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Form No 8C

This document is a form for recording eye examinations of workers. It collects information such as the worker's name, sex, age, occupation, date of employment, date of eye examination, results of the eye examination, and remarks. The ophthalmologist conducting the examination must also sign the form.

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Dendi Pradeep Reddy
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1K views1 page

Form No 8C

This document is a form for recording eye examinations of workers. It collects information such as the worker's name, sex, age, occupation, date of employment, date of eye examination, results of the eye examination, and remarks. The ophthalmologist conducting the examination must also sign the form.

Uploaded by

Dendi Pradeep Reddy
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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1/2/2016 FORM 

NO

FORM NO. 8­C

[Prescribed under sub­rule (4) of Rule 61­J]
Record of Eye Examination

Age on
Serial Department  Name of Examination of Signature of
Sex last Occupation Remarks
Number / work worker eye sight Ophthalmologist
birthday
Nature    Date of
          Date          result
employment

http://factories.ap.gov.in/factories/Downloads/Forms/FORM%20NO%208C.aspx 1/1

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