Test Report Form 
Adult Corrections Officer 
Physical Tasks Testing 
Training Course Date  (mo / year):  ________________________________________________ 
STC Certification #:____________________________ 
Provider:____________________________________ 
Instructor Name:______________________________________________________________ 
Date Officially Observed to Meet/Exceed Benchmark Minimum Performance Level.  Note:  Only 
record as 
Pass, Fail,
 or
 Not Administered
. 
BST #35 
  BST #36    BST #37   
BST #38 
50 Yard 
Dummy 
Weighted 
Stair 
Trainee Name 
Sprint 
Drag 
Carry 
 Walk 
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