Ref. Verified ByNotes
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Revocation / Requalification
Continuity Verified
HP-WPQ-01  |  Rev 0  |  Side 2 of 2 Free blank form from HOT PASS QA/QC — hotpassqc.com