Minimum Vision Requirements
Vision examinations are the responsibility of the employer.
Near Vision Acuity
As part of initial certification, and annually thereafter, near vision acuity shall be verified to be in accordance with the
requirements of ISO 18490 or shall require reading a minimum of Jaeger Number 1 or Times Roman N4.5 or equivalent
letters at not less than 12 in. (30 cm) with one (1) or both eyes, either corrected or uncorrected.
Color Vision
As part of initial certification, recertification, or renewal, the candidate or certificate holder shall demonstrate that a color
vision test has been administered within the previous five (5) calendar years.
Vision Documentation
Near vison acuity testing, color vision and/or gray scale perception verification(s) shall be administered by a licensed
physician, nurse, ophthalmologist, or optometrist; or by another trained professional who is approved and documented
by a Level III personnel acting on behalf of the employer. The identified person’s name and signature shall be on the
documentation submitted by the candidate or certificate holder.
Attestation of Visual Acuity
Eye Exam Date _____________________________
Candidate Name (please print) ___________________________________________________________________________________
I attest that I administered a near distance examination on the candidate named above, and that the candidate has
naturalor corrected near-distance acuity in at least one eye capable of reading the Jaeger Number 1 test chart or
equivalent at a distance of not less than 12 in. (30 cm).
I attest that I administered a color perception examination on the candidate named above, and that the candidate has:
No Color Perception Deficiency Color Perception Deficiency (Specify) _________________________________
_______________________________________ ___________________________________________
Signature of Eye Examiner Date
Ophthalmologist/Optometrist Physician Registered Nurse
Employer’s Level III Certificate Number ___________________________________ Expiration Date: _____________________
Other (Approved by the Employer’s Level III): Title: ____________________________________________________________
Employer Attestation (for Candidate Color Perception Deficiency) If the candidate has a color perception
deficiency, the candidate’s ability to distinguish colors used in the applicable method(s) as specified by the employer
must be confirmed by the employer or a designated and responsible agent of the employer (such as an ASNT Level III,
ASNT 9712 Level III, ACCP™ Professional Level III, or company Level III per SNT-TC-1A).
I attest that the above-named candidate has sufficiently demonstrated the ability to distinguish colors used in the applicable
test method(s) as specified in employer procedures.
___________________________________________________ ______________________________________
Employer/Agent Signature Date
___________________________________________________ ______________________________________
Employer/Agent Name (print) ASNT ID (if applicable)
__________________________________________________
Title