CREW APPRAISAL REPORT

ALLIANZ-FRM-0202.13

Vessel Name ALLIANZ TITANIUM Date 25-07-2023

Crew Name (Appraisee) AGIE FAISAL LIMBONG Rank AB

Period From: 10-01-2023 / To: 25-07-2023 Date of Last Appraisal 25-07-2023

PART I – REASON FOR APPRAISAL

Annual Probation Promotion Other ( )

PART II A – REPORT FOR OFFICERS (Appraisee) PART II B – REPORT FOR RATINGS (Appraisee)
Max. Points Points
Sl. No Items Sl. No Items Max. Points
Points Given Given
1 Attitude and Integrity 10 8 1 Output Level. 20 17

2 Interpersonal relationship 10 7 Professional Ability, Reliability &

2 20 16
3 Professional Ability & Reliability 10 8 Initiative.

4 Experience and Skills 10 9 Attitude, Punctuality and

3 20 17
5 Punctuality & Teamwork 10 8 Interpersonal relationship.

6 Planning and Decision Making 10 7 Safe Working Practices,

4 20 18
7 Initiative and Motivation 10 8 teamwork & SMS awareness.

8 Communication Skills - ENGLISH 10 8 5 Communication – ENGLISH. 20 18

9 SMS, QHSE and Security 10 8

10 Leadership and Punctuality 10 7 Total100 86

Total100 78

PART III – BY APPRAISER (Master / Chief Engineer / Marine / Technical Department)

Assessment of Performance Total evaluation points from Part II:

Outstanding (95 Points and above) Excellent (85 – 94 Points) Good (70 – 84 Points)

Average (55 – 69 Points) Poor (54 Points and below)

Comments (if any)

Name fIRUDIN BASHIROV Rank MASTER

Date 25-07-2023 Signature

PART IV – APPRAISEE ACKNOWLEDGEMENT

Comments (if any)

Date Signature

Revision 02. Original Date: 14/05/2017. Version date: 17/05/2023.

Prepared by: ALLIANZ QHSE Manager. Approved by: ALLIANZ General Manager. Validated by: ALLIANZ QHSE Manager. 1 /1