SCERT MT Application form for certification F27 Rev.

Vision testing in accordance with ISO 9712 for non-destructive testing personnel

Vision test record

(This form to be handed to the medical examiner for completion)

Name: __________________________________________________________________

ID or passport number: _____________________________________________________

The requirements for visual acuity are:

The ability to read a minimum of Times Roman N4.5 or equivalent letters at not less than
300mm with one or both eyes, either corrected or uncorrected.

NB: Circle where applicable

Test Times Roman N4.5 at not less

than 300mm
Left Yes/No
Right Yes/No

Colour vision

The requirements for colour vision are:

Colour vision shall be sufficient such that the candidate can distinguish contrast between
the colours used in the NDT method concerned as specified by the employer.

Test Remarks
Left Yes/No
Right Yes/No

______________________________________ _________________________________
Signature Date

______________________________________
Official Stamp

SCERT MT Application form for certification F27 Rev.3

SCERT MT Application form for certification F27 Rev.3