\ ; BUREAU VERITAS INDIA PVT LTO
i) WRITTEN PRACTICE FOR TRAINING QUALIFICATION & CERTIFICATION OF NDE PERSONNEL _
| Document }VILINDEWP1 Rev.No: 01 Dt 01.01.2020
REPORT FORMAT NO. IND/BVILINDT/VC/2019/01 REV 00 DT 12/09/2019
VISION EXAMINATION
EMPLOYEE'S NAME: MR. SANDEEP KUMAR EMPLOYEE NO: 514696
NEAR VISION ACUITY TEST:
JAEGER Jt [Satisfactory }
(JAEGER CHART HELD AT MORE THAN 30.5 CM FROM BRIDGE OF NOSE) |
RESULTS: RIGHT EYE LEFT EYE
UNCORRECTED Satisfactory Satisfactory
CORRECTED = =
ACCEPTABLE YES YES
UNACCEPTABLE = =
DATE OF EXAMINATION: 04.06.2020
EXAMINEDBY: ZAy« # 2
1 Pe
CLOUR CONTRAST DIFFERENTIATION TEST: SATISFACTORY
EXAMINED WITH ISHIHARA’S TYPE COLOUR TEST PLATES HOLDING AT A DISTANCE OF 75 CMS
MINIMUM FOROM BRIDGE OF NOSE / SHADES OF GREY.
YES ACCEPTABLE — | UNACCEPTABLE
COMMENTS / RESTRICTIONS: NIL
DATE OF EXAMINATION: 04.06.2020
EXAMINED BY: tye. Hts
q Signature Y 6 220
DR VA AéARGAL
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