NYC 9/11 Public Portal Document
DIRECTOR ON SITE EXAMHION FICE
ection D:
II. 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 operative. If so, state why system was inoperative.
applicable ----------------------- ---------------------------------------------------------------------------------------------------------------------------------- ------------------
III. Determination of Passing:
,. 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 inspections/examination.
1. 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.
t. On Site Office Building Test—(Print ALL Information):
C. Of F. Z 01 XmW No. of On Site Tests ,
:andidate Name Premise Address.
iociat^ecurity No.
PH ft/ y
late of Examination N m/, Total Number of Items Answered V I /
lumber of correct answers are. €3 on this test. Number of incorrect answers are . Number of N/A answers are
iummary of Results:
L PASSED __ d
(CHECK)
or B. FAILED—(reason)
CANDIDATE BUILDING
Those candidates failing should contact the High Rise Unit for another
appointment when building correction and/or additional knowledge is obtained.
violation numbers Issued as result otexaminatlon and inspection: D. I hereby certify,all informationxontalned in this report la accurate.
_ it INSPECTOR 1 * / date a I
IVhlto copy must be given to the Candidate.
^nary copy must be submitted to the High Rise Unit. INSPECTORS ARE ONLY PERMITTED TO CANDIDATES WITH
’Ink copy must be submitted to Cashier’s office. SECTION D.
1-1 H/M (8/88) 2470682^
NYC-WTC_000168854
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