Forms & Checklists Approved by: QC

Issue No 7 File name: F0105 Date: 1-Dec-16 Page 1 of 1

HOLY HOUSE SHIPPING EVALUATION

EVALUATION FORM

<NAME OF CREW> <RANK> <NAME OF VESSEL>

Any grades of unsatisfactory, or recommendation for demotion,must be explained under remarks. 2 Month Appraisal
(To indicate rating, blocken the applicable box) Signing off Appraisal

LEGEND/ABILITY A B C D E F G H I
DEPENDABILITY ATTITUDE CONDUCT INITIATIVE SOBRIETY OVERALL PROMOTION TREND OF GENERAL
PERFORMANCE PERFORMANCE OPINION
1
Excellent Reliable Very Excellent Self starter- Never Excellent Recommend Rapidly Particularly
Unsurpassed No supervision Cooperativve never a when given drinks at once Improving Desire to
required Helpful problem job, he needs have again
Friendly no further
instructions
2
Very Good Usually Friendly Very Good Can usually Sometimes Very Good Recommend Improving Prefer to
Few Better Dependable Cooperative seldom a work But never soon have again
Helpful problem independently to excess
3
Average Average No serious Average Average Moderate Average Recommend Consistent Satisfied
Supervision differences only few minor Supervision but does not after further
required with others problems required affect work experience
4
Poor Considerable Not consistent Below average- Usually does Heavy drinker- Poor Not Beyond Uneven Prefer not to
Supervision in Relations- usually in nothing on sometimes to present position have again
necessary- sometimes in trouble his own excess
doesn't follow quarrels
directions
5
Unsatisfactory Constant Consistently Bad-always in Never does Heavy drinker- Unsatisfactory Demote Declining Under no
for present supervision at odds with trouble anything serious effect circumstances
positon required-has Shipmates without being on work on same ship
difficulty following told
orders

TRAINING RECOMMENDED ___________________________________________ Recommendation

REMARKS Re-employment YES NO
Present Rank YES NO
Promotion YES NO

C/Engineer Master Date