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#26-003250-0002
Supplemental Questionnaire

Last Name
First Name
1.

Please provide in detail your level of amusement ride inspection experience.  Include employer, duties, and dates of employment.  If no experience, indicate N/A. 

2.

Describe your experience applying safety regulations, industry standards, and manufacturer specifications to identify hazards and assess compliance.  Include employer, duties, and dates of employment.  If no experience, indicate N/A.

3.

Describe your experience preparing clear, detailed inspection or investigative reports and communicating findings to stakeholders.  Include employer, duties and dates of employment.  If no experience, indicate N/A.


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