We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing partners) and for other business use.
Click "here" to read our Cookie Policy. By clicking "Accept" you agree to the use of cookies. Read less
Read more
Accept
Loading
Form preview
  • US Legal Forms
  • Form Library
  • More Forms
  • More Uncategorized Forms
  • Visual Acuity Record Form

Get Visual Acuity Record Form

CWB Form 455E/20171Welding Inspector Visual Acuity Record SECTION 1:IDENTIFICATION OF APPLICANT (Please print):Applicant 's Name:Registration #:Application for CertificationSECTION 2:Renewal of CertificationVISION.

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

How to fill out the Visual Acuity Record Form online

The Visual Acuity Record Form is essential for documenting the visual acuity of individuals applying for certification as welding inspectors. This guide provides clear and supportive instructions on how to complete the form online, ensuring accuracy and compliance with all requirements.

Follow the steps to successfully complete your form

  1. Click the ‘Get Form’ button to access the Visual Acuity Record Form in the online editor.
  2. Begin by filling in the identification of the applicant section. Clearly print the applicant's name and registration number, ensuring all information is accurate and legible.
  3. Indicate whether this is an application for certification or a renewal of certification by selecting the appropriate option.
  4. In the vision requirements section, note that evidence of satisfactory vision must be provided by a medical professional. Ensure that the vision examination was performed no more than 12 months prior to submitting the form.
  5. Confirm that the applicant meets the near vision acuity standard that allows for reading the required text without correction if possible. Make sure to document the specific details of the evaluation.
  6. In the declaration of the examiner section, the examiner must print their name, sign the form, and provide their contact information. They should check the appropriate box to confirm if the applicant meets the vision requirements, whether with or without correction.
  7. Finally, review all provided information for accuracy. Once complete, you can save the changes, download, print the form, or share it as needed. Make sure to retain a copy for your records.

Complete your Visual Acuity Record Form online today to ensure your application is processed efficiently.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Get form

Related content

lic60 - visual acuity examination form - NYC.gov
Be sure to keep a copy of this form for your records. Your application for an original or...
Learn more
(PDF) VISUAL ACUITY FORM | juan nina...
Eye examination results must be documented on this Visual Acuity Record form supplied by...
Learn more
Welding Inspector Exam Application AWS V4 CWI Only...
Visual Acuity Record A current Visual Acuity Record must be completed and submitted with...
Learn more

Related links form

Tree Removal Permit Application Form - Tenafly Business License Application - City Of Trenton - Trentonnj Form D - Conditional Use - City Of Trenton - Trentonnj What Is The Property Tax Exemption For 100% Disabled Veterans Or ...

Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

A Va of 6/4 means that at 6m, the smallest letter you can see can be seen by somebody with '20/20′ vision at 4 metres.

Recording Snellen Results Results are recorded as a fraction. Top number equates to the distance (in metres) at which the test chart was presented (usually 6m), Bottom number identifies the position on the chart of the smallest line read by the 'patient'.

Contrast sensitivity – The ability to discern a figure from its background. Color – The ability to perceive different colors (see color blindness). Depth perception – The ability to judge the distance of an object, 3D vision. Glare sensitivity – A decrease in visual acuity due to bright lighting.

Distant and near vision are the two types of vision that determine correct visual acuity or 20/20 vision. The different types of eye charts are designed to test these two types of vision ingly.

You must have visual acuity in at least one eye capable of reading the Jaeger J1 test chart, or equivalent to 20/20, at a distance of not less than 30 cm (12in.) You must be able to differentiate between the colors used in the NDT method(s) for which certification is required.

Visual acuity is expressed as a fraction. The top number refers to the distance you stand from the chart. This is often 20 feet (6 meters). The bottom number indicates the distance at which a person with normal eyesight could read the same line you correctly read.

A visual acuity test can help diagnose common conditions that affect your vision, including: Nearsightedness (myopia). Farsightedness. Astigmatism. Presbyopia. Color blindness.

Visual acuity is recorded as chart distance (numerator) over the number of the lowest line read (denominator): If the patient reads the 6/6 line but gets 2 letters incorrect, you would record this as 6/6 (-2). If the patient gets more than 2 letters wrong, then the previous line should be recorded as their acuity.

The Snellen eye chart, with its familiar rows of letters in decreasing sizes, is the most common visual acuity test. While standing or sitting 20 feet from the chart, you are instructed to read each row until you no longer can.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Get form
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get Visual Acuity Record Form
Get form
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232