Use F for Fully Experienced Or S for Some Experience

NOTE: You can modify this form to reflect your company’s activities, skills, equipment and tools.

WELDER SKILLS & EXPERIENCE

Checklist

Mark only those activities, equipment and tools with which you have experience. If hired, you will be expected to perform those activities and use the equipment and tools you indicate.

Use "F" for Fully Experienced or "S" for Some Experience.

Leave blank if you have no experience or qualifications.

CUTTING & WELDING
____ Semi-automatic cutting
____ Plasma arc cutting
____ Brazing
____ Carbon arc gouging
____ Shielded metal arc
welding (SMAW)
____ Gas metal arc welding
(GMAW)
____ Submerged arc welding
(SAW)
____ Gas tungsten metal arc
welding (GTAW)
____ Dual-shield arc welding
____ Automatic roll welding
____ Hard surfacing/facing
____ Up hand welding
____ Down hand welding
____ Position welding / METALS
____ Carbon steel
____ Cast iron
____ Stainless steel
____ Thinwall stainless
____ Clad steels
____ Alloys
____ Brass
____ Aluminum
INDUSTRY
____ Pulp & Paper
____ Oil & Gas
____ Petrochemical
____ Commercial / STRUCTURAL STEEL
____ Reading blueprints
____ Columns/supports
____ Stairway systems
____ Floor beams
____ Bridges
____ Joists & braces
____ Fences & rails
____ Platforms & ladders
____ Misc. Brackets
STEEL PLATE & VESSELS
____ Reading blueprints
____ Pressure vessels
(nozzles, head, shell)
____ Tanks (nozzles, rings,
roof, floor)
____ Pipes
OTHER EXPERIENCE
____ Grinding
____ Hoisting equipment
____ Signals (hand, voice)
____ Fitting
____ Severe cyclic service (piping code) / ____ Layout
____ Rigging
____ Quality Control/Assurance
____ Intrepret radiographic film
____ Fabrication shop experience

Do you prefer to work as a rig welder? ______as a hand welder? ______

Do you hold any of the following certificates?

____ Welder Journeyman Proficiency Certificate Ticket Number ______

____ Welder Interprovincial Red Seal Ticket Number ______

____ Grade 'B' Pressure Welding Ticket Number ______

____ TIG (Tungsten Inert Gas) Welding When did you last use this skill (date)? ______

____ MIG (Metallic Inert Gas) Welding When did you last use this skill (date)? ______

____ Submerged Arc Welding Certificate When did you last use this skill (date)? ______

C.W.B.

Are you currently enrolled as an apprentice? _____ In which year? ______(1, 2, 3 or 4)

Please read and sign the declaration printed below:

I certify that the statements made by me are true and complete. I also understand that a false statement may disqualify me from employment or result in dismissal.

Signature:______Date: ______