KHSAA Form FB135 KENTUCKY HIGH SCHOOL ATHLETIC ASSOCIATION Rev. 05/15 FOOTBALL ONLY PRACTICE LOG AND HEAT INDEX RECORDING School: USA Football Drill Level and Per Player Equipment Worn Heat Index Monitoring Information Contact Time DATE TIME PRACTICE / QUARTERS LEVEL 0 1 2 3 4- Helmets Helmets Full TEMP HUMIDITY HEAT ACTIVITY REVISION CONTEST (NUM/LENGTH) (F / JV / Air Bags Thud Control Live Only Shoulder Gear INDEX DUE TO HEAT?? V / ALL) Action Pads (from chart) By signing below, the individuals certify that the information on this form is complete and accurate. (Coach Signature) Position (Coach) (Date) (Prin/AD Signature) Position (Principal or Designated Rep.) (Date)
KENTUCKY HIGH SCHOOL ATHLETIC ASSOCIATION FOOTBALL ONLY PRACTICE LOG AND HEAT INDEX RECORDING KHSAA Form FB135 Rev. 05/15 School: USA Football Drill Level and Per Player Contact Time Equipment Worn Heat Index Monitoring Information DATE TIME PRACTICE / CONTEST QUARTERS (NUM/LENGTH) LEVEL (F / JV / V / ALL) 0 Air 1 Bags 2 Thud 3 Control 4- Live Action Helmets Only Helmets Shoulder Pads Full Gear TEMP HUMIDITY HEAT INDEX (from chart) ACTIVITY REVISION DUE TO HEAT?? By signing below, the individuals certify that the information on this form is complete and accurate. (Coach Signature) Position (Coach) (Date) (Prin/AD Signature) Position (Principal or Designated Rep.) (Date)
fb135.docx