NYC 9/11 Public Portal Document
FIRE SAFETY DIRECTOR ON SITE EXAMINATION-OFFICE
Section D:
VII. Cotninents 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
Vlll. 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. It 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 Chan.
IX. On Sile High Rise Test—(Print ALL information):
C. ofF. Z 01 No. ol On Sile Tests
Candidate Name _ Office Address
Social Security No._;
Pll
Date of Examination Total Number of Items Answered
z'
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. FAILED—(reason)
(CHECK)
CANOICATE BUILDING
Those candidates failing should contact the High Rise Unit for another
appointment when building correction and.'or additional kncv/ledce is cbtair.eo.
C. Violation numbers issued as result of examination and inspection: D. I hereby certify all Information contained in this report is accurate.
INSPECTOR DATE
While copy must be given to the Candidate.
Canary copy must be submitted to the High R]se Unit. INSPECTORS ARE ONLY PERMITTED TO PROVIDE CANDIDATES WITH
Pink copy must be submitted to Cashier’s office'. SECTION D.
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NYC-WTC_000168816
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