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Eye Vision Test

An individual named Nguyen Phuc Luan underwent vision tests at an unspecified date. The tests included an Ishihara color vision test, a color vision trade test to check color differentiation for potential non-destructive testing (NDT) methods, and a near vision test to check the smallest readable text. The results of the tests were recorded along with the contact information of the person who administered and documented the tests.

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Luan Nguyen
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753 views

Eye Vision Test

An individual named Nguyen Phuc Luan underwent vision tests at an unspecified date. The tests included an Ishihara color vision test, a color vision trade test to check color differentiation for potential non-destructive testing (NDT) methods, and a near vision test to check the smallest readable text. The results of the tests were recorded along with the contact information of the person who administered and documented the tests.

Uploaded by

Luan Nguyen
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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RECORD OF VISION TEST

Name of individual tested:_____________________________________________________



Address__________________________________________________________________
________________________________________________________________________
Telephone:_______________________ Email:____________________________________

Employer:_________________________________________________________________

RESULT OF ISHIHARA COLOR VISION TEST
Record the Ishihara test result, and indicate if an alternative (trade) test is suggested
Number Of Ishihara plates correctly
interpreted:
Record of Ishihara plates failed (the test administrator may,
optionally, provide comment on the nature of color perception
deficiency):




RESULT OF COLOUR VISION TRADE TEST
The employer should state the NDT methods and associated colors used by employee:
NDT METHOD ASSOCIATED
COLOURS
COLOUR
DIFFERENTIATION
CONTRAST
DETECTION




RESULT OF NEAR VISION TEST
(Record the smallest text capable of being read).
CORRECTED UNCORRECTED

Times Roman N: ___________, or

Jaeger number : ____________


Times Roman N: _____________, or

Jaeger number : ____________
DETAILS OF PERSON CARRYING OUT AND RECORDING ANY OF THE ABOVE TESTS
Signature: Name of tester:


Date of test:


Organization and telephone number (please use official stamp if available):







NGUYEN PHUC LUAN
391/95, HUYNH TAN PHAT, TAN THUAN DONG, DISTRICT 7,
HOCHI MINH CITY, VIET NAM
+84 909.631.696 [email protected]

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