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JAC Safety Manual - Addendum 7: VDT Eyewear-Optician's Form Addendum 7

GENERAL STAFF NOTICE
PROCEDURES FOR EYE EXAM RELATED TO VDT USE

As noted in the JAC Safety Manual, Chapter 4, Section F5e, Video Display Terminal (VDT) Operators (i.e. defined as those using display terminals for 3 or more hours per day, or 20 or more hours per week) are encouraged to take an annual Eye Test to determine if there is a requirement for eye glasses designed specifically for VDT use.  The JAC will meet any bona fide costs related to this test that are not covered by staff members’ health insurance.

In addition to the above, the JAC has agreed to reimburse the cost of eyeglasses (basic appliances) that have been prescribed specifically for VDT use.  An estimate of the cost of any prescribed eyeglasses, for which reimbursements will be sought from the JAC, must be submitted for prior approval to the Human Resources Manager.

In order to qualify for the above benefits, employees must complete a video display terminal (VDT) questionnaire.  This questionnaire is to be reviewed by your Vision Specialist (Optician), to help determine any effect VDT use may have on your vision.   The Vision Specialist is then requested to note the results of the examination on the letter provided by the JAC.   Copies of the Questionnaire and letter are available from the personnel section.

Staff may submit a claim for reimbursement of costs incurred, attaching the following:

 1) Completed VDT Questionnaire
 2) Letter noting results of Vision Specialist's Examination
 3) Original Invoice for charges



Contact: JAC webmasters. Updated: Fri Jan 20 14:09:04 HST 2006

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