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  • Vision Report Schaeffler

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    Marketing
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    This vision report documents an employee's eye exam results. It records the employee's name, age, department, and employee number. It measures the employee's distance and near vision with and without glasses for both eyes. It notes the spherical, cylindrical, and axis measurements for corrections. It indicates whether the employee passed the Ishihara color vision test and declares their fitness for work. The optometrist signs off on the results.

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    This vision report documents an employee's eye exam results. It records the employee's name, age, department, and employee number. It measures the employee's distance and near vision with and without glasses for both eyes. It notes the spherical, cylindrical, and axis measurements for corrections. It indicates whether the employee passed the Ishihara color vision test and declares their fitness for work. The optometrist signs off on the results.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    7 views1 page

    Vision Report Schaeffler

    Uploaded by

    Marketing
    This vision report documents an employee's eye exam results. It records the employee's name, age, department, and employee number. It measures the employee's distance and near vision with and without glasses for both eyes. It notes the spherical, cylindrical, and axis measurements for corrections. It indicates whether the employee passed the Ishihara color vision test and declares their fitness for work. The optometrist signs off on the results.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 1

    VISION REPORT

    Name of the Corporate: Schaeffler India Ltd Date :……………..

    Name :……………………………………………. Age/Sex :……………

    Emp No:……………….. Dept:……………….

    PARTICULARS Right Eye Left Eye

    DISTANCE VISION

    Without Glasses :

    With Glasses :

    NEAR VISION

    Without Glasses :

    With Glasses :

    EYE SPH CYL AXIS Vn ADD Vn ISHIHARA


    Colour
    Vision Test
    Right

    Left

    Advice: Employee Status: FIT/UNFIT

    OPTOMETRIST SIGNATURE

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