NYC 9/11 Public Portal Document
FIRE ~-QTY DIRECTOR ON SITE EXAMINATIONbFF10E
Section D: —
VII. Comments by Ex.minsr.
) The Class E system was inoperative, candidate was advised to send In an affidavit indicating proper instruction has been provided and system
Check if 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 by
contacting the High Rise Unit. The examiner should also give the applicant a bill for the inspectionsfexamination.
B. 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 Office Building Teat--(Print ALL Information):
C of Z 01 `t '~ ~N o On Site Tests___
Candidate Name Premise Address
P
Social Security No. II
Date of Examination =Y( Total Number of Items Answered
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 E3. FAILED—{reason)
(CHECK)
CANDIUATE aU1wweso
Those candidates.failing should contact the High Rise Unit for another
appointmegnt1w en building correction andkx additional knowledge is obtained.
C. Violation numbers issued as result of examination and Inspection: D. 1 het certify all information contained In this report Is accumts.
INsPECroR DATE
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.
FSD-t HIM (8/88) z.€7osez-i125
NYC-WTC 000166151
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