Order / Drg No: Material :

Min .(SOD): Max.(OFD) :

Sensitivity Requirment: Density Requirment: Source Strength (Energy) : Ci Kv

No.of Films /Cassette: Film Size: Source Size/Focal Spot : Film Brand and Designation :

IQI Location :

Weld No Welder No Area of interest

DWDI :Double Wall Double Image

Date

Signature

Level

Name

UC :Undercut EP : Excess Penetration

TI :Tungsten InclusionSL :Slag Inclusion

SWSI : Single Wall Single Image

Client Representative. ASME A.I / Third Party if required

HB :Hollow Bead

NDE Inspector

CR : Crack IF : Incomplet Fusion IP : Incomplet Penetration

CON : Concavity

CP :Cluster Prosity

P :Prosity

DWSI : Double Wall Single Image

Client : Project No :

Page No.

Thk :

Equipment and Matrial

Remarks

RADIOGRAPHIC EXAMINATION REPORT

Form No:

HHE-QC-FO-086

Issue A/1

Report No :

Item / Mark

Surface Temp: Room Temp

Radiation Source : Ir.192 X Ray

Mark / Item No:

Location :

Request No :

Surface condition: As Weld

SOD :Source to Object Distance OFD: Source side of object to Film Distance

of

Interpretation Result

Film Processing : Manual Automatic

Lead Screens : Front Back NonExposure / Viewing Technique : DWSI DWDI SWSI

IQI Type : Wire Hole

Order. No / Drg. No

Technique Description

Reference procedure Specification : HHE-QC-WP-019

Acceptance Criteria :