Form Phs-7044 - Commissioned Corps Annual Physical Fitness Test - Readiness Standards Report - Department Of Health And Human Services
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1
2DEPARTMENT OF HEALTH AND HUMAN SERVICES
COMMISSIONED CORPS ANNUAL PHYSICAL FITNESS TEST (APFT)
READINESS STANDARDS REPORT
SECTION I – OFFICER INFORMATION
OFFICER’S NAME (Print last, first, middle initial)
EMPLOYEE ID
RANK/GRADE
DATE TESTED
Tested in person with officer (any Service)
Tested in person with federal
MALE
(mm/dd/yy)
employee non-officer
Tested using video with officer (any Service)
FEMALE
SECTION II – BODY MASS INDEX
(see instructions for more information)
(ft)
(in)
Weight:
(lbs.)
BMI:
kg/m
2
Height:
SECTION III – ANNUAL PHYSICAL FITNESS TEST
(Check the box for each exercise completed and record
measurement and point value. Approved elliptical and stationary bikes and the offset values are found in the APFT
Procedures. Select ONE exercise for categories A and C). Each officer must complete all categories.
CATEGORY A – CARDIORESPIRATORY ENDURANCE (perform one of the following)
Category A
number of points:
Run (1.5 mi)
(time recorded to the nearest second)
Swim (450 m)
(time recorded to the nearest second)
Swim (500 yd.)
Elliptical/bike
(time recorded to the nearest second)
model:
(calories from machine + offset value) ÷ body weight (lbs.)
Elliptical
Stationary Bike
(calories from machine + offset value) ÷ body weight (lbs.)
CATEGORY B – UPPER BODY ENDURANCE
Category B
number of points:
Push - ups
(record number completed in 2 minutes)
CATEGORY C – CORE ENDURANCE (perform one of the following)
Category C
Plank
number of points:
(record time in seconds that position is held)
Side bridge
(record time in seconds that position is held)
Sit-ups
(record number completed in 2 minutes)
CATEGORY D – FLEXIBILITY (seated toe touch exercise)
Satisfactory
Did touch toes (Satisfactory)
Did not touch toes (Unsatisfactory*)
Unsatisfactory
*lowers overall APFT one level
SECTION IV – SCORING
(Calculate overall score and check corresponding APFT level). To pass the APFT, an officer
must achieve satisfactory or greater on Category A, B, & C. Scoring unsatisfactory on the seated toe touch lowers the
overall APFT score by one level.
WORKSHEET
APFT LEVEL (check box)
Maximum
= 100 points (maximum on each exercise)
1. Total number of points from Category A, B, & C:
Outstanding = 90-99 points
2. Divide total in line 1 by 3*:
Excellent
= 75-89 points
*Officers who have a medical wavier for a category should only
Good
= 60-74 points
divide by the number of categories completed.
Satisfactory = 45-59 points
3. If Category D is unsatisfactory, decrease APFT level by one.
Failure
= <45 points
SECTION V – VERIFICATION OF RESULTS
TESTING OFFICIAL (Print last, first, middle initial)
EMPLOYEE ID (Corps officers only)
TESTING OFFICIAL’S SIGNATURE
EMAIL ADDRESS
OFFICER’S SIGNATURE
EMAIL ADDRESS
PHS-7044 (1/16)
Page 1 of 2
EF
PSC Publishing Services (301) 443-6740
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