NYC 9/11 Public Portal Document
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FIRE SAFETY DIRECTOR ON SITE EXAMINATION-OFFICE
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.
a. If the candidate satisfactorily answered the mandatory parts, but by totalling all answers, the number of NO answers were below 80%, the candidate fails
Ihe practical test. See Chart,
IX. On Site High Rise Test—(Print ALL information):
C. of F. Z 01 No. o^n^’te Te^
Office Address Z
Candidate -
Social Security No.J Pll
Date ol Examination Total Nurnber of Items ^swered
Number of correct answers are / on this test. Number of incorrect answers are
. Number of N/A answers are
7
Summary of Results:
A. PASSED or 8. FAILED—(reason)
(CHECK)
CANOICATE BUILCING
Those candidates failing should contact the High Rise Unit for another
appointment when building correction and/or additional kncv/ledce is citair.eo.
C, Violation numbers issued as result of examination and inspection: D, I hereby cytity ^1 Information contained in this report's accurate.
INSPECTOB CATE
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. SECnON D.
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NYC-WTC_000168815
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