NYC 9/11 Public Portal Document
E. 2 SAIK ) DIRECTOR ON SITE EXAMII ION.+ FICE
Section D:
VII. Comments by Examiner.
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 Prising:
A. If the candidate failed to answer satisfactorily the essential questions masked (`), advise the candidate that a now appointment should be requested by
c ontactjng the High Rise Unit. The examiner should also Qive the applicant a bill for the inspectiona/examination.
a If 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.
IL On Site Office Building 7bst--(Print ALL Information):
C of F Z
Candidate Name Premise
Soclal,4eeurlty NaJ. ..
Datq of Examination Total Number of Items Answered. I I
Number of correct answers on test. Number of Incorrect answers are .. Number of N/A answers are
Summary of Results:
A. PASSED or S. FAILED—(reason)
(CHECK)
CANDIDATE BUILDING
Those candidates failing should contact the High Rise Unit for another
appointment when building correction and/or additional knowledge is obtained.
1 ,2vç'
C. Violation numbers issued as r eIt o examination and Inspection: D. report i
a
White copy must be given to the Candidate.
Canary copy must be submitted to the High Rise Unit. INSPECTORS ARE ONLY PERMITTED TO VIDE CANDIDATES WITH
Pink copy must be submitted to Cashier's office. SECTION D.
FSD-1 HIM (tom) 2. . 25
NYC-WTC 000166187
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