ATTACHMENT_02__ASO_Physical_Ability_Testing_Manual.pdf

Medical Examination exhibit 13(a)

ATTACHMENT 2

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Physical Abilities Test Manual

Physical Ability Standard

This Manual provides detailed instructions for administering submaximal stamina test for

Protective Security Officers (ASOs). Physical ability standards for ASOs are based on an extensive job analysis and are designed to ensure that candidates will be able to perform assigned tasks.

Aerobic Capacity Test Administration

To insure a candidate possesses adequate aerobic power (stamina), a standardized aerobic capacity test is administered. Aerobic test is a submaximal effort. Maximum oxygen consumption is estimated, rather than measured. Required standard is 9 METs or

V02max of31.5 mllkg/min.

Licensed physician or hiring agency may use any of the three methods listed below for administering this test:

1. Step Test: Heart rate is monitored while the candidate steps up and down from a bench 10 or 11 inches high and large enough such that a candidate can safely step up and down without risk for six minutes. Stepping rate ranges from 18 to 24 ascents per minute. Heart rate, step rate, and bench height are used to compute the candidate's maximum aerobic power in mL/kg/min (American College of Sports

Medicine, 1980; Astrand and Rodah1, 1986).

2. Stepmill Test: Heart rate is monitored while the candidate steps on a moving tread with two stepping rates of 18 and 24 ascents per minute. The workload is increased after the first three minutes. Heart rate, step rate, and workload are used to compute the candidate's maximum aerobic power in mL/kg/min (American College of Sports

Medicine, 1980; Astrand and Rodahl, 1986).

3. Treadmill Test: Heart rate is monitored while the candidate walks/jogs on a motorized treadmill at a known speed and inclination. The workload is increased after the first three minutes by increasing the inclination of the treadmill. Heart rate and treadmill speed and inclination are used to compute the candidate's maximum aerobic power in mL/kg/min (American College of Sports Medicine, 1980; A strand and Rodahl, 1986).

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THIS SPACE INTENTIONALLY LEFT BLANK

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Required Equipment:

o Step bench, stepmill, or treadmill o Step Bench must be 1 0 or 11 inches high, at least 36 inches wide and at least

24 inches deep.

o Stepmill must be designed for commercial use with treads at least 20 inches wide by 60 inches long with a tread height of eight (8) inches.

o Treadmill must be designed for commercial use, motorized, and capable of differential speed and inclination.

o Heart rate monitor with extra sensor belt o Stopwatch o Metronome o Ca1culator o Well-ventilated room with constant comfortable temperature o Writing utensils o Telephone or call button to summon emergency medical assistance with emergency number clearly posted for reference

Candidate Requirements:

o Candidates should not eat, smoke, or drink caffeinated beverages at least two hours prior to test o Candidates should avoid heavy physical exertion at least three hours prior to test o Candidate should be free of infection, including colds, prior to test

Test Administrator Requirements:

o American Red Cross or American Heart Association certified in cardiopulmonary resuscitation at the basic rescue level o Familiar with emergency procedures for the facility o Completely familiar with the required equipment and testing instructions before administering any tests o Maximum administrator to candidate ratio is one administrator to six candidates

Prior to Administering Test:

o Calculate and record candidate’s resting heart rate (RHR) and maximum heart rate o Determine and record heart rate at which to stop testing o Read all instructions to candidate

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Calculations:

Under 40, healthy in appearance, not estimated to be overweight, and from questioning, pursues an active lifestyle (work and/or recreation).

Under 40 and overweight or sedentary lifestyle, OR Over 40, not overweight, and active.

Over 40 and sedentary.

Estimating Maximum Heart Rate (HRmax)

Maximal heart rate does not differ substantially between genders, but does decrease with age.

Following chart identifies an accurate estimate of HRmax and Heart Rate to Terminate

Testing.

Determining Heart Rate at Which to Terminate Testing

A submaximal aerobic capacity test should be stopped if heart rate reaches 85% of candidate's estimated maximum. A table of age and predicted maximum heart rates and level to stop the testing is presented below. Testing without a licensed physician present is considered safe only up to 85% to 90% of maximum heart rate. This value can be determined by the following equation, and should be prominently recorded on a data sheet:

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Heart Rate to Terminate Aerobic Capacity Test= 0.85 x Max HR

NOTE: Heart rate to terminate test (HRtt) could be set at even lower levels in instances where there is special concern about a given candidate (i.e., older candidate, or suspected very low fitness). Some facilities may elect to take a generally more conservative approach

To a certain extent, this can be accomplished without loss of accuracy.

23 198 168 46 183 155

24 197 168 47 182 155

25 197 167 48 181 154

26 196 167 49 181 153

27 195 166 50 180 153

28 195 165 51 179 152

29 194 165 52 179 152

30 193 164 53 178 151

31 193 164 54 177 151

32 192 163 55 177 150

33 191 163 56 176 149

34 191 162 175 149

35 190 161 175 148

36 189 161 174 148

37 189 160 173 147

38 188 160 173 147

39 187 159 172 146

40 187 159 63 171 146

41 186 158 64 171 145

42 185 157 65+ 170 144

43 185 157

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Getting Started:

Attach heart rate monitor electrodes (belted or disposable), to candidate. Make sure heart rate monitor is in good working order and candidate’s heartbeat appears as a regular rhythmic cursor on monitor. Read this statement to candidates prior to taking any test:

1. "You will be taking a test which will elevate your heart rate. You must get your physician's clearance before taking this test if you have:

• Known or suspected heart disease

• High blood pressure (hypertension)

• Back problems

• Chronic obstructive pulmonary disease such as asthma

• Or if you are taking prescribed medication

2. You should also consider getting your physician's clearance if you:

• Are in poor physical shape

• Are over 35, don't exert yourself regularly in occupational or recreational endeavors like hiking, walking, running, etc.

• Have any concerns about taking this test

3. You must stop taking test if you feel any of the following symptoms:

• Pain or tightness in chest

• Dizziness or light-headedness

• Unusual shortness of breath

• Any unusual pain

4. Testing procedures simulate demands of ASO position and are no direct reflection on your personal health. Unfortunately, there is a natural tendency to interpret these procedures as a physical examination which makes a definitive statement about a candidate's health. Thus, "failing" these tests can be a source of concern to a candidate. THESE TESTS IN NO WAY SHOULD BE CONSTRUED AS A

MEASURE OF YOUR PHYSICAL HEALTH."

During Test:

Monitor heart rate continuously and observe candidate's physical condition. It is important for the administrator to:

• Monitor heart rate continuously.

• Observe candidate's physical condition.

• Occasionally ask candidate, "How are you doing?"

• Keep candidate informed on how much time remains during test.

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Step Test

Step bench shall stable enough were a bench will not move and a candidate can safely step up and down.

The test protocol is as follows:

Level l: Three minutes at 18 Steps per minute

Level 2: Three minutes at 24 Steps per minute

Test Administration

1. Read to candidate: "You will be stepping up and down on this bench for a period of six minutes or until your heart rate reaches 85% of your age predicted maximum, whichever comes first." (Note: Test Administrator shall provide figures of maximum heart rate and

85% heart rate to candidate.)

2. Read to candidate: "It is important that on going up, you go all the way to where your leg is straight and your body is erect. (Demonstrate action). You may change lead legs, as you desire. (Demonstrate action). Your heart rate will be monitored during the entire test." (Note: Have each candidate try three to five ascents with metronome audible, to acquire, 'feel" before starting test.)

3. After candidate has had a few successful attempts, tell them to stop and stop metronome.

4. Read to candidate: "Are you ready?" (Note: Start metronome at 18 steps per minute (72 beats per minute on metronome).)

5. Read to candidate: "Begin test." (Note: Start stopwatch as candidate starts their first step.)

6. Monitor heart rate continuously and observe c a n d i d a t e ’ s p h y s i c a l c o n d i t i o n .

It is important for the administrator to:

a. Monitor heart rate continuously.

b. Observe candidate's physical condition.

c. Occasionally ask candidate, "How are you doing?"

d. Keep candidate informed o n how much time remains during test.

TERMINATE TEST IF CANDIDATE DOES NOT FEEL HE/SHE CAN COMPLETE

SIX MINUTES

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TERMINATE TEST IF ANY SYMPTOMS LISTED IN PRECAUTIONS OCCURS

a. If candidate heart rate exceeds 85% of age predicted maximum

b. Candidate is not physically qualified

c. He/she may be over stressed by test

DO NOT DISCUSS PERFORMANCE OR SCORES

7. Monitor candidate's pace. If candidate is markedly faster or slower than cadence, have him/her adjust accordingly. Take note of candidate’s motion; coming to a fully erect position on each ascent; remind candidate if necessary.

8. Starting at two minutes and zero seconds, count number of complete steps taken during next 30 seconds. (i.e. Stop counting a t two minutes and 30 seconds). This va lue , multiplied by two, will be the step rate for Stage 1.

9. At two minutes and 45 seconds, tell candidate you are about to increase speed of test.

I 0. At two minutes and 55 seconds, note and record candidate's heart rate.

II. Increase speed of the metronome to 24 steps per minute (96 beats per minute on metronome).

12. Starting at five minutes and zero seconds, count number of complete steps taken during next 30 seconds ( i.e. Stop count ing a t five minutes and 30 seconds). This v a l u e , multiplied by two, will be the step rate for Stage 2.

13. At five minutes and 30 seconds, tell candidate: "30 seconds to go."

14. At five minutes and 50 seconds, tell candidate: "I0 seconds to go."

15. At five minutes and 55 seconds, candidate should be starting her/his next to last ascent.

16. During ascent, tell candidate, "one more" and pause until he/she is starting last ascent and say: "Stop."

17. Note and record time at which candidate stopped test.

18. Note and record candidate's heart rate when test stopped.

19. It is useful to note time of day so time between tests may be determined.

Attachment 2: Physical Abilities Testing Manual

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Scoring the Step Test

If candidate fails to complete at least five minutes of six minute test, score candidate as unqualified for any strenuous jobs. Estimates of METmax would be unreliable in this circumstance.

If candidate completes at least five minutes of six minute test, then predicted aerobic power

(aerobic capacity or METmax), may be obtained.

Calculation of aerobic capacity entails using data from final stage of step test. A generalized equation which uses data of a single stage (i.e. the last stage) is as follows:

For hand calculation ofMETmax using an 11" bench:

METmax = _[HRR{(0.2917*Step Rate) -1}/(FHR- RHR)] + 1

For hand calculation ofMETmax using a 10" bench:

METmax = _(BRR{(0.2737*Step Rate) -1}/(FHR- RHR)] + 1

Where:

etc.).

Step Rate Stepping rate on bench (e.g. 24 steps per minute or 18 steps per minute

FHR =Final Heart Rate at the end of the stepping period.

RHR = Resting Heart Rate.

HRR = Heart Rate Reserve (Age Predicted HR Max- RHR).

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Stepmill Test

Test protocol is as follows:

Level l: Three minutes at 4 METs, 18 steps per minute

Level 2: Three minutes at 7 METs, 24 Steps per minute

1. Read to candidate: "You will be stepping up and down on this stepmill for a period of six minutes or until your heart rate reaches 85% of your age predicted maximum, whichever comes first. (Note: Administrator should provide maximum heart rate and

85% heart rate figures to candidate.) You can rest your hands on the rail but you cannot exert any pressure or press down on the handrails while stepping. Your heart rate will be monitored during entire test."

2. Have candidate try stepmill for up to one minute or until candidate says he or she feels comfortable and has the feel of stepping in the stepmill before starting test.

3. After they have had a brief period to get acclimated, tell them to stop.

4. Read to candidate: "Are you ready?"

5. Start the stepmill program and verify that it is on Level l.

6. Read to candidate: "Begin test." (Note: The timer should start counting from zero.)

7. Monitor heart r a t e c o n t i n u o u s l y and o b s e r v e candidate’s physical c o n d i t i o n . It is

Important for the administrator to:

c. Occasionally ask candidate, "How are you doing?"

d. Keep candidate informed on how much time remains in test.

TERMINATE TEST IF CANDIDATE DOES NOT FEEL HE/SHE CAN COMPLETE

SIX MINUTES.

TERMINATE TEST IF ANY SYMPTOMS LISTED IN PRECAUTIONS OCCURS:

a. If candidate's heart rate exceeds 85% of age predicted max i mu m

b. Candidate is not physically qualified

c. He/she may be over stressed by test

DO NOT DISCUSS PERFORMANCE OR SCORES.

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8. At two minutes and 45 seconds, tell candidate that you are about to increase the speed of test.

9. At two minutes and 55 seconds, note and record heart rate.

10. Proceed to Level 2 on stepmill. (Note: Should be programmed to increase intensity automatically.)

11. At five minutes and 30 seconds, tell candidate: "30 seconds to go."

12. At five minutes and 50 seconds, tell candidate: "10 seconds to go."

13. At five minutes and 55 seconds, candidate should be starting her/his next to last ascent.

14. During ascent, tell candidate, ''One more" and pause until he or she is starting last ascent and say: ''Stop."

15. Note and record time at which candidate stopped test.

16. Note and record candidate's heart rate when test is stopped.

17. It is useful to note time of day so time between tests may be determined.

Scoring the Stepmill Test

If candidate fails to complete at least five minutes of six minute test, score candidate as unqualified for any strenuous jobs. Estimates of METmax would be unreliable in this circumstance.

If candidate completes at least five minutes of six minute test, then predicted aerobic power

(aerobic capacity or METmax) may be obtained.

Calculation of aerobic capacity entails using data from final stage of the Stepmill Test. A generalized equation which uses the data of a single stage (i.e. last stage i n which the exercise intensity level was 7 METs) is as follows:

METmax = [HRR * 7 1}/(FHRRHR)] + 1

Seven (7) = METs during Level Two (2) or second stage of test

FHR =Final Heart Rate at the end of the stepping period

RHR = Resting Heart Rate

HRR = Heart Rate Reserve (Age Predicted HR Max- RHR)

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Treadmill Test

Test protocol is as follows:

Level l: Three minutes at three miles per hour, 2.0% incline

Level2: Three minutes at three miles per hour, 7.0% incline

1. Read to candidate: "You will be walking on a treadmill for a period of six minutes or until your heart rate reaches 85% of your age predicted maximum, whichever comes first (Note: Administrator should provide the maximum heart rate and 85% heart rate figures to the candidate). It is important you maintain a comfortable gait. Your heart rate will be monitored during entire test."

2. Have candidate try walking on treadmill for up to one (1) minute or until candidate says he or she feels comfortable and has the feel of stepping in treadmill before starting test.

3. After they have had a brief period to get acclimated, tell them to stop.

4. Read to candidate: "Are you ready?"

5. Start treadmill program and verify it is on Level 1.

6. Read to candidate: "Begin test." (Note: The timer should start counting from zero.)

7. Monitor heart rate continuously and observe candidate’s physical condi t ion . It is important for the administrator to:

c. Occasionally ask candidate, "How are you doing?''

d. Keep candidate informed on how much time remains in test.

TERMINATE TEST IF CANDIDATE DOES NOT FEEL HE/SHE CAN

COMPLETE SIX MINUTES.

TERMINATE TEST IF ANY SYMPTOMS LISTED IN PRECAUTIONS

OCCURS:

• If heart rate exceeds 85% of age predicted maximum

• Candidate is not physically qualified

• He/she may be over stressed b y the test

Stage 1:4.3 METS at three (3) mph, 2.0% inclination; 6.4 METS at three (3) mph, 7.0% inclination.

FHR =Final Heart Rate at the end of the stepping period

RHR =Resting Heart Rate

HRR = Heart Rate Reserve (Age Predicted HR Max - RHR)

NOTE: Above equation can be used for any single stage treadmill test. If multiple stage test has been administered, use final stage data to calculate the MET score.

October 2011

Contractor is responsible for ensuring ASOs are able to perform essential functions described in the PWS, with any reasonable accommodation. If ASO alleges he/she has a disability and requires reasonable accommodation to perform essential job functions, it is sole responsibility of

Contractor to discuss reasonable accommodations with ASO and to decide what accommodation, if any, to provide at its own expense. COR shall review all reasonable accommodation documentation to ensure completeness and compliance with contract.

Contractor, not Government, is responsible for complying with provisions of Americans with

Disabilities Act of 1990 (42 USC 12101-12213), Rehabilitation Act of 1973 (29 USC 790-

794), and applicable OSHA Occupational Safety and Health Standards (29 CFR 191 0).

PWS 6.5.2 Medical Standards

Contractor shall require ASOs to undergo a pre-employment medical/physical examination and every three years thereafter. A licensed physician shall administer examinations and document results on Medical Questionnaire (Exhibit 7).

Contractor shall ensure a licensed physician fully and accurately completes Sections 2 and 3 of

ASO Medical Questionnaire, as based on medical standards and essential job functions set forth under this contract. ASOs must meet health certification requirements listed in ASO Medical

Questionnaire.

ASOs must meet following medical standards:

PWS 6.5.2.1 Vision: Applicant must have binocular vision and must not test less than 20/30

(Snellen). An applicant who has undergone a Radial Keratotomy or laser correction procedure to correct his or her vision to an acceptable level is medically qualified for this position. Near vision, corrected or uncorrected, must be sufficient to read Jaeger Number 2 or equivalent type and size letter at a distance of no less than 12 inches on a standard Jaeger chart. Applicant must have normal color vision.

PWS 6.5.2.2 Hearing: Applicant average hearing at 500, 1000, 2000, and 3000 Hertz (Hz) must be less than or equal to 25 decibels. Applicant hearing at 4000 and 5000 Hz must be less than or equal to 45 decibels. If there is a difference in hearing between applicant's ears (in excess of 15 decibels at 500-3000 Hz range or in excess of30 decibels at 4000-5000 Hz range), Applicant must receive a test for sound localization. App1icant shall not have ear disorders affecting equilibrium. Applicant may use a hearing aid.

PWS 6.5.2.3 Speech: Individual must be able to speak clearly and distinctly. Any disease or condition that significantly interferes with an individual's ability to speak is a disqualifying factor.

Cardiovascular System: Any disease or condition that interferes with cardiovascular function and an individual’s safe and efficient job performance is a disqualifying factor. Applicant aerobic capacity is a minimum 9 MET or 31.5 mllkg min V02 Max.

Chest and Respiratory System: Individual must have a healthy respiratory system and receive an evaluation and clearance for use of disposable particulate respirators meeting N95 standards as established by National Institute for Occupational Safety and Health (NIOSH). Any disease or condition that interferes with respiratory function and an individual's safe and efficient job performance is a disqualifying factor.

Gastrointestinal System: Individual must have a healthy gastrointestinal tract. Any disease or condition that interferes with gastrointestinal function and an individual's safe and efficient job performance is a disqualifying factor.

Genitourinary System: Individual must have a healthy genitourinary system. Any disease or condition that interferes with an individual's safe and efficient job performance is disqualifying.

Endocrine and Metabolic Systems: Any condition affecting normal hormonal or metabolic functioning and response that is likely to adversely affect an individual's safe and efficient job performance is a disqualifying factor.

Musculoskeletal System: Any condition that adversely impacts on an individual's movement, agility, flexibility, strength, dexterity, coordination, or ability to accelerate, decelerate, or change directions, and that is likely to adversely affect an individual’s safe and efficient performance of duties, is a disqualifying factor.

Hematology System: Any hematological condition characterized as chronic, caused a hematological crisis, or adversely impacts an individual's safe and efficient performance of duties is a disqualifying factor. Such conditions may include anemia or thrombocytopenia.

Neurological Systems: Any disease or condition that interferes with an individual's central or peripheral nervous system function and that is likely to adversely affect safe and efficient performance of duties is a disqualifying factor. Any condition with loss of motor skills, muscle strength, cognitive function, coordination, or gait; sensory loss (limb, hearing, or vision); tremor;

pain; or effect on speech is a disqualifying factor.

Psychiatric Disorders: Any disorder that affects an individual’s judgment, cognitive function, or safe and efficient performance of essential job functions, is a disqualifying factor.

Dermatology: Any disease or condition that may cause an individual to be unduly susceptible to injury or disease as a consequence of environmental exposures or which results in restricted functioning or movement and thereby impairs safe and efficient performance of essential job functions is a disqualifying factor.

Medication: Individual's use of medications such as narcotics, sedative hypnotics, barbiturates, amphetamines, or any drug with potential for addiction, that is taken for extended periods of time (e.g., beyond 10 days), or is prescribed for a persistent or recurring underlying condition, is a disqualifying factor.

Organ transplantation and prosthetic devices: Any transplantation or prosthetic device that adversely affects an individual's ability to safely and efficiently perform essential job functions is a disqualifying factor.

PWS 6.5.3 Physical Demands

ASOs must be physically able to perform tasks and/or functions listed below, in performance of assigned duties:

Frequent and prolonged walking, standing, sitting, and stooping, up to 12 hours per day, either indoors or outdoors, during daytime or nighttime. Outdoor posts may require an individual to withstand extreme heat, humidity, cold, and/or severe weather (e.g., snow, sleet, rain, hail, wind).

Frequent contact with general public, law enforcement, and dispatch center, requiring an ability to speak clearly and distinctly and remain calm in stressful situations (e.g., confrontations with angry, distraught, disturbed, or violent persons).

Ability to remain on post up to four consecutive hours without sitting, eating, or relieving bladder/bowels.

Ability to remain alert for up to 12 hours, with ability to mentally and physically react quickly to a variety of unexpected and dangerous situations. Use of senses (sight, hearing, smell, touch) is necessary to discern unusual or dangerous situations.

Ability to use post security equipment (metal detectors, X rays, CCTV); ability to use handcuffs, baton, and firearm at any time while on duty.

Ability to read post assignments, write reports, and responds to both routine and emergency dispatches/orders.

Ability to subdue violent or potentially violent or disturbed individuals, or intervene in a crisis

(e.g., provide emergency First Aid or/resuscitation while waiting for arrival of paramedics or other emergency personnel).

Occasional running, sprinting, lifting heavy weights, moving heavy objects, climbing stairs

(e.g., in responding to emergencies, ensuring timely and complete facility evacuations, giving pursuit, etc.).

Contractor shall remove individuals deemed incapable of performing above tasks or functions from contract.

Contractor shall be responsible for encouraging and promoting employees assigned to this contract to maintain an ongoing and regular program of physical fitness, at no cost to

Government.

0dober2011 h

Initial and Recurring Screening for Illegal Drugs

ASOs must submit to urine drug screening as part of initial pre-employment process and during recurring medical examination, every three years.

Drug screenings shall conform to current U.S. Department of Health and Human Services

Substance Abuse and Mental Health Services Administration's (SAMHSA) "Mandatory

Guidelines for Federal Workplace Drug Testing Programs''.

Contractor must use laboratories listed on SAMHSA's "Current List o(Laboratories

Which Meet Minimum Standards to Engage in Urine Drug Testing for Federal Agencies".

Contractor shall not permit an applicant/employee to take multiple tests in order to receive an acceptable reading.

Contractor shall perform random drug screenings of 10% of all ASOs assigned to this contract over a 12-month period.

Contractor shall immediately remove contract employee(s) from contract and immediately inform COR and CO of results when a verified positive reading is received.

Contractor shall provide quarterly reports detailing frequency and results of random drug screenings to COR

AND/OR SQI on 10 day of January, April, July, and October.

5.2.4.8 Government will permanently disqualify any contract employee who undergoes either a random or Government-requested urine drug screening and receives a verified positive (meets or exceeds cutoff levels) for any substance(s) from working under this or any other FPS security force services contract.

Government-Requested Screening

CO and/or COR AND/OR SQI may request urine drug screenings, in writing, to Contract

Manager at any time. Drug screenings shall follow guidelines described in Section 5.2.4.

Contract Manager shall arrange for test as soon as possible, but no later than three working days.

Contract employee(s) identified for Government-requested urine drug screenings may continue working under contract until Contractor receives test results.

Contractor shall pay contract employee normal hourly rate/salary for time associated with screening.

Contractor will be required to submit a Request for Equitable Adjustment for reimbursement, if results of urine drug screening are negative.