NAVPERS Form 6110/10 "Official Bca Score Sheet"

What Is NAVPERS Form 6110/10?

This is a legal form that was released by the U.S. Department of the Navy - Navy Personnel Command on February 1, 2018 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on February 1, 2018;
  • The latest available edition released by the U.S. Department of the Navy - Navy Personnel Command;
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of NAVPERS Form 6110/10 by clicking the link below or browse more documents and templates provided by the U.S. Department of the Navy - Navy Personnel Command.

ADVERTISEMENT
ADVERTISEMENT

Download NAVPERS Form 6110/10 "Official Bca Score Sheet"

430 times
Rate (4.1 / 5) 12 votes
OFFICIAL BCA SCORE SHEET
NAVPERS 6110/10 (Rev. 02-2018)
Supporting Directive OPNAVINST 6110.1J Operating Guides
PRIVACY ACT STATEMENT
AUTHORITY: 10 USC 5013; OPNAVINST 6110.1 Series; E.O 9397 (SSN).
PRINCIPAL PURPOSES: Information is used to effectively execute all aspects of the Navy Physical Readiness Program with incorporation of physical readiness information into
the Physical Readiness Information Management System (PRIMS).
ROUTINE USES: Information is provided to official(s) responsible for all aspects of oversight, management, and administration of the Navy Physical Readiness Program.
DISCLOSURE: Mandatory.
(Write Raw Score for Height & Weight)
Name (Last, First, MI)
Rank
Rate
Age
Height (Inches)
Weight (Pounds)
WCM (Inches)
% Body Fat
Member Signature for BCA Acknowledgment
NOTE: Member acknowledges BCA measurements taken during the date of the BCA. The PRT must be completed within 45 days of this BCA date
BCA Date:
CFL Print Name:
Observer Print Name:
Command UIC:
CFL Signature:
Observer Signature:
Single Site Abdominal Circumference Measurement
Single Site Abdominal Formula
( Abdominal + Abdominal )
= Average Value
A minimum of 2 sets of measurements are required.
For equation, round measurement DOWN to the nearest 1/2 inch, compute average of two closest measurements and
Take 3rd set of measurements if first 2 measurements vary by more than 1 inch.
record this value as the abdominal circumference. Measurements will be taken at Iliac crest.
(Write raw score)
Neck
Abdomen
Males BCA Formula
Abdomen - Neck = Circumference Value
A minimum of 2 sets of measurements are required.
For equation, average the 2 closest neck measurements and round UP to the nearest 1/2 inch, average the 2 closest
Take 3rd set of measurements if first 2 measurements vary by more than 1 inch.
abdomen measurements and round DOWN to nearest 1/2 inch. For BCA determination using the circumference value
tables, actual height is rounded UP to the nearest 1/2 inch.
(Write raw score)
Neck
Waist
Hips
Females BCA Formula
(Waist + Hips) - Neck = Circumference Value
A minimum of 2 sets of measurements are required.
For equation, average the 2 closest neck measurements and round UP to the nearest 1/2 inch, average the 2 closest
Take 3rd set of measurements if first 2 measurements vary by more than 1 inch.
waist and hip measurements and round DOWN to nearest 1/2 inch. For BCA determination using the circumference
(Write raw score)
value tables, actual height is rounded UP to the nearest 1/2 inch.
FOR OFFICIAL USE ONLY
PRIVACY SENSITIVE
OFFICIAL BCA SCORE SHEET
NAVPERS 6110/10 (Rev. 02-2018)
Supporting Directive OPNAVINST 6110.1J Operating Guides
PRIVACY ACT STATEMENT
AUTHORITY: 10 USC 5013; OPNAVINST 6110.1 Series; E.O 9397 (SSN).
PRINCIPAL PURPOSES: Information is used to effectively execute all aspects of the Navy Physical Readiness Program with incorporation of physical readiness information into
the Physical Readiness Information Management System (PRIMS).
ROUTINE USES: Information is provided to official(s) responsible for all aspects of oversight, management, and administration of the Navy Physical Readiness Program.
DISCLOSURE: Mandatory.
(Write Raw Score for Height & Weight)
Name (Last, First, MI)
Rank
Rate
Age
Height (Inches)
Weight (Pounds)
WCM (Inches)
% Body Fat
Member Signature for BCA Acknowledgment
NOTE: Member acknowledges BCA measurements taken during the date of the BCA. The PRT must be completed within 45 days of this BCA date
BCA Date:
CFL Print Name:
Observer Print Name:
Command UIC:
CFL Signature:
Observer Signature:
Single Site Abdominal Circumference Measurement
Single Site Abdominal Formula
( Abdominal + Abdominal )
= Average Value
A minimum of 2 sets of measurements are required.
For equation, round measurement DOWN to the nearest 1/2 inch, compute average of two closest measurements and
Take 3rd set of measurements if first 2 measurements vary by more than 1 inch.
record this value as the abdominal circumference. Measurements will be taken at Iliac crest.
(Write raw score)
Neck
Abdomen
Males BCA Formula
Abdomen - Neck = Circumference Value
A minimum of 2 sets of measurements are required.
For equation, average the 2 closest neck measurements and round UP to the nearest 1/2 inch, average the 2 closest
Take 3rd set of measurements if first 2 measurements vary by more than 1 inch.
abdomen measurements and round DOWN to nearest 1/2 inch. For BCA determination using the circumference value
tables, actual height is rounded UP to the nearest 1/2 inch.
(Write raw score)
Neck
Waist
Hips
Females BCA Formula
(Waist + Hips) - Neck = Circumference Value
A minimum of 2 sets of measurements are required.
For equation, average the 2 closest neck measurements and round UP to the nearest 1/2 inch, average the 2 closest
Take 3rd set of measurements if first 2 measurements vary by more than 1 inch.
waist and hip measurements and round DOWN to nearest 1/2 inch. For BCA determination using the circumference
(Write raw score)
value tables, actual height is rounded UP to the nearest 1/2 inch.
FOR OFFICIAL USE ONLY
PRIVACY SENSITIVE