Evaluation and Appraisal Form

• Site conducted

  Select

• Vessel:

• Name:

• Highest National Lisense:

• Rank:

• Number:

• Sign on date:

  Date

• Sign off date:

  Date

Characteristics

• Professional competence & knowledge

  Good

  Average

  Poor

• Conduct: Sobriety, Integrity

  Good

  Average

  Poor

• Attitude: Co-operation, Loyalty

  Good

  Average

  Poor

• Judgement & Common Sense

  Good

  Average

  Poor

• Leadership

  Good

  Average

  Poor

• Promotional Potential

  Good

  Average

  Poor

• Considering this appraisal do you recommend promotion:

  Yes

  No

  N/A

• Date of Report

  Date

• Head of Department:

  Sign

• Master:

  Sign

• Crew Member:

  Sign