Pre-Employment Physical Fitness Report
Candidate Information
Full Name:
Date of Birth:
Position Applied For:
Date of Examination:
Vital Signs
Measurement
Result
Reference
Height
cm
Weight
kg
Blood Pressure
mmHg
Pulse Rate
bpm
Physical Fitness Assessment
Test
Result
Remarks
Cardiovascular Endurance
Muscular Strength
Muscular Endurance
Flexibility
Body Composition
General Medical Remarks
Observations:
Fitness for Duty
Medically Fit:
Medically Unfit:
Conditional Fit (with remarks):
Physician Name:
Signature:
Date: