DD Form 2757 Welding Examination Record

DD Form 2757 - also known as the "Welding Examination Record" - is a Military form issued and used by the United States Department of Defense.

The form - often incorrectly referred to as the DA form 2757 - was last revised on June 1, 1997. Download an up-to-date fillable DD Form 2757 down below in PDF-format or find it on the Department of Defense documentation website.

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1. DATE
WELDING EXAMINATION RECORD
SECTION I - APPLICATION
2. NAME (Last, First, Middle Initial)
3. PARENT ORGANIZATION
4. UNIT ADDRESS
5. QUALIFICATION GROUP
6. RATING/RATE
7. WELDER IDENTIFICATION
8. EXPIRATION DATE
NUMBER
9. WELDING SCHOOL OR SOURCE OF TRAINING
10. WELDING PROCESS
11. WELDING PROCEDURE
WPS NUMBERS
SPECIFICATIONS
(See Table 3-3 for all parameters.
Use a. - n. for special qualifications)
a. BASE METAL
b. FILLER METAL TYPE
c. FILLER METAL DIAMETER
d. POSITION
e. TORCH SHIELDING GAS TYPE
f. TORCH SHIELDING GAS FLOW
g. ROOT SHIELDING GAS TYPE
h. ROOT SHIELDING GAS FLOW
i. NOZZLE SIZE
j. CURRENT TYPE
k. AMPERAGE
l. ELECTRODE TYPE
m. ELECTRODE DIAMETER
n. NUMBER OF PASSES
12. SIGNATURE OF APPLICANT
13. SIGNATURE OF OBSERVING OFFICIAL.
I certify the weld specimen was completed
by the applicant using the above procedure.
SECTION II - EXAMINATION RESULTS
TEST SPECIMEN
RETEST SPECIMEN
WPS
NUMBERS
14. VISUAL
15. RADIOGRAPHIC
16. BEND
17. METALLOGRAPHIC
14. VISUAL
15. RADIOGRAPHIC
16. BEND
17. METALLOGRAPHIC
18. REMARKS
19. TO OBTAIN REQUALIFICATION OPERATOR MUST:
RESUBMIT EXAMINATION
ATTEND AUTHORIZED WELDING TRAINING SCHOOL
a. SIGNATURE
20. TESTING OFFICIAL
QUALIFIED
NOT QUALIFIED
b. ORGANIZATION AND ADDRESS
c. QUALIFICATION GROUP
d. LEVEL (AF only)
21a. SIGNATURE OF CERTIFYING OFFICIAL
b. DATE CERTIFIED
DD FORM 2757, JUN 1997
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1. DATE
WELDING EXAMINATION RECORD
SECTION I - APPLICATION
2. NAME (Last, First, Middle Initial)
3. PARENT ORGANIZATION
4. UNIT ADDRESS
5. QUALIFICATION GROUP
6. RATING/RATE
7. WELDER IDENTIFICATION
8. EXPIRATION DATE
NUMBER
9. WELDING SCHOOL OR SOURCE OF TRAINING
10. WELDING PROCESS
11. WELDING PROCEDURE
WPS NUMBERS
SPECIFICATIONS
(See Table 3-3 for all parameters.
Use a. - n. for special qualifications)
a. BASE METAL
b. FILLER METAL TYPE
c. FILLER METAL DIAMETER
d. POSITION
e. TORCH SHIELDING GAS TYPE
f. TORCH SHIELDING GAS FLOW
g. ROOT SHIELDING GAS TYPE
h. ROOT SHIELDING GAS FLOW
i. NOZZLE SIZE
j. CURRENT TYPE
k. AMPERAGE
l. ELECTRODE TYPE
m. ELECTRODE DIAMETER
n. NUMBER OF PASSES
12. SIGNATURE OF APPLICANT
13. SIGNATURE OF OBSERVING OFFICIAL.
I certify the weld specimen was completed
by the applicant using the above procedure.
SECTION II - EXAMINATION RESULTS
TEST SPECIMEN
RETEST SPECIMEN
WPS
NUMBERS
14. VISUAL
15. RADIOGRAPHIC
16. BEND
17. METALLOGRAPHIC
14. VISUAL
15. RADIOGRAPHIC
16. BEND
17. METALLOGRAPHIC
18. REMARKS
19. TO OBTAIN REQUALIFICATION OPERATOR MUST:
RESUBMIT EXAMINATION
ATTEND AUTHORIZED WELDING TRAINING SCHOOL
a. SIGNATURE
20. TESTING OFFICIAL
QUALIFIED
NOT QUALIFIED
b. ORGANIZATION AND ADDRESS
c. QUALIFICATION GROUP
d. LEVEL (AF only)
21a. SIGNATURE OF CERTIFYING OFFICIAL
b. DATE CERTIFIED
DD FORM 2757, JUN 1997
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INSTRUCTIONS FOR COMPLETION OF DD FORM 2757.
WELDING EXAMINATION RECORD
SECTION I:
Block 2 - NAME. Self-explanatory.
Block 3 - PARENT ORGANIZATION. Self-explanatory.
Block 4 - UNIT ADDRESS. Self-explanatory.
Block 5 - QUALIFICATION GROUP. Metal groups submitted for certification.
Block 6 - RATING/RATE. Enter military rank or civilian pay number.
Block 7 - WELDER IDENTIFICATION NUMBER. Enter military identification number or civilian pay
number.
Block 9 - WELDING SCHOOL OR SOURCE OF TRAINING. Self-explanatory.
Block 10 - WELDING PROCESS. Process used to accomplish the weld.
Block 11 - WELDING PROCEDURE USED. Conditions used in completing test welds will be listed
under appropriate WPS number column (See Table 3-3).
Block 12 - SIGNATURE OF APPLICANT. Self-explanatory.
Block 13 - SIGNATURE OF OBSERVING OFFICIAL. Signature of the person observing the certification
welding.
SECTION II:
Blocks 14 - 17. The appropriate blocks will be marked either satisfactory (SAT) or unsatisfactory
(UNSAT) in accordance with the results of the particular examination.
Block 18 - REMARKS. Record cause of any unsatisfactory results or other relevant information.
Block 19 - TO OBTAIN REQUALIFICATION OPERATOR MUST. Decision made by evaluating activity
after failure of previous test specimens.
Block 20 - TESTING OFFICIAL. Annotate whether qualified or not qualified in appropriate box (All
DOD). Signature of the official who evaluates the test specimens. Organization and address of
testing official.
Block 21 - CERTIFYING OFFICIAL. The welding instructor/inspector who actually certifies the welder
at the evaluation laboratory will enter signature and record the effective date of certification.
DD FORM 2757 (BACK), JUN 1997

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