Occ Health and Fitness Workshop
REQUEST FOR A FIRE FIT GROUP WORKOUT SESSION
Presented By: PFT _________________Lesson I. D. #:
. (Assigned by Training)
LATEST REVISION DATE: July 29, 2017
1. TITLE:
DATES: XX/X/2009 –SHIFT X
XX/XX/2009 –SHIFT X
XX/XX/2009 –SHIFT X
2. INTENDED AUDIENCE ABILITY LEVEL:
3. NUMBER OF MAX PARTICIPANTS:
4. NUMBER OF PFTS / INSTRUCTORS:
5. TIME REQUIRED:
a. Set up/Room Prep:
b. Actual class:
c. Clean-up:
d. TOTAL TIME:
6. ROOM SIZE:
a. Location:
b. Dirty or Clean Class Room:
c. Clean – up Require: If yes explain –
7. EQUIPMENT / MATERIALS NEEDED:
8. SPECIFIC FITNESS OBJECTIVES: - Must be Fire Service Related
a.
b.
c.
d.
9. UPON COMPLETION PARTICIPANTS WILL KNOW HOW / BE ABLE TO:
a.
b.
c.
10. LESSON PLAN: See attached below
11. EVALUATION:
a. Participation Survey – Using standard TRN Form
b. Instructor Evaluation -Using standard TRN Form
FUTURE / ADVANCED CLASSES INFORMATION - Attach Flyer
FIRE FIT Group Workout Plan Template
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INSTRUCTOR
ACTIONS
INSTRUCTORS
NOTES
ADMINISTRATION
The program will be administered through the Fire Fit
Occupational Health and Fitness Program.
Coordination of the initial program will be through the Occ
Health and Fitness Coordinator (OHFC)
The class sessions will be verified, coordinated and
administered by PFT, _______________ - with the
assistance of other certified Peer Fitness Trainers when
necessary.
Required equipment and classroom set-up will be
coordinated by the Lead Instructor – PFT,
_________________
Future class sessions will be coordinated by the Lead
Instructor for this class– PFT, __________________
Additional classes will be added if there are more then X
participants.
Class will be reviewed when participation drops below X
participants.
Class will be discontinued once participation drops below
X participants
FIRE FIT Group Workout Plan Template
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INSTRUCTOR
ACTIONS
INSTRUCTORS
NOTES
SAFETY / Introduction / Motivation
PREPARATION STEP
SAFETY:
The Lead PFT, _________________________ will
determine the safety of equipment and the room for the
program to being administered.
The Lead PFT, _____________________ will insure that
all participants have been screened via the FARQ for the
ability to participate in the program being administered.
INTRODUCTION:
Explain elements involved in the class and what is to be
accomplished.
MOTIVATION:
Motivate the participants by explaining how class will
improve their overall strength and fitness; that will
translate to a greater work capacity, and a lower
likelihood of sustaining an injury.
FIRE FIT Group Workout Plan Template
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INSTRUCTOR
ACTIONS
INSTRUCTORS
NOTES
PRESENTATION STEP
PFT(s) will:
 explain the overall program
 explain purpose of each exercise in FFing
 explain general proper techniques
 demonstrate how to properly:
 demonstration of warm-up
 demonstration of exercises
Participants will:
 Take and record resting Heart Rate
 Set :
 Warm-up
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INSTRUCTOR
ACTIONS
INSTRUCTORS
NOTES
APPLICATION STEP
There will be “hands on” instruction, motivation, and if
needed, additional demonstration of each exercise to
insure that each participant is using proper/safe form
for their ability.
General Class Example
 1.
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INSTRUCTORS
NOTES
INSTRUCTOR
ACTIONS
EVALUATION STEP
PFT(s) will:
 Evaluate each participants technique
 Make recommendations for future workouts
Participants will:
 Complete course/instructor evaluation form
 Discuss any concerns with PFT(s)
 Determine if they will sign-up for future classes
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INSTRUCTOR
ACTIONS
INSTRUCTORS
NOTES
SUMMARY
Upon the completion of each phase of the program, the
Lead PFT – ____________________ will submit a
summary to assist the OHFC in determining the success
of the program.
The OHFC will make recommendations to the Chief of
Training to either continue with the current program or
make changes necessary to insure future success.
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