Visual Acuity Examination For Esa And Nasa Certification
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1
2esa
NASA
NASA
Visual Acuity Examination for
&
NASA
NASA
Certification
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Name:
Company:
Address:
Telephone:
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Left
Right
Minimum Requirement
a. FAR VISION
_____
_____
6/15 (20/50 in USA) or better
b. NEAR VISION
_____
_____
Jaeger 1 *
c. COLOUR VISION
_____
_____
Normal as determined by means of
Dvorine Chart, Ishihara plates or
equivalent. Alternatively, a practical
test using colour-coded wires and/or
coloured electrical parts is acceptable
for colour perception testing.
should be conducted using any correction (glasses/contact lenses) normally
The above tests
worn for near and far vision
Last Optician test:
________________________
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Examiner Information
Name:
Address:
Telephone:
Signature:
_____________________
Date:
______________
*Equivalences for reference
:
Jaeger
Snellen
Point
J1+
20/20
3
J1
20/25
4
N4, N5 etc correspond to Times New Roman characters, font (point) size 4, 5 etc.
Visacfm1 20120509
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Parent category: Medical