RADIOGRAPHIC INSPECTION REPORT

(PIPE LINE)

CLIENT : REPORT NO :
PROJECT : CONTRACT /JOB :
LOCATION : TEST DATE : SHIFT:
SPECIFICATION: ACCEPTANCE CRITERIA: PROCEDURE NO :

SPECIMENT DATA
MATERIAL: WELDING PROCESS:
TESTING TEMPERATURE: JOINT DETAILS:
SURFACE CONDITION: DIA x WT:
DWG NO.:
REQUEST FOR INSPECTION (RFI) NO.:
RADIOGRAPHY DATA:
TECHNIQUE FILM TYPE SFD

EXPOSURE TIME PROCESSING IQI TYPE/ LOCATION

INTENSIFYING SCEEN DENSITY SOURCE kV-MA/ Curie

SENSITIFITY HEAT SHIELDS

RESULT
ROOT CONCAVITY

REPRESENTATIVE
DNC = DOES NOT
SENSITIFITY (%)

LACK OF WALL

OCEANEERING
PENETRATION

INTERPRETER
INCLUSION

INCLUSION
UNDERCUT

CO = CUT OUT
POROSITY
DENSITY

LACK OF

C = COMPLY
FUSION

CLIENT
CRACK
SLAG
PIPES

WELD

SENTENCE
INTERPRETATION

COMPLY
IDENT NO.

RADIOGRAPHER: VERIFIED & INTERPRETER: CONTRACTOR'S REP: CLIENT'S REP: 3rd PARTY (where applicable)

NAME: NAME:
QUALIFICATION: QUALIFICATION: NAME: NAME: NAME:
DATE: DATE: DATE: DATE: DATE: