Form test 2 | Ergo-ology

Pre Test

Candidate Name

First Last

Employee ID Number*

Age*

Weight (lbs.)*

Medical clearance has been questioned and passed?*

Medical clearance is required to continue with this test.

Resting Heart Rate*

(5 minutes resting)

Maximum Heart Rate

Cut-Off Heart Rate*

Heart Rate Level 1*

(25 lbs., 16”-61", 6 lifts / min, 3 minutes)

Heart Rate Level 2*

(35 lbs., 16"-61", 6 lifts / min, 3 minutes)

Heart Rate Level 3*

(45 lbs., 16"-61”, 6 lifts / min, 3 minutes)

Strength Test

(55 lbs., 55”)

Strength Test

(65 lbs., 55”)

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Testing Result

Hidden

Pass / Fail Score

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Pass / Fail Score