Radiographic Examination

Customer		Customer Order No
Customer reference	-	Test site	-

Object

Drawing no	-	Manufacturing no	-
Base material	-	Filler material	-
Welding method	-	Joint	☐ BW Butt Welds (Stumfog) ☐ FW Fillet Welds (kälfog) ☐ Butt Welds & Fillet Welds ☐ -
Material thickness	-	Heat treated	No

Examination

Extent	☐ 100% ☐ 25% ☐ 10% ☐ 5% ☐ Spot check ☐ According to instructions	Surface condition	☐ As welded ☐ Ground ☐ Pickled ☐ Cleaned
Examination acc. to	☐ EN ISO 17636-1 ☐ EN ISO 17636-2 ☐ ASME V art. 2	Acceptance acc. to	☐ EN ISO 10675-1 ☐ EN ISO 5817 level B ☐ EN ISO 5817 level C ☐ ASME VIII div. 1
Acceptance level	☐ 1 ☐ 2 ☐ 3 ☐ -	Specification no	-

Technique (EN ISO 17636)

Technique class	☐ Class A ☐ Class B ☐ -	Radiation source	☐ X-ray ☐ Ir-192 ☐ Se-75 ☐ Co-60
Exposure arrangement	☐ SWSI ☐ DWSI ☐ DWDI ☐ -	Detector	☐ Film ☐ CR (computed radiography) ☐ DR (digital radiography)
Film system class	-	Source–film distance	-
IQI type	-	IQI value	-
Density	-

Result

Accepted (according to requirements)
× Rejected

Signatures

Performed by

Söderhamn, __________________

UNSIGNED

Approved by — EN ISO 9712 Level 2 RT

Söderhamn, __________________

UNSIGNED