Certification Scheme for Welding and Inspection Personnel CSWIP

E YESIGHT TEST Some CSWIP certificates are only valid provided the holder’s eyesight is regularly tested and shown to meet the published minimum requirements. Name : Sheet No : Date : Near Distance Test : Colour Vision Test : Name of qualified oculist or optometrist : Address :

Stamp of Signature : oculist / optometrist Date : Near Distance Test : Colour Vision Test : Name of qualified oculist or optometrist : Address :

Stamp of Signature : oculist / optometrist

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SEM/CSWIP/S511F/10.04