NYC 9/11 Public Portal Document
FIRE TY DIRECTOR ON SITE EXAMINATI FFICE
Section D;______________ i-____________________________________
VII. Comments by Examiner: j y -T i
( ) The Class' E sy^6r^ was i lo^er^tive, baMiilate was advised to send in an affidjl|^it^ig^n3 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 inspections/examination.
B. 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.
IX. On Site Office Building Test—(Print ALL information):
C. of F. Z 01 No. of On Site Tests / ,
Candidate Name__ j..i—/ r Premise Address ,7 !
Social Security No.
PH
Date of Examination Total Number of Items Answered__________ 7
Number of correct answers are. on this test. Number of incorrect answers are . Number of N/A answers are
Summary of Results:
A. PASSED
(CHECK)
J or B. FAILED—(reason)
CANDIDATE BUILDING
Those candidates failing should contact the High Rise Unit for another
appointment when building correction arxl/or additional knowledge is obtained.
C. Vlola^^^u^ers^lMu^^M^sul^o^e^ijItjatlon and Inspection: this report Is accurate.
INSPECTOR / DATE
White copy must be given to the Candidate.
Canary copy must be submitted to the High Rise Unit. INSPECTORS ARE ONLY PERMI TO PROVIDE CANDIDATES WITH
Pink copy must be submitted to Cashier’s office. SECTION D.
5D-1 H/M (8/88) 2«Dn24us
NYC-WTC_000168883
OCR can misread numbers and units. Confirm readings against the page image before using them.