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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



Contact: JAC webmasters. Updated: Tue Feb 14 14:59:04 HST 2012

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