Format F-RT-001
SPYC Radiographic Testing Report Approval date July 1, 2025
Page: 1 of 2
Customer
Purchase Order or Contract
(Manufacturer)
Project Report No.
Location Date of the examination
Examination Procedure Data
Procedure identification Revision Revision date
NDE subcontractor’s
Examination method Technique
name
Component and Specification Data
Component/System Base material type
Base material
Drawing No.
thickness(es)
Referencing code
Welding process Acceptance Criteria
section - year
Radiographic Technique Data
Hole-Type
X-ray voltage Exposure time IQI Type
Wire-Type
Isotope type Film manufacturer IQI Designation
Activity Film type/designation IQI Selection Based on
Source side
Number of exposures Film size IQI Location
Film side
Number of film in each
Source size (F in T-274.1) IQI Material
film holder/cassette
Source-to-object Shim material and Part
IQI on
distance (D in T-274.1) thickness Block(s)
Single- or double-wall Single exposure Required:
Distance from source Sensitivity
exposure Double exposure Obtained:
side of object to film
(d in T-274.1) Single- or double-wall Single viewing Automatic
Film Processing
viewing Double viewing Manual
Geometric unsharpness Maximum: Radiographic Technique Time:
Manual Process
(Ug) Obtained: A, B, C,D, E, F, G o H Temperature:
Radiographic Techniques
A B C D
E F G H
Remarks:
Page 1 of 2 of the report documents the radiographic technique details in accordance with ASME BPVC.V-2023, Article 2, Paragraph T-291.
Page 2 of 2 of the report documents the radiograph review in accordance with ASME BPVC.V-2023, Article 2, Paragraph T-292.
Format F-RT-001
SPYC Radiographic Testing Report Approval date July 1, 2025
Page: 2 of 2
Interpretation and Evaluation Data
Weld reinforcement
Identification of the thickness Interpretation Results of the examination
Radiograph Outside Weld Compo-
weld, part, or Welder in. [mm] Number Single IQI Density
No. Identification and diameter, thickness site
component Stamp(s) of films Viewing Density Area
Location in. [mm] in. [mm] Viewing Indications code and size, Evaluation
examined I.D. O.D.
in. [mm] (Accepted or Rejected)
10
11
12
13
14
15
16
17
18
Comments:
Indications code
Crack [C] Rounded Indications [RI] Concave surface or external concavity [EC]
Lack of fusion or incomplete fusion (IF) Linear indications [LI] Concave root or internal concavity (IC)
Incomplete Fusion Due to Cold Lap (IFD) Slag Inclusions [SI] Burn-through (BT)
Inadequate Penetration Without High-low (IP) Individual or Scattered Porosity [SP] Tungsten Inclusion [TI]
Inadequate Penetration Due to High-low (IPD) Hollow Bead (HB) Porosity Undercutting [U]
Customer or Third Party
Interpretated and evaluated by: Reviewed and accepted by:
(if applicable)
NDE subcontractor’s Manufacturer’s
Organization
name representative
Name and/or identity Name Name
Signature Signature Signature
Examiner Certification
Position Position
Level
Date of Evaluation Date of Acceptance Date of receipt
