Original to Candidate
Copies to Department’s Director and Candidate’s Supervisor
Candidate’s Name:
________________________________________
Pass Fail
Candidate’s Work E-mail Address:
________________________________________ Audit Number:
1. 2. 3.
Performance Auditor:
(printed name)________________
Signature:__________________
Date of Decision: ___/___/___ Candidate’s Supervisor: ________________________
Specific Elements Failed:
Element # |
Rationale |
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Continue on additional
page if necessary |
Department’s Director’s verification
that all training prerequisites were met and concurrence that the inspector
has achieved Level I. Please attach a copy of the employee’s
completed ORA U Training Curriculum (Bingo Card) which should be signed
off by the employee’s immediate supervisor.
______________________________
______________________________
Dept. Director’s name
Signature
and Date
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