NYC-WTC_000166105

NYC 9/11 Public Portal Document ..__: Wiz .a. _—.: __.:,w.-_...---.-•-- _ -= • - iasc. - 4.,►,a,. :.,.' lcY•.+:

FIRE SAFETY DIRECTOR ON SITE EXAMINATION~OFFICE Section D: VII. Comments by Examiner. The Class E system was inoperative, candidate was advised to send in an affidavit indicating proper instruction ),as been provided and s,-s:en Check if is operative. If so, state why system was inoperative. applicable

Vill. Determination of Passing: . A. If the candidate failed to answer satisfactorily the essential questions marked ("), advise the candidate that a new appointment should be recues;ed `:y contacting the High Rise Unit. The examiner should also give the applicant a bill for the inspections/examination. S. It the candidate satisfactorily answered the mandatory parts, but by totalling all answers, the number of NO answers were below 80%. the candidate fails the practical test. See Chart.

IX. On Site High Rise Test—(Print ALL information): C• of F. Z 01_- __ No. of On Site Tests

Candidate _._._._._._._._._._._., Office Address .» Socia► Security No.I._._._._._.-_._~._._._._ ._.~_._._.PLL_._._._._._._._._._._._._._._._._._._- , Date of Examination ~ y Total Number of Items Answered

Number of correct answers are_f / on this test. Number ofincorrect answers are _ Number of N/A answers are__________ Summary of Results: A. PASSED _ or R. FAILED—(reason) (CHECK)

C. .Noi6TE

Those candidates failing should contact the High Rise Unit for ancter appointment when building correction and/or additional kncwledce is cctairec. C. Violation numbers issued as result of examination and inspection: D. 1. hereby certify all Information contained in this report is accurate.

INSPECTOR - CSTE

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.

NYC-WTC 000166321