Republic of the Philippines

Department of the Interior and Local Government

BUREAU OF FIRE PROTECTION
REGIONAL OFFICE III
DMGC, Brgy. Maimpis, City of San Fernando, Pampanga
Hotline Number: 0943-700-3136
Email: fcos.region3@bfp.gov.ph

PHYSICAL AGILITY TEST

(FO1/LATERAL ENTRY)

Name: ___________________________________________ Date: ________________

Region: ________________ Age: ________ Sex: ________

INITIAL VITALS

Height (m): _________ Weight (kg): __________ BP: _________ BMI: ________

GO/No-GO: ___________ Remarks/Diagnosis: _____________________________

Signature of Examinee EMS Safety Officer

Passing Score: 75 Points

EVENT SCORE/TIME POINTS REMARKS

Pull-ups/Full Arms Hanging

Push-ups (1 min.)

Sit-ups (1 min.)

100-Meter Dash (Female)

3km Endurance Run (Male)

Pick-up and Carry - 1.5 Hose
(Female)
Pick-up and Carry - 2.5 Hose
(Male)
Pick-up and Carry - 25 kg
(Female)
Pick-up and Carry - 50 kg
(Male)
TOTAL

FINAL RESULT (Pass/Fail): _______________________

PAT Officer

BFP-QSF-HRMD-011 Rev. Ø1 (02.09.23)

 Republic of the Philippines
Department of the Interior and Local Government
BUREAU OF FIRE PROTECTION
REGIONAL OFFICE III
DMGC, Brgy. Maimpis, City of San Fernando, Pampanga
Hotline Number: 0943-700-3136
Email: fcos.region3@bfp.gov.ph

PHYSICAL AGILITY TEST WAIVER FORM

I, ____________________________________________, _______ years old,

resident of _________________________________________________ do hereby

submit myself voluntarily to undergo the Physical Agility Test (PAT) for Fire Officer 1

(FO1) applicant, and fully understand that the BFP Regional Office 3 shall not be held

liable / responsible for any injury that I might acquire in the process.

_____________________ ______________________
Witness Applicant’s Signature

jppm/cul/OPN/Physical Agility Test/PAT Waiver

BFPR3-WAIVER-OPN-APR2024-001