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JAC Safety Manual - Addendum 7: VDT Eyewear-Vision
Specialist's Form
Addendum
7
GENERAL STAFF NOTICE
PROCEDURES FOR EYE EXAM
RELATED TO
DSE USE
As noted in the JAC Safety Manual,
Chapter
4, Section F2c, Display Screen Equipment (DSE) 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 DSE
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 DSE 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 Head of Administration where these are expected to
exceed
$200.
In order to qualify for the above
benefits,
employees must complete a Display Screen Equipment (DSE)
questionnaire.
This questionnaire is to be reviewed by your Vision Specialist,
to help determine any effect DSE 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 DSE Questionnaire
2)
Letter
noting results of Vision
Specialist's Examination
3) Original Invoice for charges
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