1. PHYSICAL FITNESS TESTING PAEC EXAMPLE Effective 01 May 2003

2. PHYSICAL FITNESS TESTING 1. Safety Concerns Prior to Conducting PFT a. Operational Risk Management (ORM): (1) An ORM analysis of the event shall be completed at least 24 hours prior to PFT. The ORM process should use the “what if” tool and must include all aspects of the scheduled PFT, from individual’s medical/physical condition, current medications, etc., to terrain, weather, back-up emergency communications, etc.

3. PHYSICAL FITNESS TESTING 2. Safety Concerns Prior to Conducting PRT a. Operational Risk Management (ORM): (2) Steps shall be taken to ensure all known risks are eliminated to the maximum extent possible. Controls shall be put in place to reduce, to an acceptable level, any risks still existing. It is recommended that the ORM process be documented, and that the appropriate level of authority within the SCHOOL chain of command be given the opportunity to make risk decisions.

4. PHYSICAL FITNESS TESTING 3. Safety Concerns Prior to Conducting PFT a. Operational Risk Management (ORM): (3) Steps should be taken to ensure a “change analysis” is conducted anytime there is a significant change in any portion of the PFT. Guidelines on conducting a successful ORM analysis may be found in the PAEC Safety Manual.

5. STUDENTS “ All students shall be referred to the local Medical facilities for evaluation and clearance to participate in sports and the PFT:

6. PHYSICAL FITNESS TESTING Operational Analysis Effective 01 May 2003, students are now required to participate in the PFT program. Requirement: Minimum Standard Curl-Ups: 30 Push-Ups: 5 1.5-Mile Run: 17:15 Swim: 15:15 (optional)

7. ORM Overview 1. Identify Hazards 2. Hazard Assessment 3. Make Risk Decisions 4. Implement Controls 5. Supervise

8. Identify Hazards Brainstorming Session Heart Attack Chest Pains Arthritic Problems Death of Student Physical Incapacitation

9. Identify Hazards (All) Brainstorming Session Angina Pectoris (All) Sprains (All) Trip/Fall Injuries (All) Heat Stress/Stroke (All) Respiratory Problems (All)

10. Hazard Assessment ProbabilitySeverity RAC 1. Heart AttackMay I2 2. Chest Pains (Sustained)Probably I 1 3. Arthritic ProblemsLikely III2 4. Death of Student May I2 5. Physical IncapacitationMay II 3

11. Hazard Assessment ProbabilitySeverity RAC 1. Angina PectorisMay I2 2. SprainMay IV5 3. Trip/Fall InjuriesMay III4 4. Heat Stress/StrokeMay II3 5. Respiratory ProblemsMay II3

12. Hazard Assessment Totem Pole ProbabilitySeverity RAC 1. Chest Pains (Sustained)Probably I 1 2. Heart AttackMay I2 3. Arthritic ProblemsLikely III2 4. Death of StudentMay I2 5. Angina PectorisMay I2 6. Heat Stress/StrokeMay II3 7. Physical IncapacitationMay II 3 8. Respiratory ProblemsMay II3 9. Trip/Fall InjuriesMay III4 10. SprainMay IV5

13. Make Risk Decisions “Medical clearance will be required for all students who have not successfully completed a PFT in the last 12 months.” Suggestion: Institute a remedial PFT work-up with graded exercises to safely monitor and achieve minimum PFT standards.

14. Make Risk Decisions Reject Delay Reduce

15. Definitions 1. Screening: Pre-PFT risk factor screening for all participants. 2. Medevac (Medical Evacuation): Ability to call an ambulance or lifeflight helo to evacuate serious medical concerns to a nearby hospital. 3. Nurse: Examination by assigned Nurse for minor complaints. Qualified in CPR/AED and First Aid 4. Flag: Verify that the heat/humidity conditions are within standards for PFT.

16. Implement Controls 1. Chest Pains (Sustained)Screening, Medevac 2. Heart AttackScreening, CPR, Medevac 3. Arthritic ProblemsScreening, Nurse 4. Death of StudentScreening, Medevac 5. Angina PectorisScreening, Medevac 6. Heat Stress/StrokeScreening, Flag Conditions 7. Physical IncapacitationScreening, Warm-Up 8. Respiratory ProblemsScreening, Nurse, ER 9. Trip/Fall InjuriesScreening, Inspect Course 10. SprainScreening, Nurse

17. Supervise 1. Formal School District Policy: 2. School Policy Staff Assignments Nurse Observers/Counters Timers Drivers 3. Common Sense

18. PHYSICAL FITNESS TESTING Thank-you for your attention!