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PACIFIC
SH

CREW EVALUATION REPORT ELECTRICAL CADET

tr Crew sign off
tr Special request
Type of report: (Mark one) tr Change of command

IPPI NG

Staff Code

66252

Vessel

Surname, Name

ATILA MUSTAFA

Sign on

Nationality

HOMANIAI{

fl Good
E Good

Genera! ability

A1

Electronics knowledqe
Electrical knowledge
Automation
Boiler / lGS

El Verv

Verv Good

E
E

System knowledge of
automation & navigational

Very Good

El

Verv Good
Good

Verv Good

El Verv

Good

eouioment

Safety manaqement system

Computer knowledge
Officer-like quality
Dependability

Attitude

E
E
E

Verv Good

Verv Good

E
E
E

Reftabte -

El

Verv Good

Conduct
lnitiative
Sobriety

Good
Good
Good
Good

Good
Good
Good
Usually

E
E
E
E

Averaqe

El

Friendly

Very Good Never A Problem

No Serious

Poor

Unsatisfactory

Poor

Unsatisfactory

E
E

Poor
Poor

Constant

BelowAverage Usuallv ln Trouble

Consistently At

Odds With Shipmates

Quarrels

E
E

lndependently

Average
Supervision Required

Nothing On His Own

fl

Bad -Always ln

Trouble

El self - Starter when

Given Job, Needs No
Frrrther lnstnrctions

Never Drinks

fl

Not Consistent ln

Unsatisfactory

0rders

Can Usually Work

Unsatisfactory

Directions
Relations - Sometimes

Problem

Unsatisfactorv

Supervision Required Has Difficulty Following

Differences With
Others
Average - Only
Few Minor Problems

fl

Unsatisfactorv

Considerable
Supervision Necessary
- Doesn't Follow

Helpful - Friendly
Good - Seldom A

Unsatisfactorv

Unsatisfactorv

Poor

Average

El Very Cooperative

Unsatisfactorv

fl

Averaoe

Averaqe

E
E
E

fl
fl

IJ
Q

Supervision Required

E Poor
E Poor
E Poor
E Poor

Dependable

Cooperative

oF/JUNEr2o14

E Averaoe
E Averaoe
E Averaqe
E Averaqe
E Averaqe
E Average

No Supervision Reqd

Helpful

fl

17fi2/2014

A6
A7
A8

CSAV RIO AYSEN

date ;
Sign off date :
E

A2
A3
A4
A5

'

Usually Does

Never Does

Anything Without
Beino Told

Not To Excess

Moderate But Does

Not Affect Work

Heavy Drinker
Sometimes To Excess

Sometimes, But

fl

Heavy Drinker -

Serious Effect On

Work

H
I

J
K
L
M

English language
Participation in STOP
nrooram
Efforts made in contributing
towards HSEQ onboard
Overall performance
Recommend promotion
Trend of performance
General opinion

Professional Level

Acceptable, Simple
Working Language

Good

Good

Very Good

Good

Fluent

@ Very

El

El Verv

E
El
El

Good

At once
Raoidlv lmorovinq

Particular Desire
To Have Again

E
Zl

Acceptable

Good

soon

lmorovinq

fl

Prefer To Have

Again

Speaks &

Does Not Speak

Understands With
Difficrrltu

understand At All

Average

Poor

Unsatisfactory

El Average

Poor

Unsatisfactory

E
E

Averaqe

Poor

Unsatisfactorv

After Further
Fxncricnce Onlv

[J

Not Beyond

Demote / NTBR

Present Position

E
E

E
E

Uneven

Declinino

Prefer Not To Have

fl

underNo

Consistent
satisfied

Again

0r

Circumstances 0n
Same Shio

RemarkS / Areas for improvement:

(lt is compulsory that a nanalive overview is given. lnclude any specific remarks, observalions and recommendations which are

FOM 0'104 under Section 12.

VEHY GOOO WOHKER, IMPBOVING VERY FASTAND HAS A VERY GOOD ABILITIES TO WORK AS ELEC'TRIC ENGINEER IN THE FUTURE ONCE GAIN
SOME fuIOHE EXPERIENCE

Training required:
MORE EXPERIENCE REQUIRED TO WORK IN EEC BANK

Remarks from Appraised:

AGREED WITH EVALUATION

CH!EF ENGINEER

ELECTRIGAL ENGINEER
I EE2 I ETO
(Name

MASTER

Signature)

ATILA MUSTAFA
(Name and Signature)

DATE
PlcR28