Number 3

Created by Breadbox Viper

Appraisal form engineers

FM2 Shipboard administration

Number: FM2S2-12

Appraisal Form – Engineers

Vessel: Breadbox Viper

Date 24 Jun 2023

Location: At Sea

Name Engineer: Gerasimenko Pavel

Rank Engineer: Single Engineer

Date sign on: 07.03.2023

Type of evaluation (please cross 1)

:

¨First impression after 2/3 weeks

¨Signing off

¨On request Master handover

Appraisal by: Oleg Kostiukhin

Rank: Master

Date report: 24 Jun 2023

Overall Impression  P
 CD
 FC
 S
 E

Management skills (if applicable)  P

 CD
 FC
 S
 E

Self initiative and motivation  P

 CD
 FC
 S

Printed on: 24-06-2023 1 /1

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  E

Responsibility and reliability  P

 CD
 FC
 S
 E

Administration  P
 CD
 FC
 S
 E

Organisation  P
 CD
 FC
 S
 E

Attitude towards 3 parties  P

 CD
 FC
 S
 E

Communication  P
 CD
 FC
 S
 E

QHSE awareness  P
 CD
 FC
 S
 E

English language  P
 CD
 FC
 S
 E

Technical and Electrical knowledge  P

 CD
 FC
 S
 E

Knowledge of ER tasks and  P

responsibilities  CD
 FC
 S
 E

Skills in engines and auxiliary  P

operations  CD
 FC
 S

Printed on: 24-06-2023 2 /2

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  E

Stock control  P
 CD
 FC
 S
 E

Maintenance ER and Cargo  P

equipment  CD
 FC
 S
 E

Tidiness ER  P
 CD
 FC
 S
 E

Planned Maintenance System  P

 CD
 FC
 S
 E

Coding:
Exceptional (E) (clearly outstanding performance). Performance falls within top 5 – 10 % of employees in this
rank/position
Strong (S) (excellent performance). Performance falls within top 15% of the employees in this rank/position.
Fully Competent (FC) (solid performance). Consistently meets job requirements and expectations.
Continued Development (CD) Needs development in current position. Overall performance is somewhat lower than
expected for the current position
Poor (P) (unsatisfactory performance). Performance is clearly below what is expected in current position.

Training / Actions Not required

Career Ambitions / Suitable for N/a

promotion

Remarks/Comments Chief Engineer Good Chief Engineer. Recommended for re-employment company fleet vessels
(or Master)

Remarks/Comments Engineer

Name and Signature Chief Oleg Kostiukhin

Engineer (or Master)

Signature

Name and Signature Engineer Pavel Gerasimenko

Printed on: 24-06-2023 3 /3

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 Signature

Printed on: 24-06-2023 4 /4

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