NYC 9/11 Public Portal Document
FIRE ETY DIRECTOR ON SITE EXAMINATION 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 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 High Rise Test-(Print ALL information):
C. of F. Z 01 _(£L2/_ZA^_2__ No. of On Site Tests
Candidate Name Pl < V Office Address 7^ hV I C £ .V re ic
Social Security No. j PH Vo/ft Y-V I
Date of Examination -£2 /y'
e 13 Total Number of Items Answered £2
on this test. Number of incorrect answers are _£ . Number of N/A answers are_^
Number of correct answers are. 2^
Summary of Results:
A. PASSED k or B. FAILED—(reason)
(CHECK)
CANDIDATE BUIUMNQ
Those candidates failing should contact the High flise Unit-for another
appointment when building correction and/or additional knowMge irobtained.
C. Violation numbers issued as result of examination and inspection: D. I hereby certify all information contained In this repo^ Is rate.
INSPECTOR BATE
£
White copy must be given to the Candidate.
Canary copy must be submitted to the High Rise Unit. INSPECTORS ARE ONLY PERMITTED TO PROVIDE CANDiIMJES WITH
Pink copy must be submitted to Cashier’s office. SECTION D.
>D-1 H/R (4/89) 51-890288-114
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NYC-WTC_000168965
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