Number 3

Created by Breadbox Viper

Appraisal form deck officers

FM2 Shipboard administration

Number: FM2S2-11

Appraisal Form – Deck Officers

Vessel: Breadbox Viper

Location: At Sea

Date: 24 Jun 2023

Name Officer: Zhakomin Andriy

Rank Officer: Chief Officer

Date sign on: 13.04.2023

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  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

Teamwork  P
 CD
 FC
 S
 E

Administration and IT skills  P

 CD
 FC
 S
 E

Management of deck personnel  P

 CD
 FC
 S
 E

Attitude towards 3rd parties  P

 CD
 FC
 S
 E

Attitude towards colleagues  P

 CD
 FC
 S
 E

Communication  P
 CD
 FC
 S
 E

QHSE awareness  P
 CD
 FC
 S
 E

Near miss reporting/Risk  P

assessments  CD
 FC
 S
 E

English language  P
 CD
 FC
 S

Printed on: 24-06-2023 2 /2

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  E

Navigational knowledge please  P

use checklist FM1AS7-6  CD
 FC
 S
 E

Seamanship and handling of  P

vessel equipment  CD
 FC
 S
 E

Watchkeeping  P
 CD
 FC
 S
 E

Chart corrections  P
 CD
 FC
 S
 E

Maintenance safety equipment  P

 CD
 FC
 S
 E

Performance of deck & cargo  P

handling  CD
 FC
 S
 E

Chemical experience  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

Printed on: 24-06-2023 3 /3

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

Requirements for promotion

C/O Manoeuvre Training checklist (FM2S2-3a)

2/O Cargo Training checklist (FM2S2-3b)

3/O Voyage Plan checklist (FM2S2-3c)

Remarks/Commentss Master (or As above

C/O)

Name and Signature s Master (or Oleg Kostiukhin

C/O)

Signature

Remarks/Comments Officer Zhakomin Andriy

Signature

Printed on: 24-06-2023 4 /4

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