Chris Blair

Safety Glasses Assessment

Assessment on requirements for prescription safety glasses.

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Title Page

Assessment No
Conducted on
Prepared by
Name
Clock No
Location

ASSESSMENT

Date of last eye test
More than 6 month's
Please Have upto date eye test completed before proceeding
Please confirm requirements
What type of glasses do you have
What do you require for tasks at work
Description of tasks and work
We advise an up to date test as we only replace every 2 years in accordance with the policy

Chris Blair

Safety Glasses Assessment

Assessment on requirements for prescription safety glasses.

Use this Template

Print as PDF

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.