UA Continuity

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UA WELDER QUALIFICATION CONTINUITY REPORT

Welder's First Name

Middle Initial

Last Name

UA Card Number

UA Testing Loca

Welder's Email Address

Employer

Employer Email

Indicate the last date the process was used

SMAW

*Manual Welding

GTAW

*Manual Welding

GMAW

*This includes Flux-Cored Arc Welding (FCAW)

Automatic or Machine Welding (GTAW)

*This includes orbital welding

Torch Brazing

*Non Med-Gas

We certify that the statements made on this record are correct:

New Manufacturer/Contractor Company Name

Signature of Company Representative

Date Signed

Printed Name & Title of Company Representative

Signature of UA ATR

Date