UT Thickness Survey Report
[Company name and logo] · Report no.: __________ · Page ___ of ___
Report header
| Report number and revision | |
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| Date of examination | |
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| Client / end user | |
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| Project or job number | |
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| Work order / PO reference | |
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| Site and location | |
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| Component / item ID | |
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| Drawing number and revision | |
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| Procedure number and revision | |
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| Acceptance standard | |
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| Extent of examination | |
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Equipment and calibration
| Thickness gauge (make, model, serial) | |
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| Probe (type, frequency, diameter, serial) | |
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| Measurement mode | |
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| Calibration block / reference | |
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| Material velocity | |
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| Couplant | |
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| Surface condition / coating | |
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| Surface temperature | |
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Thickness readings by location and direction
| CML / TML | Location | Nominal | 0° | 90° | 180° | 270° | Minimum | Remarks |
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Remarks
Personnel and sign-off
| Examined by (name, method, level, scheme) | |
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| Certificate number and expiry | |
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| Reviewed / interpreted by (Level II or III) | |
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| Client or third-party inspector | |
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| Signatures and dates | |
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