INSPECTION REPORT REPORT NO.

:
RADIOGRAPHIC TESTING PAGE NO. :
CLIENT : LOCATION :
CONTRACTOR : JOB NO. :
PROJECT : DATE OF TEST :
PROCEDURE NO. : REQUEST NO. :
WORK INSTRUCTION : REF. CODE/STD :
EQUIPMENT, MATERIALS & OPERATION PARAMETERS…
RADIATION SOURCE EXPOSURE & TECHNIQUE FILM
X-RAY EQUIP : TIME : BRAND :
TUBE VOLTAGE : TECHNIQUE : TYPE :
TUBE CURRENT : SOD/OFD : / SIZE :
GAMMA RAY SOURCE : IQI TYPE/SIZE : INTENSIFYING SCREEN
SOURCE : NO OF FILM/ FOLDER : / FRONT :
SOURCE SIZE : % OF EXAM : BACK :
FILM PROCESSING : AUTO MANUAL
PART IDENTIFICATION & INFORMATION…
ISO/DWG NO. : DESCRIPTIONS :
EQUIPMENT/PART NO. : EQUIPMENT/PART NAME :
LINE NO. : SPOOL NO. :
WPS NO. : WELDING PROCESS :
MATERIAL : MATERIAL THICKNESS :
WELD WITH REINFORCEMENT THICKNESS : REINFORCEMENT THICKNESS :
WELD/JOINT TYPE : INSPECTION CATEGORY/LINE CLASS :
SYSTEM PERFORMANCE…
SENSITIVITY REQUIRED : DENSITY
SENSITIVITY ACHIEVED : REQUIRED
RADIOGRAPHIC EVALUATION… ACCEPTANCE CRITERIA :
WELD/JOINT/RADIOGRAPH IDENTIFICATION DISCONTINUITY RESULT REMARK
Joint/Weld Welder No. Film Inter-No. TYPE MEASURED SIZE DENSITY ACC REJ

ABBREVIATION:
C: CRACK CV: CONCAVITY EP: EXCESS PENETRATION
IP: INCOMPLETE PENETRATION LF: LACK OF FUSION P: GAS CAVITIES
SF: SURFACE FLAW SI: SLAG INCLUSIONS SL: SLAG LINEAR
NO: NO RELEVANT INDICATION UC: UNDERCUT CP: CLUSTER POROSITY
TI: TUNGSTEN INCLUSION E & V: EXPOSURE & VIEWING SOD: SOURCE TO OBJECT DISTANCE
OFD: OBJECT TO FILM DISTANCE
AUTHORIZATION INTERPRETED/EVALUATED BY REVIEWED/WITNESSED BY REVIEWED/APPROVED BY
COMPANY :
SIGNED :
NAME :
METHOD (LEVEL) :
DATE :