NYC 9/11 Public Portal Document
FIRE DIRECTOR ON SITE EXAMINATION ICE
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/examinafion.
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__ L
Candidate Name Premise Address CumtcQ,
Social Security No. k>E-uo <4oaAC , tOoMQ
Date of Examination Total Number of Items Answered
Number of correct answers are_S.l£. on this test. Number of incorrect answers are . Number of N/A answers aro_^
Summary of Results:
A. PASSED or B. FAILED—(reason)
(CHECK)
CANDIDATE BUILDING
Those candidates failing should contact the High Rise Unit for another
appointment when building correction andtor additional knowledge is obtained.
C. violation numbers issued as result of examination and Inspection: D. I here^certify all information contained In this report Is accurate.
NJOMC-_________ _______ ________
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
Pink copy must be submitted to Cashier’s office. SECTION D.
iD-1 H/M (8/88) 2^TOS8afl25
NYC-WTC_000168807
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