ࡱ> PRO!` -bjbj\\*8>>6ZZZZZZZn8*4^\nm$ZZZZ5T?,#######$_%h'v#9Zk55kk#ZZZZ'$kZZZZ#k#V @ZZ Z %˫ ;X 4!=$0m$ =(=( =(Z 8kkkkkkk##3Xkkkm$kkkknnnnnnnnnZZZZZZ  Association suisse des essais non destructifs  Examens priodique de l'acuit visuelle  Donnes personnellesNom:  FORMTEXT       Prnom:  FORMTEXT       Date de naissance:  FORMTEXT       N d'identification ASEND:  FORMTEXT      NP / Localit:  FORMTEXT       Rue / N:  FORMTEXT        Vision des couleurs (seulement la premire fois): ( normale ( anormale Rfrence (par exemple scala d Ishihara):  FORMTEXT       AnneVision de prs (EN 473)Acuit visuelle (EN ISO 8569)Date / Tampon / SignatureAvec correctionRsultatAvec correctionRsultatgauchedroitegauchedroite( oui ( non( e" 0.8 ( < 0.8( e" 0.8 ( < 0.8( oui ( non( e" 0.6 ( < 0.6( e" 0.6 ( < 0.6( oui ( non( e" 0.8 ( < 0.8( e" 0.`bd    * , @ B D N P | ~ ڢnڢZnڢF&jh2hM56UmH sH &j~h2hM56UmH sH 'jh2h1Y6UmHnHsH u&j h2hM56UmH sH h2hM56mH sH  jh2hM56UmH sH h2hM5CJmH sH h2hM55CJmH sH h2hM55mH sH h2hM5mH sH h2hM55CJ mH sH h2hM5CJ mH sH ^`bd$IfYkd$$IfF'$(04 Fa $$Ifa$$If`--R T   L N { $If ;$If ;x$Ifx$IfYkd$$IfF'$(04 Fa $ & : < > H J d f z | ~   * < H V İĜĈ|nncXch2h2mH sH h2hVmH sH  joh2hM5mH sH h2hM55mH sH &j`h2hM56UmH sH &jh2hM56UmH sH &jvh2hM56UmH sH h2hM56mH sH h2hM5mH sH 'jh2h1Y6UmHnHsH u jh2hM56UmH sH " ( *  " V {rrrrrr $$Ifa$ &|kd$$IfF0'"   %04 Fap % V X b  Z z      $ . ͹٥}p}pppapapQpQpQap joh2hM5aJmH sH h2hM5^JaJmH sH h2hM5aJmH sH h2hM55aJmH sH h2hM5CJaJmH sH h2hM5mH sH 'jh2h26UmHnHsH u&jh2h26UmH sH h2h26mH sH  jh2h26UmH sH h2hVmH sH h2h2mH sH V X Z z ]TTTTTT $$Ifa$kd$$IfF4\<'<\ \  t0'44 lalf4 7.... $$Ifa$kd$$IfF4ֈ<('<pp t0'44 lalf4  $$Ifa$  kd$$IfF4ִ<(` ' < 88 88  t0'    44 lalf4    . > N ^ j v (( (,(<(Ff1 $ w@x$Ifa$ $ w@$Ifa$. 0 > @ D N P ^ ` j l v x | ((((( ("(,(.(2(<(>(L(N(P(R(\(^(r(t(~((((((((((((((((((((())))))()*)Uh2hM5^JaJmH sH h2hM5aJmH sH  joh2hM5aJmH sH S8 ( < 0.8( oui ( non( e" 0.6 ( < 0.6( e" 0.6 ( < 0.6( oui ( non( e" 0.8 ( < 0.8( e" 0.8 ( < 0.8( oui ( non( e" 0.6 ( < 0.6( e" 0.6 ( < 0.6( oui ( non( e" 0.8 ( < 0.8( e" 0.8 ( < 0.8( oui ( non( e" 0.6 ( < 0.6( e" 0.6 ( < 0.6( oui ( non( e" 0.8 ( < 0.8( e" 0.8 ( < 0.8( oui ( non( e" 0.6 ( < 0.6( e" 0.6 ( < 0.6 Vision de prs: min. 0.8 (Times Roman 4.5) correspond Jaeger 1, distance 0.3 m, conditions remplir au minimum avec un Sil, avec ou sans correction visuelle. Acuit visuelle: min. 0.63 (0.6) selon test d'acuit ( HYPERLINK "http://www.sov.ch" www.sov.ch), distance 4 m, conditions remplir au minimum avec un Sil, avec ou sans correction visuelle.     SGZP Form optik_06f / 06-09 2006 SGZP <(L(\(l(n(p(r(~((((((((())")$)&)()4)@)P)`)FfFf $ w@$Ifa$$ w@x$Ifa$*)4)6)@)B)F)P)R)`)b)f)p)r)))))))))))))))))))))))*****&*(*6*8*B*D*N*P*T*^*`*n*p*r*t*~***++++D,F,,ɾɱɢjh2hM5UmH sH h2hM5CJmH sH h2hVmH sH h2hM5mH sH h2hM5^JaJmH sH  joh2hM5aJmH sH h2hM5aJmH sH @`)p)))))))))))))**&*6*B*N*^*n*~****FfFfH $ w@$Ifa$$ w@x$Ifa$**++^-`-d-f-j-l-p-r-v-x-----  p#'gd:,,,,,--`-b-f-h-l-n-r-t-x------------ƻƳhM5 h2CJ h:CJ hM5CJhNjhNUh2hVmH sH h2hM5mH sH h2hM50JmH sH jh2hM5UmH sH #jh2hM5UmH sH (. 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