Phisical Readiness Program
Phisical Readiness Program
Phisical Readiness Program
OPNAVINST 6110.1H
PERS-676
15 Aug 05
3. Applicability
4. Policy
2
OPNAVINST 6110.1H
15 Aug 05
5. Action
3
OPNAVINST 6110.1H
15 Aug 05
/s/
G. L. HOEWING
Vice Admiral, U.S. Navy
Deputy Chief of Naval Operations
(Manpower, Personnel, Training,
and Education)
Distribution:
Electronic only via Navy Directives Web site
http://neds.daps.dla.mil/
4
OPNAVINST 6110.1H
15 Aug 05
Enclosure (1)
OPNAVINST 6110.1H
15 Aug 05
2 Enclosure (1)
OPNAVINST 6110.1H
15 Aug 05
3 Enclosure (1)
OPNAVINST 6110.1H
15 Aug 05
4 Enclosure (1)
OPNAVINST 6110.1H
15 Aug 05
5 Enclosure (1)
OPNAVINST 6110.1H
15 Aug 05
6 Enclosure (1)
OPNAVINST 6110.1H
15 Aug 05
7 Enclosure (1)
OPNAVINST 6110.1H
15 Aug 05
2. Purpose of PFA
3. PFA Components
(a) Curl-ups.
(b) Push-ups.
Enclosure (2)
OPNAVINST 6110.1H
15 Aug 05
4. Scheduling of PFA
2 Enclosure (2)
OPNAVINST 6110.1H
15 Aug 05
3 Enclosure (2)
OPNAVINST 6110.1H
15 Aug 05
f. Day of PRT
4 Enclosure (2)
OPNAVINST 6110.1H
15 Aug 05
5 Enclosure (2)
OPNAVINST 6110.1H
15 Aug 05
1. Medical Screening
Enclosure (3)
OPNAVINST 6110.1H
15 Aug 05
2 Enclosure (3)
OPNAVINST 6110.1H
15 Aug 05
3 Enclosure (3)
OPNAVINST 6110.1H
15 Aug 05
3. Medical Waivers
4 Enclosure (3)
OPNAVINST 6110.1H
15 Aug 05
5 Enclosure (3)
OPNAVINST 6110.1H
15 Aug 05
i. Pregnancy
6 Enclosure (3)
OPNAVINST 6110.1H
15 Aug 05
Member is referred by CFL for further evaluation following Member evaluated by a health care
PFA screening for a condition potentially requiring a provider authorized by command to do PFA
medical waiver medical waiver evaluations
Medical Waiver
Not
Medical Waiver Provider Recommended
Provider documents condition requiring a waiver. Recommended determines
Member is referred back to
Provider specifies which elements of PFA member can whether or
CFL and takes PFA
and cannot do. not a
waiver is
warranted
Is member able to
do their job, No Refer for or dictate Warranted
carry out duties LIMDU/MEDBOARD
LIMDU/MEDBOARD
of rate and rank, determination
and is world-wide
deployable? Not warranted
Provider gives general guidance to member and CFL as to what member can do to
maintain conditioning and body fat. CFL schedules member for makeup PFA following
Is the time of anticipated recovery. CFL counsels member on conditioning and body fat in
condition Yes preparation for make up PFA. CFL will consult appropriate specialities such as
expected to P.T., Ortho, Internist for guidance in developing a conditioning program for
improve before member.
the next PFA? CFL monitors member’s recovery at a minimum of every 4 weeks.
Can member be CFL works with provider and consultants such as P.T., Ortho.,
rehabilitated Yes etc. to design a conditioning and rehabilitation program for
with expectation member. CFL monitors member’s status in preparation for future
of taking PFA in PFA cycle at a minimum of every 8 weeks
the future?
No
Command designated Medical Department
representative reviews extended waiver request
Provider documents why condition is not expected to and makes recommendation to CO.
improve to allow member to fully participate in PFA
and refers member for an extended waiver of an
aspect of the PFA.
A-1 Appendix A to
Enclosure (3)
OPNAVINST 6110.1H
15 Aug 05
2. Responsibilities
c. Commands shall:
Enclosure (4)
OPNAVINST 6110.1H
15 Aug 05
c. Support Personnel
2 Enclosure (4)
OPNAVINST 6110.1H
15 Aug 05
3 Enclosure (4)
OPNAVINST 6110.1H
15 Aug 05
4 Enclosure (4)
OPNAVINST 6110.1H
15 Aug 05
1. Program Requirements
Enclosure (5)
OPNAVINST 6110.1H CH-1
19 May 06
2 Enclosure (5)
OPNAVINST 6110.1H
15 Aug 05
(4) Are waived from one PRT exercise event and score
“probationary” on each of the other two events.
(5) Are waived from two PRT exercise events and score
“probationary” on the third event.
3 Enclosure (5)
OPNAVINST 6110.1H
15 Aug 05
f. PT
4 Enclosure (5)
OPNAVINST 6110.1H
15 Aug 05
4. PT Principles
5 Enclosure (5)
OPNAVINST 6110.1H
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6 Enclosure (5)
OPNAVINST 6110.1H
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7 Enclosure (5)
OPNAVINST 6110.1H
15 Aug 05
(4) Flexibility.
8 Enclosure (5)
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9 Enclosure (5)
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10 Enclosure (5)
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11 Enclosure (5)
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15 Aug 05
2. Purpose
Age (years)
17-39 40-40+
Male 22% 23%
Female 33% 34%
Enclosure (6)
OPNAVINST 6110.1H
15 Aug 05
2 Enclosure (6)
OPNAVINST 6110.1H
15 Aug 05
3 Enclosure (6)
OPNAVINST 6110.1H
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4 Enclosure (6)
OPNAVINST 6110.1H
15 Aug 05
5 Enclosure (6)
OPNAVINST 6110.1H
15 Aug 05
6 Enclosure (6)
OPNAVINST 6110.1H
15 Aug 05
5. Grading BCA
7 Enclosure (6)
OPNAVINST 6110.1H
15 Aug 05
APPENDIX A
MAXIMUM WEIGHT FOR HEIGHT SCREENING TABLE
Maximum Weight in Pounds
Men Member’s Height Women
Maximum Weight (Inches) (fractions rounded up Maximum Weight
(pounds) to nearest whole inch) (pounds)
97 51 102
102 52 106
107 53 110
112 54 114
117 55 118
122 56 123
127 57 127
131 58 131
136 59 136
141 60 141
145 61 145
150 62 149
155 63 152
160 64 156
165 65 160
170 66 163
175 67 167
181 68 170
186 69 174
191 70 177
196 71 181
201 72 185
206 73 189
211 74 194
216 75 200
221 76 205
226 77 211
231 78 216
236 79 222
241 80 227
246 81 233
251 82 239
256 83 245
261 84 251
266 85 257
271 86 263
A-1 Appendix A to
Enclosure (6)
OPNAVINST 6110.1H
15 Aug 05
APPENDIX B
PERCENT FAT ESTIMATION FOR MEN
B-1 Appendix B to
Enclosure (6)
OPNAVINST 6110.1H
15 Aug 05
APPENDIX B
PERCENT FAT ESTIMATION FOR MEN (CONT’D)
B-2 Appendix B to
Enclosure (6)
OPNAVINST 6110.1H
15 Aug 05
APPENDIX B
PERCENT FAT ESTIMATION FOR MEN (CONT’D)
B-3 Appendix B to
Enclosure (6)
OPNAVINST 6110.1H
15 Aug 05
APPENDIX B
PERCENT FAT ESTIMATION FOR MEN
B-4 Appendix B to
Enclosure (6)
OPNAVINST 6110.1H
15 Aug 05
APPENDIX B
PERCENT FAT ESTIMATION FOR WOMEN
B-5 Appendix B to
Enclosure (6)
OPNAVINST 6110.1H
15 Aug 05
APPENDIX B
PERCENT FAT ESTIMATION FOR WOMEN (CONT’D)
B-6 Appendix B to
Enclosure (6)
OPNAVINST 6110.1H
15 Aug 05
APPENDIX B
PERCENT FAT ESTIMATION FOR WOMEN (CONT’D)
B-7 Appendix B to
Enclosure (6)
OPNAVINST 6110.1H
15 Aug 05
APPENDIX B
PERCENT FAT ESTIMATION FOR WOMEN (CONT’D)
B-8 Appendix B to
Enclosure (6)
OPNAVINST 6110.1H
15 Aug 05
APPENDIX B
PERCENT FAT ESTIMATION FOR WOMEN (CONT’D)
B-9 Appendix B to
Enclosure (6)
OPNAVINST 6110.1H
15 Aug 05
APPENDIX B
PERCENT FAT ESTIMATION FOR WOMEN (CONT’D)
B-10 Appendix B to
Enclosure (6)
OPNAVINST 6110.1H
15 Aug 05
APPENDIX B
PERCENT FAT ESTIMATION FOR WOMEN (CONT’D)
B-11 Appendix B to
Enclosure (6)
OPNAVINST 6110.1H
15 Aug 05
APPENDIX B
PERCENT FAT ESTIMATION FOR WOMEN (CONT’D)
B-12 Appendix B to
Enclosure (6)
OPNAVINST 6110.1H
15 Aug 05
Enclosure (7)
OPNAVINST 6110.1H
15 Aug 05
4. Event sequence
2 Enclosure (7)
OPNAVINST 6110.1H
15 Aug 05
5. Event procedures
a. Sit-reach
3 Enclosure (7)
OPNAVINST 6110.1H
15 Aug 05
b. Curl-ups
4 Enclosure (7)
OPNAVINST 6110.1H
15 Aug 05
c. Push-ups
5 Enclosure (7)
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6 Enclosure (7)
OPNAVINST 6110.1H
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7 Enclosure (7)
OPNAVINST 6110.1H
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8 Enclosure (7)
OPNAVINST 6110.1H
15 Aug 05
(d) Swimmers may push off from sides with hands and
feet after each pool length.
6. Options
9 Enclosure (7)
OPNAVINST 6110.1H
15 Aug 05
9. Grading PRT
10 Enclosure (7)
OPNAVINST 6110.1H
15 Aug 05
(2) Any two PRT events (other than sit reach) when the
third is medically waived.
c. Point assignment
11 Enclosure (7)
OPNAVINST 6110.1H
15 Aug 05
Performance
Event Performance Category-Level Points
Curl-ups 91 Excellent High 85
Push-ups 26 Good Medium 65
Satisfactory
Run 15:23 55
High
85 + 65 + 55 = 205 points.
12 Enclosure (7)
OPNAVINST 6110.1H
15 Aug 05
APPENDIX A
PHYSICAL READINESS TEST STANDARDS
(TEST SITE ELEVATION LESS THAN 5,000 FT ABOVE SEA LEVEL)
A-1 Appendix A to
Enclosure (7)
OPNAVINST 6110.1H
15 Aug 05
APPENDIX A
PHYSICAL READINESS TEST STANDARDS
(TEST SITE ELEVATION LESS THAN 5,000 FT ABOVE SEA LEVEL)
(CONT’D)
A-2 Appendix A to
Enclosure (7)
OPNAVINST 6110.1H
15 Aug 05
APPENDIX A
PHYSICAL READINESS TEST STANDARDS
(TEST SITE ELEVATION LESS THAN 5,000 FT ABOVE SEA LEVEL)
(CONT’D)
A-3 Appendix A to
Enclosure (7)
OPNAVINST 6110.1H
15 Aug 05
APPENDIX A
PHYSICAL READINESS TEST STANDARDS
(TEST SITE ELEVATION LESS THAN 5,000 FT ABOVE SEA LEVEL)
(CONT’D)
A-4 Appendix A to
Enclosure (7)
OPNAVINST 6110.1H
15 Aug 05
APPENDIX A
PHYSICAL READINESS TEST STANDARDS
(TEST SITE ELEVATION LESS THAN 5,000 FT ABOVE SEA LEVEL)
(CONT’D)
A-5 Appendix A to
Enclosure (7)
OPNAVINST 6110.1H
15 Aug 05
APPENDIX A
PHYSICAL READINESS TEST STANDARDS
(TEST SITE ELEVATION LESS THAN 5,000 FT ABOVE SEA LEVEL)
(CONT’D)
A-6 Appendix A to
Enclosure (7)
OPNAVINST 6110.1H
15 Aug 05
APPENDIX A
PHYSICAL READINESS TEST STANDARDS
(TEST SITE ELEVATION LESS THAN 5,000 FT ABOVE SEA LEVEL)
(CONT’D)
A-7 Appendix A to
Enclosure (7)
OPNAVINST 6110.1H
15 Aug 05
APPENDIX A
PHYSICAL READINESS TEST STANDARDS
(TEST SITE ELEVATION LESS THAN 5,000 FT ABOVE SEA LEVEL)
(CONT’D)
A-8 Appendix A to
Enclosure (7)
OPNAVINST 6110.1H
15 Aug 05
APPENDIX A
PHYSICAL READINESS TEST STANDARDS
(TEST SITE ELEVATION LESS THAN 5,000 FT ABOVE SEA LEVEL)
(CONT’D)
A-9 Appendix A to
Enclosure (7)
OPNAVINST 6110.1H
15 Aug 05
APPENDIX A
PHYSICAL READINESS TEST STANDARDS
(TEST SITE ELEVATION LESS THAN 5,000 FT ABOVE SEA LEVEL)
(CONT’D)
A-10 Appendix A to
Enclosure (7)
OPNAVINST 6110.1H
15 Aug 05
APPENDIX A
PHYSICAL READINESS TEST STANDARDS
(TEST SITE ELEVATION LESS THAN 5,000 FT ABOVE SEA LEVEL)
(CONT’D)
A-11 Appendix A to
Enclosure (7)
OPNAVINST 6110.1H
15 Aug 05
APPENDIX B
PHYSICAL READINESS TEST STANDARDS
(TEST SITE ELEVATION GREATER THAN 5,000 FT ABOVE SEA LEVEL)
B-1 Appendix B to
Enclosure (7)
OPNAVINST 6110.1H
15 Aug 05
APPENDIX B
PHYSICAL READINESS TEST STANDARDS
(TEST SITE ELEVATION GREATER THAN 5,000 FT ABOVE SEA LEVEL)
(CONT’D)
B-2 Appendix B to
Enclosure (7)
OPNAVINST 6110.1H
15 Aug 05
APPENDIX B
PHYSICAL READINESS TEST STANDARDS
(TEST SITE ELEVATION GREATER THAN 5,000 FT ABOVE SEA LEVEL)
(CONT’D)
B-3 Appendix B to
Enclosure (7)
OPNAVINST 6110.1H
15 Aug 05
APPENDIX B
PHYSICAL READINESS TEST STANDARDS
(TEST SITE ELEVATION GREATER THAN 5,000 FT ABOVE SEA LEVEL)
(CONT’D)
B-4 Appendix B to
Enclosure (7)
OPNAVINST 6110.1H
15 Aug 05
APPENDIX B
PHYSICAL READINESS TEST STANDARDS
(TEST SITE ELEVATION GREATER THAN 5,000 FT ABOVE SEA LEVEL)
(CONT’D)
B-5 Appendix B to
Enclosure (7)
OPNAVINST 6110.1H
15 Aug 05
APPENDIX B
PHYSICAL READINESS TEST STANDARDS
(TEST SITE ELEVATION GREATER THAN 5,000 FT ABOVE SEA LEVEL)
(CONT’D)
B-6 Appendix B to
Enclosure (7)
OPNAVINST 6110.1H
15 Aug 05
APPENDIX B
PHYSICAL READINESS TEST STANDARDS
(TEST SITE ELEVATION GREATER THAN 5,000 FT ABOVE SEA LEVEL)
(CONT’D)
B-7 Appendix B to
Enclosure (7)
OPNAVINST 6110.1H
15 Aug 05
APPENDIX B
PHYSICAL READINESS TEST STANDARDS
(TEST SITE ELEVATION GREATER THAN 5,000 FT ABOVE SEA LEVEL)
(CONT’D)
B-8 Appendix B to
Enclosure (7)
OPNAVINST 6110.1H
15 Aug 05
APPENDIX B
PHYSICAL READINESS TEST STANDARDS
(TEST SITE ELEVATION GREATER THAN 5,000 FT ABOVE SEA LEVEL)
(CONT’D)
B-9 Appendix B to
Enclosure (7)
OPNAVINST 6110.1H
15 Aug 05
APPENDIX B
PHYSICAL READINESS TEST STANDARDS
(TEST SITE ELEVATION GREATER THAN 5,000 FT ABOVE SEA LEVEL)
(CONT’D)
B-10 Appendix B to
Enclosure (7)
OPNAVINST 6110.1H
15 Aug 05
APPENDIX B
PHYSICAL READINESS TEST STANDARDS
(TEST SITE ELEVATION GREATER THAN 5,000 FT ABOVE SEA LEVEL)
(CONT’D)
B-11 Appendix B to
Enclosure (7)
OPNAVINST 6110.1H
15 Aug 05
ADMINISTRATIVE ACTIONS
Enclosure (8)
OPNAVINST 6110.1H
15 Aug 05
2 Enclosure (8)
OPNAVINST 6110.1H
15 Aug 05
(3) Officers
3 Enclosure (8)
OPNAVINST 6110.1H CH-1
19 May 06
4 Enclosure (8)
OPNAVINST 6110.1H CH-1
19 May 06
4a Enclosure (8)
OPNAVINST 6110.1H
15 Aug 05
5 Enclosure (8)
OPNAVINST 6110.1H
15 Aug 05
6 Enclosure (8)
OPNAVINST 6110.1H
15 Aug 05
7 Enclosure (8)
OPNAVINST 6110.1H
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8 Enclosure (8)
OPNAVINST 6110.1H
15 Aug 05
9 Enclosure (8)
OPNAVINST 6110.1H
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10 Enclosure (8)
OPNAVINST 6110.1H
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11 Enclosure (8)
OPNAVINST 6110.1H
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12 Enclosure (8)
OPNAVINST 6110.1H
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13 Enclosure (8)
OPNAVINST 6110.1H
15 Aug 05
Figure 8-1. Physical Fitness Assessment Failure
Consequence Decision Process.
FAILED PFA
DURING
REPORTING
CYCLE
BLK 20: As appropriate
BLK 41: Results of other
PFAs during reporting
period
ENLISTED
SELECTED Must pass Page 13
FOR YES next
PROMOTION official
OR PFA to BLK 36: 1.0
ADVANCEMENT regain BLK 45: “Significant
eligibility Problems”
BLK 47: “Not
Recommended”
OFFICERS
Letter of Notification
Figure 8-1 to
Enclosure (8)
OPNAVINST 6110.1H
15 Aug 05
ADMINISTRATIVE COUNSELING/WARNING
(Place on NAVPERS 1070/613, Administrative Remarks Page)
A-1 Appendix A to
Enclosure (8)
OPNAVINST 6110.1H
15 Aug 05
A-2 Appendix A to
Enclosure (8)
OPNAVINST 6110.1H
15 Aug 05
_______________________
Commanding Officer
______________________________ _______________________
Member’s Signature Date
______________________________ _______________________
Witness's Signature Date
Copy to:
NAVPERSCOM (PERS-312C)
A-3 Appendix A to
Enclosure (8)
OPNAVINST 6110.1H
15 Aug 05
B-1 Appendix B to
Enclosure (8)
OPNAVINST 6110.1H
15 Aug 05
_______________________
Commanding Officer
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
From: Rank, Name, (Corps), USN(R), (SSN/Designator)
To: Commanding Officer, COMMAND
B-3 Appendix B to
Enclosure (8)
OPNAVINST 6110.1H
15 Aug 05
______________________________ _______________________
Member’s Signature Date
______________________________ _______________________
Witness's Signature Date
Copy to:
NAVPERSCOM (PERS-4834)
B-4 Appendix B to
Enclosure (8)
OPNAVINST 6110.1H
15 Aug 05
ADVANCEMENT/FROCKING/PROMOTION WITHDRAWN
___________________________ ___________________________
CO/OIC (No By direction) (Member’s Signature)/Date
C-1 Appendix C to
Enclosure (8)
OPNAVINST 6110.1H CH-1
19 May 06
D-1 Appendix D to
Enclosure (8)
OPNAVINST 6110.1H CH-1
19 May 06
D-2 Appendix D to
Enclosure (8)
OPNAVINST 6110.1H CH-1
19 May 06
CO
Yes Yes
CO
Final Determination ISIC
Endorsement
ECM/OCM Echelon 3
Coordination Final Determination
D-3 Appendix D to
Enclosure (8)
OPNAVINST 6110.1H CH-1
19 May 06
a. E6 or above preferred.
b. CPR qualified.
Enclosure (9)
OPNAVINST 6110.1H
15 Aug 05
2 Enclosure (9)
OPNAVINST 6110.1H
15 Aug 05
Enclosure (10)
OPNAVINST 6110.1H
15 Aug 05
TABLE OF CONTENTS
TOPIC PAGES
2 Enclosure (10)
OPNAVINST 6110.1H
15 Aug 05
DATE
COMMAND FITNESS LEADER COMPLETED
____________
Review written summary from the previous PFA.
3 Enclosure (10)
OPNAVINST 6110.1H
15 Aug 05
DATE
COMMAND FITNESS LEADER COMPLETED
Establish Command policy regarding members’
conflicts (drills, TAD, leave, vacation,
deployment). ____________
Other: ____________
4 Enclosure (10)
OPNAVINST 6110.1H
15 Aug 05
DATE
SCHEDULING COMPLETED
Evaluate schedule limitations for PFA.
____________
Determine time (hours, day, etc.) limitations;
check base schedule.
____________
Determine personnel requirements.
____________
5 Enclosure (10)
OPNAVINST 6110.1H
15 Aug 05
DATE
EQUIPMENT/SUPPLIES COMPLETED
Review last PFA list of what was rented,
borrowed, and purchased… from where and how
much. ____________
6 Enclosure (10)
OPNAVINST 6110.1H
15 Aug 05
DATE
FACILITIES COMPLETED
Reserve adequate fitness facilities (include
pool if available).
____________
Obtain written fitness facility reservation
well in advance.
____________
Secure back-up testing facility.
____________
Determine alternate date for run in case of
outdoor inclement weather.
____________
Develop procedures for facility set up and
take down.
____________
Secure crew for maintenance and preparations
of facility.
____________
7 Enclosure (10)
OPNAVINST 6110.1H
15 Aug 05
DATE
FACILITIES COMPLETED
Select and measure the most level 1.5-mile
course available. The course:
• should be free of steep inclines and
declines, surface irregularities, and
sharp turns
• must be accessible to emergency vehicles
• must have cell phone, walkie-talkies or be
near a telephone for emergency reasons
A measuring wheel can be checked out from MWR
to verify or measure the course distance;
permanent markers are advised. ____________
8 Enclosure (10)
OPNAVINST 6110.1H
15 Aug 05
DATE
RISK MANAGEMENT COMPLETED
Identify all safety and liability concerns. ____________
9 Enclosure (10)
OPNAVINST 6110.1H
15 Aug 05
DATE
RISK MANAGEMENT COMPLETED
Identify clear warning signs of risks.
1. Weather Wet Bulb Globe Test (WBGT) Index
(flag condition BLU GRE AMB RED BLA).
2. Wind chill __ degrees).
3. Location (inspect for hazardous objects ____________
and obstructions).
Other: ____________
10 Enclosure (10)
OPNAVINST 6110.1H
15 Aug 05
DATE
FORMS COMPLETED
Obtain a Facility Rental Application Form
____________
Other:
____________
11 Enclosure (10)
OPNAVINST 6110.1H
15 Aug 05
DATE
COMMAND FITNESS LEADER COMPLETED
Develop an appropriate format for the
completion of the test. _____________
12 Enclosure (10)
OPNAVINST 6110.1H
15 Aug 05
DATE
COMMAND FITNESS LEADER COMPLETED
Provide the Navy Weight Control Self-study
Guide to any member who fails to meet body _____________
composition standards.
Other: _____________
13 Enclosure (10)
OPNAVINST 6110.1H
15 Aug 05
DATE
SCHEDULING COMPLETED
Develop a master schedule form for the PRT. _____________
Other: _____________
14 Enclosure (10)
OPNAVINST 6110.1H
15 Aug 05
DATE
EQUIPMENT/SUPPLIES COMPLETED
Obtain all equipment and supplies needed for
event:
_____ chairs
_____ water/cooler
_____ tables
_____ paper cups
_____ clipboards
_____ First Aid kit
_____ floor mats
_____ Automated External Deliberator (AED)
(if equipment and trained operators are
available)
_____ scorecards
_____ stopwatches(measures
both minutes and seconds)
_____ pencils/pens
_____ measuring wheel (1.5
mile run) _____________
_____ runner numbers
Other: _____________
15 Enclosure (10)
OPNAVINST 6110.1H
15 Aug 05
DATE
FACILITIES COMPLETED
Reserve room for member meeting. _____________
16 Enclosure (10)
OPNAVINST 6110.1H
15 Aug 05
DATE
PERSONNEL COMPLETED
17 Enclosure (10)
OPNAVINST 6110.1H
15 Aug 05
DATE
RISK MANAGEMENT COMPLETED
Train staff on proper procedures for
identifying and handling weather and
environmental conditions. _____________
18 Enclosure (10)
OPNAVINST 6110.1H
15 Aug 05
DATE
COMMAND FITNESS LEADER COMPLETED
Consult with Commander, CO, or OIC regarding
last minute cancellation procedures if unsafe
weather conditions are present. ___________
Other: ___________
19 Enclosure (10)
OPNAVINST 6110.1H
15 Aug 05
DATE
COMMAND FITNESS LEADER COMPLETED
Implement and monitor rules and regulations of
the events. ___________
Other: ___________
20 Enclosure (10)
OPNAVINST 6110.1H
15 Aug 05
DATE
MEMBERS COMPLETED
Verify all members have been approved to
participate. ___________
21 Enclosure (10)
OPNAVINST 6110.1H
15 Aug 05
DATE
MEMBERS COMPLETED
7. Do you know of any other reason why you ___________
should not do physical activity?
22 Enclosure (10)
OPNAVINST 6110.1H
15 Aug 05
DATE
MEMBERS COMPLETED
Check to be sure that all members are dressed
appropriately for weather conditions and ____________
wearing proper footwear.
Other: ___________
23 Enclosure (10)
OPNAVINST 6110.1H
15 Aug 05
DATE
SCHEDULING COMPLETED
Display physical readiness test performance
standards at PRT site. ____________
Other: ____________
24 Enclosure (10)
OPNAVINST 6110.1H
15 Aug 05
DATE
EQUIPMENT/SUPPLIES COMPLETED
Replace broken equipment if needed. ____________
Other: ____________
25 Enclosure (10)
OPNAVINST 6110.1H
15 Aug 05
DATE
FACILITIES COMPLETED
Supervise facility cleaning before and after ____________
event.
Other: ____________
26 Enclosure (10)
OPNAVINST 6110.1H
15 Aug 05
DATE
PERSONNEL
COMPLETED
Review assistant’s and monitor’s performance.
Report to appropriate Commander, CO, or OIC. ____________
Confirm:
• scorers
• monitors
• demonstrator for each test
____________
• safety, control, and medical personnel
Other: ____________
27 Enclosure (10)
OPNAVINST 6110.1H
15 Aug 05
28 Enclosure (10)
OPNAVINST 6110.1H
15 Aug 05
Other: ____________
29 Enclosure (10)
OPNAVINST 6110.1H
15 Aug 05
DATE
COMMAND FITNESS LEADER COMPLETED
Record and evaluate number of major and minor
injuries (All injuries reported to Safety ____________
Office within 48 hours).
30 Enclosure (10)
OPNAVINST 6110.1H
15 Aug 05
DATE
MEMBERS COMPLETED
Enter each member’s score using PRIMS ____________
Other: ____________
31 Enclosure (10)
OPNAVINST 6110.1H
15 Aug 05
DATE
SCHEDULING COMPLETED
Prepare after action reports to chain of
command. This will include, but not be
limited to, the following:
Problems encountered
Schedule conflicts
Weather problems
appropriate schedule for next year
revisions to procedures _____________
Other:
32 Enclosure (10)
OPNAVINST 6110.1H
15 Aug 05
DATE
FACILITIES COMPLETED
Evaluate if facilities were adequate _____________
Others: _____________
33 Enclosure (10)
OPNAVINST 6110.1H
15 Aug 05
DATE
ASSISTANTS COMPLETED
Schedule CFL assistant training for next PFA _____________
cycle
Other: _____________
34 Enclosure (10)
OPNAVINST 6110.1H
15 Aug 05
DATE
RISK MANAGEMENT/SAFETY COMPLETED
Other: _____________
35 Enclosure (10)
OPNAVINST 6110.1H
15 Aug 05
Enclosure (11)
OPNAVINST 6110.1H
15 Aug 05
10. Does Command ENTER all Command PFA results into PRIMS
within 30 days of completing PRT? Yes No
18. Are all members, officers and enlisted, who fail to meet
Physical Readiness Program standards subject to the
administrative actions outlined in OPNAVINST 6110.1H?
Yes No
19. Are administrative actions for all members who do not meet
Physical Readiness Program standards documented in a Page 13 or
letter to member? Yes No
2 Enclosure (11)
OPNAVINST 6110.1H
15 Aug 05
22. Does the CFL advise the chain of command on all Physical
Readiness Program matters, particularly about members who need
assistance in meeting standards or are in danger of being
processed for administrative separation or ineligible for
reenlistment? Yes No
23. Does the CFL report existence of all injuries and illnesses
attributable to Physical Readiness Program activities to command
safety officer? Yes No
26. Does the CFL maintain updated health and physical fitness
educational resources for use by command personnel?
Yes No
30. Does galley ensure that healthy food choices are available
to all members? Yes No
3 Enclosure (11)