EDITIONEN·FR·ქართ

Accréditation Sans Frontières

International Accreditation of Healthcare Facilities

Standards › Standard 15 › Forms

Form · OPT-FRM-001 · Version 1.0 · Approved by the ASF Expert Committee

Supports: Standard 15 (Optical and Hearing), criterion 15.1

Purpose

Records each sight or hearing test, the validated method, the equipment used and the result.

How to complete

Checks

Check Entry
Test type (sight or hearing) Yes
Validated method (name) Yes
Equipment and calibration date in range Yes
Result Yes
Finding referred (yes or no) Yes
Tester and date Yes

Evidence

Reference Note
E-009 Based on the WHO World report on vision (2019) and the WHO World report on hearing (2021).
E-006 ASF Policy Framework v1.2. Adapted.
E-009 ASF Expert Committee consensus.

Change history

Version Date What changed Approval
1.0 the date of approval First version set Expert Committee approval

E-learning for this document

No e-learning course is linked to this document yet.

References

Download this document as PDF
© 2026 Accréditation Sans Frontières · PHIG · Sheni Network