NYC 9/11 Public Portal Document
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FIRE SAFETY DIRECTOR ON SITE EXAMINATION-OFFICE
Section D:
VII. Comments by Examiner.
r; The Class E system was inoperative, candidate was advised to send in an affidavit indicating proper instruction has been provided and system
Check it is operative. If so. state why system was inoperative.
applicable
VIII. Determination of Passing:
A. If the candidate failed to answer satisfactorily the essential questions marked ('), advise the candidate that a new appointment should be requested y
contacting the High Rise Unit. The examiner should also give the applicant a bill for the inspectionslexamination.
8. It the candidate satisfactorily answered the mandatory parts, but by totalling all answers, the number of NO answers were below 60%. the candidate fails
the practical test. See Chart.
IX. On Site High Rise Test—(Print ALL information):
C. of R Z 01 No. ofQn Pte Tes
Candidate Name -/~~'
=~'`~ ,4 Office Address iI.2'~ ~`
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sue{='
Social Security
Date of Examination Total Nurnber of Items swered_
(_ -c-
Number of correct answers are' on this test. Number of incorrect answers are . Number of N/A answers are
Summary of Results:
A. PASSED or E. FAILED—(reason)
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CANciesre sult.C~4G
Those candidates failing should contact the High Rise Unit for anct;.=_r
appointment when building correction andlor additional kncwledce is c_tairec.
C. Violation numbers issued as result of examination and inspection: D. I hereby c tfy a I Information contained in this repo s ac urate.
uisPe oa CAT'c
White copy must be given to the Candidate.
Canary copy must be submitted to the High Rise Unit. INSPECTORS ARE ONLY PERMITTED TO PROVIDE CANDIDATES WITH
Pink copy must be submitted to Cashier's office. SECTION D.
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NYC-WTC 000166303
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