INSPECTION REPORT Report No. : Rev.

ULTRASONIC TESTING Page No. : of

Client : Location :
Project Name : Project No. :
Procedure No.(Rev.) : Date of Test :
Reference Code : Request No. :

Equipment & Materials (Parameter)

UT Equipment Type : Brand :
Model : Serial No. :

Probes No. Brand Probe Angle Actual Angle Frequency Size (In) Wave Mode Other

Calibration Block Type : Serial No. :

Cable Type/Length : Cable Connectors :
Couplant : Special Equipment/Probe:

Operation Parameter
Technique : □ Contact □ Immersion □ Pulse Echo □ Tru-TRNM □ Angle Beam □ Straight Beam
Scanning Method : □ Manual □ Auto
Data Presentation : □ A-Scan □ B-Scan □ C-Scan
Test Range: Scanning Patten/DRT :
Sizing Indication : Scan Overlap :
Discrimination : Extent of Scanning :
Reject Setting : Scanning Level :
Restrictions : Scanning Rate :
Part Identification & Information
DWG No. : Part No. :
Material Type : Surface Preparation :
Weld Type : Surface Condition :
Weld Process : Module :

Evaluation
Acceptance Criteria :

Sketch :

Weld Identification Decibels Discontinuity (mm.)

Discontinuity evaluation
Indication Number

Transducer angle

Indication ratting
Indication Level

Angulardistance

Depth from "A"

Attenuation
From Face

(Sound path)
Ref. Level

Remark
factor

Material Weld
surface
Leg

Length

Joint Welder Distance

Thickness length
Number Number
(mm.) (mm.)

a b c d From X From Y

Note :

Authorization Examined/Evaluated By Witnessed/Approved By Witnessed/Approved By

Signature :
Name :
NDT Level :
Company :
Date :
FM-TI-020 Rev.0 Effective Date: October 28, 2016