MAGNUS CARRIERS Form F06-05

CORPORATION
Issue Date: 01.09.05
Issue No: 02
APPRAISAL REPORT Rev. Date: ---
Rev. No: 00
Page: 1/2

Name : Vessel :

Rank :

Period under review : From : to :

(Insert the dates between which you have observed his performance for the purposes of this report)

How long have you known the man :

More than 3 months but For quite some time but on
0-3 months on a working basis only a working & personal basis

1. Has he breached our Drug & Alcohol policy during YES NO

the above period?
2. Does he have a health problem? YES NO
3. Does he have a communication problem in YES NO If his command of the English language is better

English while performing his normal duties? than average then tick this box

SAFETY CONSCIOUSNESS No regard for safety a Works with minimum Good regard for personal & Highly safety conscious being an
dangerous man acceptable safety guidelines operational example to others
Is he always careful not to
risk his life, the ship or
pollute the environment?
ABILITY Totally incompetent Meets the minimum standard Capable with good skills Exceptionally skilled in his
duties
required for his rank
To perform his normal
duties

ATTITUDE Thoroughly disruptive and Normal attitude Good attitude Always very positive and
quarrelsome cooperativ
Behaviour towards others
both superiors and
subordinates
WILLINGNESS Never prepared to co-operate in Just willing but slow Willing to help & assist Always more than willing &
work whatsever offers help without being asked
To work and learn

PROMOTION Not to be promoted To be considered. During next Yes on. Next sign on Ready now
sign-on
Comment on his suitability
for promotion

Re-employable S/Off Date S/Off Reason Vacation Accident Recommendation

YES His Request Dismissal Re-Hire
NO Sickness Transferred Not for re-hire
To be filled when services is terminated (sign-off)

Send one copy to Office

 MAGNUS CARRIERS Form F06-05
CORPORATION
Issue Date: 01.09.05
Issue No: 02
APPRAISAL REPORT Rev. Date: ---
Rev. No: 00
Page: 2/2

THE ACCURACY OF REPORTING REFLECTS TO THE REPORTER

CAPTAIN REPORTER΄S NAME

Signature DATE : Signature DATE

If training needs in any subject/area please to be mentioned in remarks here below.

Remarks:

Name Signed

PERFORMANCE REPORTING

It is the Company’s policy to carry out regular performance appraisals of our seafaring employees.
The purpose of this report is to enable the Company to assess the standard quality of our crew, to
establish promotability and to analyze areas where additional training is required.

A report should be completed after the first month of service of each seafarer and every
June & December thereafter and when they sign off.

All completed reports should be mailed to the Company for the attention of Human Resources
Director.

Send one copy to Office