CREW PERFORMANCE FORM No.

05
APPRAISAL

Full Name: HENRY AKPODE Date of Joining: 16.12.2019

Position: ABLE SEAMAN A/B MV AGILIS Date of Leaving: 15.12.2023
Evaluation (Mark/highlight the boxes that are considered as the best assessment of the employee’s current performance)

EVALUATION 5 4 3 2 1
Good knowledge Adequate Barely Satisfactory Not willing to learn
Professional Outstanding and large knowledge for the
Knowledge experience position

Always makes Shows a good deal Able to decide Shows little No initiative at all
timely and correct of initiative most of the time initiative
Initiative decision

Works more than Completes his / Is relatively Trying to improve Performance is

Quantity of expected her assignments proficient unacceptable
Work Provided
Able to organize Organized in daily Acceptable, Not comfortable Inefficient
Organizational and plan on a long work follows instructions with organization
Skills term basis

Total commitment Good attitude to Acceptably follows Has to be told to Detrimental to the
to safety own and others safety procedure follow safety safety of other
Safety Attitude safety procedures

Excellent team Easy and friendly Overall acceptable Uneasy relations Has caused
spirit contact with others relations with others at tension and
Sociability times lowered morale

Excellent, written, Good, at ease with Average, can Below average Poor, if existing.
English understanding and the language communicate for
Language spoken daily duties

IMPROVEMENT TARGETS, ADDITIONAL TRAINING / DEVELOPMENT REQUIREMENT

SUGGESTIONS/APPRAISAL REMARKS

Recommendation by the assessor for further decision: Return back to this vessel.
Date :
Person being appraised : Henry Akpode (Able Seaman)
Master/Appraiser : Frank Tamunoise (Master)
DPA/ Appraiser : Salim Hakim (DPA)

Appraiser : Capt. Rajen Sachar (Head – Maritime & Ports Infrastructure)

If the employee disagrees with this assessment, this should be noted on a separate sheet and attached to this
performance evaluation form prior to forwarding to the Crewing Manager.
1. Original for the Vessel 2. Original for Person being appraised
3. Soft Copy should be sent for the Office by email
This is an Internal Document for use between the Assessor, the Employee and the HR Department.
This report is confidential and shall not be disclosed to any third party.

REVISION NO: 00
DATE:
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