Information
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Visual aid check
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Date
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Enter Location
- Brookmans Park
- Potters Bar
- Hadley Wood
- New Barnet
- Oakleigh Park
- New Southgate
- Alexandra Palace
- Hornsey
- Harringay
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Enter Staff Name
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Check carried out created by
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Document No.
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Does the person require glasses or contact lenses
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Does the person have glasses if wearing contact lenses
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Are they for reading?
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Are they bifocal?
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Does the member of staff have protection from sun, ie sunglasses?
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Enter expiry date of SCWID Card
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Member of staff to input name and sign
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Name & signature of person carrying out check.
