NYC 9/11 Public Portal Document
FIRE^^TY DIRECTOR ON SITE EXAMINATIGif-)3FFICE
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 oP^fative. If so, state why system was inoperative.
applicable' _ __________________________________________________________________________________________________
VIII. Determlnstlon 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 tost. See Chart.
IX. On site Office Building Test—(Print ALL information):
C. of
D
F. ■ Z A.U
01 ' /
No, Of On Site Tests^
Candidate Name Premise Address__ L_____ ____________ _____________
Social Security No.
pii r
Date of Examination Total Number of Items Answered
77*
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 B. FAILEDHreaSon)
(CHECK)
CANOIDATE BUILDING
Those candidates failing should contact the High Rise Unit for another
appointmeptwhen building correction and/or additional knowledge is obtained.
C. Violation numbers issued as result of examination and Inspection: O. I her^ certlfy all information contained In this report is accurals.
^/INSPECTOR 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
nnk copy must be submitted to Cashier’s office. SECTION 0.
SD-1 H/M (8/88)
NYC-WTC_000168787
OCR can misread numbers and units. Confirm readings against the page image before using them.